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798: Pregnancy outcome after previous termination of pregnancy for preeclampsia
Poster Session IV
ajog.org RESULTS: Of the 2334 women enrolled, 2088 (89%) completed the PSS through all trimesters, and 1948 were included in the analysis based on complete neonatal anthropometry information. The approach identified three PSS trajectory classes, with mean PSS scores of 2.82 (low), 7.95 (medium) and 14.8 (high), Figures 1 and 2. Neonatal anthropometry measures of birth weight, abdominal circumference, head circumference and length were similar (P¼0.80, P¼0.39, P¼0.12 and P¼0.08 respectively) regardless of the participants’ PSS class. There was no effect modification by maternal race/ethnicity. CONCLUSION: Neonatal linear measurements did not differ by levels of perceived stress among low-risk pregnant women.
798 Pregnancy outcome after previous termination of pregnancy for preeclampsia Antoinette C. Bolte1, Leonoor L. van Eerden2, Gerda G. Zeeman3, Godelieve C. Page-Christiaens4, Eva Pajkrt5, Johannes J. Duvekot6, Frank P. Vandenbussche1, Guid Oei7, Liesbeth C. Scheepers8, Jim van Eyck9, Annemieke M. Middeldorp10, Christianne J. de Groot11 1 Radboudumc, Nijmegen, Netherlands, 2Maasstad Ziekenhuis, Rotterdam, Netherlands, 3University Medical Center Groningen, Groningen, Netherlands, 4University Medical Center Utrecht, Utrecht, Netherlands, 5 Academic Medical Center, Amsterdam, Netherlands, 6Erasmus Medical Center, Rotterdam, Netherlands, 7Maxima Medical Center, Veldhoven, Netherlands, 8Maastricht Medical Center, Maastricht, Netherlands, 9Isala Clinics, Zwolle, Netherlands, 10Leids University Medical Center, Leiden, Netherlands, 11VU Medical Center, Amsterdam, Netherlands
OBJECTIVE: To investigate outcome of the first subsequent pregnancy
after a termination of pregnancy for maternal hypertensive disorders. STUDY DESIGN: The cohort consists of 131 women who underwent termination of pregnancy for a hypertensive disorder in The Netherlands between 2000-2009. Follow up included until January 2015. Outcome data from the first subsequent pregnancy after termination were collected. RESULTS: Data were collected for 103 women (79%). 18 women did not conceive again. 85 women had at least one subsequent pregnancy. Of 79 pregnancies were data available for analysis. Maternal characteristics: chronic hypertension 20% and thrombophilia 23%. There were 7 miscarriages (9%) and 72 ongoing pregnancies; 1 triplet, 4 twins and 67 singletons. Low dose aspirin was prescribed for 64 women (89%). Overall recurrence rate of preeclampsia was of 26%. 38 women had an uncomplicated pregnancy (53%). For the singleton pregnancies GA at delivery was (mean SD) 35.9 4.6 weeks (index pregnancy 24.7 1.4 weeks) and mean birth weight was 2567 965 grams (index pregnancy 469 124 grams). Nine neonates (13%) were small for gestational age (
799 Labour profile and outcomes in pregnant women with cardiac disease Robin Thurman1, Nusrat Zaffar1, Parastoo Sayyar1, Mathew Sermer1, Samuel Siu2, Candice Silversides3, Rohan D’Souza4 1 University of Toronto, Mount Sinai Hospital, Department of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine, Toronto, ON, Canada, 2 Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada, 3Mount Sinai Hospital and University Health Network, Department of Obstetric Medicine, Toronto, ON, Canada, 4University of Toronto, Mount Sinai Hospital, Department of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine. 4Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada
OBJECTIVE: Labour is associated with a 50% increase in cardiac
output over and above the other physiological cardiovascular changes in pregnancy. This, in addition to the expulsive efforts in the active second stage of labour, could put women with cardiac disease at an increased risk of life-threatening cardiac events. With early epidural analgesia, prolongation of the passive second stage of labour Supplement to JANUARY 2017 American Journal of Obstetrics & Gynecology
S459
ajog.org RESULTS: Of the 2334 women enrolled, 2088 (89%) completed the PSS through all trimesters, and 1948 were included in the analysis based on complete neonatal anthropometry information. The approach identified three PSS trajectory classes, with mean PSS scores of 2.82 (low), 7.95 (medium) and 14.8 (high), Figures 1 and 2. Neonatal anthropometry measures of birth weight, abdominal circumference, head circumference and length were similar (P¼0.80, P¼0.39, P¼0.12 and P¼0.08 respectively) regardless of the participants’ PSS class. There was no effect modification by maternal race/ethnicity. CONCLUSION: Neonatal linear measurements did not differ by levels of perceived stress among low-risk pregnant women.
