{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:32:39Z","timestamp":1787772759343,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>New onset hypertension is more common in antenatal women with increased Body Mass Index (BMI). This may be due to either gestational hypertension (GH) or pre-eclampsia (PE). GH unlike PE is not associated with poor perinatal outcomes and would not require interventions such as increased antenatal visits and induction of labour. Our study assessed the prevalence of GH and PE in women with increased BMI as compared to women with normal BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Design:<\/jats:title>\n                    <jats:p>Historical cohort of a large tertiary centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method and Materials:<\/jats:title>\n                    <jats:p>Data from the electronic birth registry of the labour room was used to identify women who had a BMI \u2265 35 kg\/m2 at delivery. Women with a normal BMI matched for the mode of delivery was taken as control. 148 women with BMI \u2265 35 kg\/m2 were compared with 140 women of normal BMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      New onset hypertension was seen in 41.2% (61\/148) and 8.6% (12\/140) in the non-obese group RR 4.81 (2.7-8.54)\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      (&lt;0.001). GH was seen in 24.3% in obese women and 2.9% in normal controls, RR (9.65 (3.54,26.34)),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      (&lt;0.001). PE was seen in 16.9% of obese women and 5.7% of women with normal BMI, RR (3.79 (1.78,8.08))\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      (&lt;0.001). Proportion of GH in women with new onset hypertension was seen in 59% of obese women with new onset hypertension and 33% of normal controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This clinically relevant trend towards an increased proportion of GH highlights the importance of identifying pathophysiological mechanism for high BP in obesity when there is new onset hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2489_21","type":"journal-article","created":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T07:34:07Z","timestamp":1666164847000},"page":"5254-5256","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Is new onset hypertension in obese women more likely to be Gestational Hypertension? - A retrospective study"],"prefix":"10.4103","volume":"11","author":[{"given":"Smitha E.","family":"Jacob","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily Divya","family":"Ebenezer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richa Sasmita","family":"Tirkey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Benajmin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gowri","family":"Mahasampath","sequence":"additional","affiliation":[{"name":"Department of Bio-Statistics, Christian Medical College, Bagayam, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiji E.","family":"Mathews","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilda","family":"Yenuberi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10,14]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1097\/AOG.0000000000003892","article-title":"Gestational hypertension and preeclampsia: ACOG practice bulletin summary, number 222","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/S0140-6736(10)60279-6","article-title":"Preeclampsia","volume":"376","author":"Steegers","year":"2010","journal-title":"Lancet"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1161\/HYPERTENSIONAHA.117.10803","article-title":"Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice","volume":"72","author":"Brown","year":"2018","journal-title":"Hypertension"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/S1701-2163(15)30545-4","article-title":"Gestational hypertension and preeclampsia: Are they the same disease?","volume":"36","author":"Melamed","year":"2014","journal-title":"J Obstet Gynaecol Can"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1097\/HJH.0b013e328345500c","article-title":"Associations of maternal obesity with blood pressure and the risks of gestational hypertensive disorders. The Generation R Study","volume":"29","author":"Gaillard","year":"2011","journal-title":"J Hypertens"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/1471-2458-7-168","article-title":"Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies","volume":"7","author":"Bhattacharya","year":"2007","journal-title":"BMC Public Health"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/01.EDE.0000059921.71494.D1","article-title":"Maternal body mass index and the risk of preeclampsia: A systematic overview","volume":"14","author":"O'Brien","year":"2003","journal-title":"Epidemiology"},{"key":"B8-20240828","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1097\/AOG.0000000000003901","article-title":"Maternal obesity and the risk of early-onset and late-onset hypertensive disorders of pregnancy","volume":"136","author":"Bicocca","year":"2020","journal-title":"Obstet Gynecol"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"396","DOI":"10.3109\/10641955.2010.506233","article-title":"Body mass index and blood pressure measurement during pregnancy","volume":"30","author":"Hogan","year":"2011","journal-title":"Hypertens Pregnancy"},{"key":"B10-20240828","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/S0140-6736(09)60736-4","article-title":"Induction of labour versus expectant monitoring for gestational hypertension or mild pre-eclampsia after 36 weeks'gestation (HYPITAT): A multicentre, open-label randomised controlled trial","volume":"374","author":"Koopmans","year":"2009","journal-title":"Lancet"},{"key":"B11-20240828","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/S0140-6736(10)60043-8","article-title":"HYPITAT and the fallacy of pregnancy interruption","volume":"375","author":"Bewley","year":"2010","journal-title":"Lancet"},{"key":"B12-20240828","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1111\/j.1471-0528.2008.01931.x","article-title":"Trends in maternal obesity and associated risks of adverse pregnancy outcomes in a population of Chinese women","volume":"115","author":"Leung","year":"2008","journal-title":"BJOG"},{"key":"B13-20240828","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1097\/01.AOG.0000188387.88032.41","article-title":"Maternal outcomes in pregnancies complicated by obesity","volume":"106","author":"Robinson","year":"2005","journal-title":"Obstet Gynecol"},{"key":"B14-20240828","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/1471-2393-10-56","article-title":"The risk of adverse pregnancy outcomes in women who are overweight or obese","volume":"10","author":"Athukorala","year":"2010","journal-title":"BMC Pregnancy Childbirth"},{"key":"B15-20240828","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/1471-0528.12443","article-title":"Association between maternal body mass index during pregnancy, short-term morbidity, and increased health service costs: A population-based study","volume":"121","author":"Denison","year":"2014","journal-title":"BJOG"},{"key":"B16-20240828","first-page":"e011626","article-title":"Does pre-pregnancy BMI determine blood pressure during pregnancy?","volume":"6","author":"Savitri","year":"2016","journal-title":"A prospective cohort study"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2489_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:11:37Z","timestamp":1787771497000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2489_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2489_21","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"2021-12-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}