Uterine anomalies associated with hypertensive disorders during pregnancy

Pregnant women with a uterine anomaly were more likely to have a hypertensive disorder than those without a uterine anomaly, according to data presented at the American College of Obstetrics and Gynecology Annual Clinical and Scientific Meeting in San Diego.

“Pregnancies associated with uterine anomalies have higher rates of recurrent pregnancy loss, preterm delivery and malpresentation necessitating cesarean delivery,” Jillian Kurtz, DO, from OhioHealth, and colleagues wrote. “Smaller studies have suggested the link between hypertensive disorders and uterine anomalies as well but thus far, there still remains little data regarding the subject.”

Kurtz and colleagues calculated and compared the rates of hypertensive disorders in pregnant women with versus without a known uterine anomaly. Women who were pregnant for more than 20 weeks who had a uterine anomaly and visited an OhioHealth facility between Jan. 1, 2010, and Oct. 7, 2015 were included. The researchers recorded participants’ demographic and clinical characteristics.

Eighty women who were pregnant for more than 20 weeks were identified as having a uterine anomaly. Results indicated that hypertensive disorders were more frequent in women with uterine anomalies than those without these anomalies (15% vs. 5%; P = 0.001).

“With increasing use of assisted reproductive technology, the OB/GYN community will begin seeing a greater number of these pregnancies,” Kurtz and colleagues. “Understanding the specific pregnancy outcomes that are associated with these high-risk pregnancies will be crucial for appropriate management.” – by Alaina Tedesco

Reference:

Kurtz J, et al. Uterine Anomalies and Hypertensive Disorders of Pregnancy: A Retrospective Study. Presented at: American College of Obstetrics and Gynecology Annual Clinical and Scientific Meeting; May 6-9, 2017; San Diego.

Disclosure: The authors do not report relevant financial disclosures.