Hypertensive Disorders in Pregnant Women with One or More Abnormal Values of Oral Glucose Tolerance Test

Abstract

Objective:

To determine the incidence of hypertensive disorders in singleton women with one or

more abnormal values of oral glucose tolerance test (OGTT) and to evaluate the association

between characteristics of these women and hypertensive disorders in pregnancy.

Materials and methods:

The retrospective study conducted at the Department of Obstetrics and

Gynecology, BMA Medical College and Vajira Hospital. The study group consisted of singleton

women who had one or more abnormal values of OGTT between July 2006 and December 2007.

The incidence and risk factors for development of hypertensive disorders were determined.

Results:

Of the 434 women studied, the incidence of hypertensive disorders was 12% (8.6%,

12.3%, 17.2% and 20% in women with 1, 2, 3 and 4 abnormal values of OGTT, respectively).

Thus the number of abnormal values of OGTT tended to have higher prevalence of hypertensive

disorder but not reach statistical significance. Pre-pregnancy body mass index (BMI) was the

significant characteristic that associated with the development of hypertensive disorders.

Conclusion:

The incidence of hypertensive disorders in singleton women with one or more

abnormal values of OGTT was 12%. Women who have high pre-pregnancy BMI were at

increased risk of developing hypertensive disorders in pregnancy.