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Maternal preeclampsia is associated with an increased risk of retinopathy of prematurity

  • Hilal Özkan , Merih Cetinkaya EMAIL logo , Nilgun Koksal , Ahmet Özmen and Meral Yıldız
Published/Copyright: August 31, 2011
Journal of Perinatal Medicine
From the journal Volume 39 Issue 5

Abstract

Objective: To determine the effect of maternal preeclampsia on development and severity of retinopathy of prematurity (ROP) in preterm infants.

Methods: This prospective study consisted of two groups: the study group, which is composed of preterm infants (≤32 weeks) born to a mother with preeclampsia, and the comparison group, which is composed of preterm infants (≤32 gestational age) born to normotensive mothers. We used the International Classification of Retinopathy of Prematurity Revisited for classifying ROP. The first eye examination was performed at postnatal age of 4 weeks.

Results: A total of 385 infants were included in the study. ROP was diagnosed in 109 infants (28%). The incidence of ROP in infants born to preeclamptic mothers (40.5%) was significantly higher compared with those born to normotensive mothers (22.4%) (P<0.05). The number of infants with stage 1, 2, and 3 ROP was significantly higher in infants born to preeclamptic mothers compared with the control group (P<0.05). In multiple logistic regression model, preeclampsia was found to predict ROP (odds ratio 1.78, 95% confidence interval 0.66–1.90).

Conclusion: Maternal preeclampsia was found to be associated with increased ROP development risk in premature infants. ROP was also more severe in infants born to pre-eclamptic mothers. The role of maternal preeclampsia in the occurrence and severity of ROP remains to be elucidated.


Corresponding author: Merih Çetinkaya, MD, PhD Uludağ Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları ABD 16059 Görükle Bursa Turkey Tel.: +90 224 2950447 Fax: +90 224 4428143

Received: 2011-1-12
Accepted: 2011-4-4
Published Online: 2011-08-31
Published Online: 2011-08-26
Published in Print: 2011-09-01

©2011 by Walter de Gruyter Berlin Boston

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