Abstract | OBJECTIVE: To test the hypothesis that high circulating concentrations of maternal anti-angiogenic factors are associated with increased risk of respiratory distress syndrome (RDS). STUDY DESIGN: RESULTS: Preterm infants born to hypertensive mothers were more likely to develop RDS (22.5% vs. 20.9%, p = 0.03). After adjustment for gestational age at delivery, the odds ratio for the relationship between hypertension in pregnancy and RDS was 2.18 (95% CI 1.08-4.39). In hypertensive pregnancies women whose infants developed RDS had significantly higher circulating mean sFlt1 levels during midpregnancy (21-32 weeks of gestation) even after adjustment for gestational age at delivery (21,516 pg/mL vs. 7,000 pg/mL, p = 0.01). CONCLUSIONS: Preterm preeclampsia and gestational hypertension, characterized by high circulating levels of sFlt1, are associated with a twofold increased risk of RDS in infants delivered before 37 weeks. Among women with these hypertensive pregnancies circulating sFlt1 concentrations during midpregnancy were substantially higher in women whose infants developed RDS.
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Authors | Alice Wang, Alexander M Holston, Kai F Yu, Jun Zhang, Mourad Toporsian, S Ananth Karumanchi, Richard J Levine |
Journal | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
(J Matern Fetal Neonatal Med)
Vol. 25
Issue 8
Pg. 1447-52
(Aug 2012)
ISSN: 1476-4954 [Electronic] England |
PMID | 22097923
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Angiogenesis Inhibitors
(analysis, blood)
- Case-Control Studies
- Double-Blind Method
- Female
- Humans
- Hypertension, Pregnancy-Induced
(blood, epidemiology)
- Infant, Newborn
- Infant, Premature
(physiology)
- Pregnancy
- Randomized Controlled Trials as Topic
- Respiratory Distress Syndrome, Newborn
(blood, epidemiology, etiology)
- Risk Factors
- Young Adult
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