Risk of Ischemic Placental Disease in Relation to Family History of Preeclampsia

Ananth, Cande V.; Jablonski, Kathleen A.; Myatt, Leslie; Roberts, James M.; Tita, Alan T. N.; Leveno, Kenneth J.; Reddy, Uma M.; Varner, Michael W.; Thorp, John M., Jr.; Mercer, Brian M.; Peaceman, Alan M.; Ramin, Susan M.; Carpenter, Marshall W.; Samuels, Philip; Sciscione, Anthony C.; Tolosa, Jorge E.; Saade, George R.; & Sorokin, Yoram, for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. (2019). Risk of Ischemic Placental Disease in Relation to Family History of Preeclampsia. American Journal of Perinatology, 36(6), 624-31. PMCID: PMC6447463

Ananth, Cande V.; Jablonski, Kathleen A.; Myatt, Leslie; Roberts, James M.; Tita, Alan T. N.; Leveno, Kenneth J.; Reddy, Uma M.; Varner, Michael W.; Thorp, John M., Jr.; Mercer, Brian M.; Peaceman, Alan M.; Ramin, Susan M.; Carpenter, Marshall W.; Samuels, Philip; Sciscione, Anthony C.; Tolosa, Jorge E.; Saade, George R.; & Sorokin, Yoram, for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. (2019). Risk of Ischemic Placental Disease in Relation to Family History of Preeclampsia. American Journal of Perinatology, 36(6), 624-31. PMCID: PMC6447463

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OBJECTIVE: To assess the risk of ischemic placental disease (IPD) including preeclampsia, small for gestational age (SGA), and abruption, in relation to preeclampsia in maternal grandmother, mother, and sister(s). STUDY DESIGN: We performed a secondary analysis of data from a randomized trial of vitamins C and E for preeclampsia prevention. Data on family history of preeclampsia were based on recall by the proband. The associations between family history of preeclampsia and the odds of IPD were evaluated from alternating logistic regressions. RESULTS: Of the 9,686 women who delivered nonmalformed, singleton live births, 17.1% had IPD. Probands provided data on preeclampsia in 55.5% (n = 5,374) on all three family members, 26.5% (n = 2,562) in mother and sister(s) only, and 11.6% (n = 1,125) in sister(s) only. The pairwise odds ratio (pOR) of IPD was 1.16 (95% confidence interval [CI]: 1.00-1.36) if one or more of the female relatives had preeclampsia. The pORs of preeclampsia were 1.54 (95% CI: 1.12-2.13) and 1.35 (95% CI: 1.03-1.77) if the proband's mother or sister(s) had a preeclamptic pregnancy, respectively, but no associations were seen for SGA infant or abruption. CONCLUSION: This study suggests that IPD may share a predisposition with preeclampsia, suggesting a familial inheritance.




JOUR



Ananth, Cande V.
Jablonski, Kathleen A.
Myatt, Leslie
Roberts, James M.
Tita, Alan T. N.
Leveno, Kenneth J.
Reddy, Uma M.
Varner, Michael W.
Thorp, John M., Jr.
Mercer, Brian M.
Peaceman, Alan M.
Ramin, Susan M.
Carpenter, Marshall W.
Samuels, Philip
Sciscione, Anthony C.
Tolosa, Jorge E.
Saade, George R.
Sorokin, Yoram, for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network



2019

P2C-No. "The project described was supported by grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (HD34208, HD27869, HD40485, HD40560, HD40544, HD34116, HD40512, HD21410, HD40545, HD40500, HD27915, HD34136, HD27860, HD53118, HD53097, HD27917, and HD36801); the National Heart, Lung, and Blood Institute; and the National Center for Research Resources (M01 RR00080, UL1 RR024153, and UL1 RR024989)."

American Journal of Perinatology

36

6

624-31








PMC6447463


11218

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