798 Pregnancy outcome after previous termination of pregnancy for preeclampsia Antoinette C. Bolte1, Leonoor L. van Eerden2, Gerda G. Zeeman3, Godelieve C. Page-Christiaens4, Eva Pajkrt5, Johannes J. Duvekot6, Frank P. Vandenbussche1, Guid Oei7, Liesbeth C. Scheepers8, Jim van Eyck9, Annemieke M. Middeldorp10, Christianne J. de Groot11 1 Radboudumc, Nijmegen, Netherlands, 2Maasstad Ziekenhuis, Rotterdam, Netherlands, 3University Medical Center Groningen, Groningen, Netherlands, 4University Medical Center Utrecht, Utrecht, Netherlands, 5 Academic Medical Center, Amsterdam, Netherlands, 6Erasmus Medical Center, Rotterdam, Netherlands, 7Maxima Medical Center, Veldhoven, Netherlands, 8Maastricht Medical Center, Maastricht, Netherlands, 9Isala Clinics, Zwolle, Netherlands, 10Leids University Medical Center, Leiden, Netherlands, 11VU Medical Center, Amsterdam, Netherlands
OBJECTIVE: To investigate outcome of the first subsequent pregnancy
after a termination of pregnancy for maternal hypertensive disorders. STUDY DESIGN: The cohort consists of 131 women who underwent termination of pregnancy for a hypertensive disorder in The Netherlands between 2000-2009. Follow up included until January 2015. Outcome data from the first subsequent pregnancy after termination were collected. RESULTS: Data were collected for 103 women (79%). 18 women did not conceive again. 85 women had at least one subsequent pregnancy. Of 79 pregnancies were data available for analysis. Maternal characteristics: chronic hypertension 20% and thrombophilia 23%. There were 7 miscarriages (9%) and 72 ongoing pregnancies; 1 triplet, 4 twins and 67 singletons. Low dose aspirin was prescribed for 64 women (89%). Overall recurrence rate of preeclampsia was of 26%. 38 women had an uncomplicated pregnancy (53%). For the singleton pregnancies GA at delivery was (mean SD) 35.9 4.6 weeks (index pregnancy 24.7 1.4 weeks) and mean birth weight was 2567 965 grams (index pregnancy 469 124 grams). Nine neonates (13%) were small for gestational age (
799 Labour profile and outcomes in pregnant women with cardiac disease Robin Thurman1, Nusrat Zaffar1, Parastoo Sayyar1, Mathew Sermer1, Samuel Siu2, Candice Silversides3, Rohan D’Souza4 1 University of Toronto, Mount Sinai Hospital, Department of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine, Toronto, ON, Canada, 2 Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada, 3Mount Sinai Hospital and University Health Network, Department of Obstetric Medicine, Toronto, ON, Canada, 4University of Toronto, Mount Sinai Hospital, Department of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine. 4Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada
OBJECTIVE: Labour is associated with a 50% increase in cardiac
output over and above the other physiological cardiovascular changes in pregnancy. This, in addition to the expulsive efforts in the active second stage of labour, could put women with cardiac disease at an increased risk of life-threatening cardiac events. With early epidural analgesia, prolongation of the passive second stage of labour Supplement to JANUARY 2017 American Journal of Obstetrics & Gynecology
S459