Are women with preeclampsiaeclampsia at risk of chronic hypertension in later life

In women with a history of pre-eclampsia/eclamp-sia, the reported risk for the development of chronic hypertension ranges from 0% to 78% (average 23.8%) (Chesley et al., 1976; Sibai et al., 1986b, 1991, 1992).The risk appears to be increased in that subgroup of women who have subsequent hypertensive pregnancies as well as in those with eclampsia remote from term (Chesley et al., 1976; Sibai et al., 1986b, 1992). The wide range in reported risk is due to the influence of variables such as maternal age and duration of follow-up (the increased risk of subsequent hypertension only becomes apparent after an average follow-up of >10 years) (Sibai etal., 1986b).

In addition to hypertension, women with a history of pre-eclampsia/eclampsia are also at risk of developing diabetes. In one report, the incidence of diabetes in this cohort at an average follow-up of 25years was 8.3%, which is 2.5-fold higher than expected (Chesley et al., 1976). This is similar to the 5.6% incidence of subsequent diabetes reported by Sibai et al. (1986b) in women with severe pre-eclampsia/eclampsia followed for at least 10 years.

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