» Articles » PMID: 33638891

Pre-eclampsia and Long-term Health Outcomes for Mother and Infant: an Umbrella Review

Overview
Journal BJOG
Date 2021 Feb 27
PMID 33638891
Citations 32
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Pre-eclampsia is a pregnancy-associated condition with complex disease mechanisms and a risk factor for various long-term health outcomes for the mother and infant.

Objective: To summarise evidence on the association of pre-eclampsia with long-term health outcomes arising in women and/or infants.

Search Strategy: PubMed, EMBASE, Scopus and ISI Web of Science were searched from inception to July 2020.

Selection Criteria: Systematic reviews and meta-analyses examining associations between pre-eclampsia and long-term health outcomes in women and their infants.

Data Collection And Analysis: Data were extracted by two independent reviewers. We re-estimated the summary effect size by random-effects and fixed-effects models, the 95% confidence interval, the 95% prediction interval, the between-study heterogeneity, any evidence of small-study effects and excess significance bias.

Results: Twenty-one articles were included (90 associations). Seventy-nine associations had nominally statistically significant findings (P < 0.05). Sixty-five associations had large or very large heterogeneity. Evidence for small-study effects and excess significance bias was found in seven and two associations, respectively. Nine associations: cerebrovascular disease (cohort studies), cerebrovascular disease (overall), cardiac disease (cohort studies), dyslipidaemia (all studies), risk of death (late-onset pre-eclampsia), fatal and non-fatal ischaemic heart disease, cardiovascular mortality (cohort studies), any diabetes or use of diabetic medication (unadjusted), and attention deficit/hyperactivity disorder (ADHD) (adjusted) were supported with robust evidence.

Conclusion: Many of the meta-analyses in this research field have caveats casting doubts on their validity. Current evidence suggests an increased risk for women to develop cardiovascular-related diseases, diabetes and dyslipidaemia after pre-eclampsia, while offspring exposed to pre-eclampsia are at higher risk for ADHD.

Tweetable Abstract: Cardiovascular and cerebrovascular diseases were supported with convincing evidence for long-term health outcomes after pre-eclampsia.

Citing Articles

A Review of Dietary and Lifestyle Management of Pre-Eclampsia and Postpartum Eclampsia.

Nadeem M, Javed K, Abid H, Hussain A, Khalid N Prev Nutr Food Sci. 2025; 30(1):1-20.

PMID: 40059912 PMC: 11884944. DOI: 10.3746/pnf.2025.30.1.1.


Heart disease in pregnancy and adverse outcomes: an umbrella review.

Zhang J, Ren Y, Li B, Cao Q, Wang X, Yu H Front Med (Lausanne). 2025; 12:1489991.

PMID: 39975686 PMC: 11836018. DOI: 10.3389/fmed.2025.1489991.


Advancing diagnosis and early risk assessment of preeclampsia through noninvasive cell-free DNA methylation profiling.

Baetens M, Van Gaever B, Deblaere S, De Koker A, Meuris L, Callewaert N Clin Epigenetics. 2024; 16(1):182.

PMID: 39695764 PMC: 11656954. DOI: 10.1186/s13148-024-01798-5.


Impacts of Maternal Preeclampsia Exposure on Offspring Neuronal Development: Recent Insights and Interventional Approaches.

Zhang H, Lin J, Zhao H Int J Mol Sci. 2024; 25(20).

PMID: 39456854 PMC: 11508320. DOI: 10.3390/ijms252011062.


Placental Tissue Calcification and Its Molecular Pathways in Female Patients with Late-Onset Preeclampsia.

Ortega M, Pekarek T, De Leon-Oliva D, Boaru D, Fraile-Martinez O, Garcia-Montero C Biomolecules. 2024; 14(10).

PMID: 39456171 PMC: 11506500. DOI: 10.3390/biom14101237.