Antenatal and perinatal factors influencing neonatal blood pressure: a systematic review

Rabe, Heike, Bhatt-Mehta, Varsha, Bremner, Stephen A, Ahluwalia, Aisling, Mcfarlane, Renske, Baygani, Simin, Batton, Beau, Klein, Agnes, Ergenekon, Ebru, Pesco Koplowitz, Luana, Dempsey, Eugene, Apele-Freimane, Dina, Iwami, Hiroko, Dionne, Janis M and International Neonatal Consortium, (2021) Antenatal and perinatal factors influencing neonatal blood pressure: a systematic review. Journal of Perinatology. pp. 1-13. ISSN 0743-8346

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Abstract

Objective
A comprehensive understanding of the factors contributing to perinatal blood pressure is vital to ensure optimal postnatal hemodynamic support. The objective of this study was to review existing literature on maternal and perinatal factors influencing blood pressure in neonates up to 3 months corrected age.

Methods
A systematic search of published literature in OVID Medline, OVID Embase and the COCHRANE library identified publications relating to maternal factors affecting blood pressure of neonates up to corrected age of 3 months. Summary data were extracted and compared (PROSPERO CRD42018092886).

Results
Of the 3683 non-duplicate publications identified, 44 were eligible for inclusion in this review. Topics elicited were sociodemographic factors, maternal health status, medications, smoking during pregnancy, and cord management at birth. Limited data were available for each factor. Results regarding the impact of these factors on neonatal blood pressure were inconsistent across studies.

Conclusions
There is insufficient evidence to draw definitive conclusions regarding the impact of various maternal and perinatal factors on neonatal blood pressure. Future investigations of neonatal cardiovascular therapies should account for these factors in their study design. Similarly, studies on maternal diseases and perinatal interventions should include neonatal blood pressure as part of their primary or secondary analyses.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 16 Jul 2021 08:29
Last Modified: 09 Aug 2021 15:00
URI: http://sro.sussex.ac.uk/id/eprint/100551

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