Risk factors for postpartum hypertension in women with twin pregnancies

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Which physical findings and blood parameters predict postpartum hypertension remain to be studied in women with twin pregnancies.The antenatal systolic and diastolic blood pressures (SBP and DBP, respectively), and 16 laboratory variables were investigated in 150 normotensive women who gave birth to twins.When the median values of the 18 continuous variables were used as cut-off values, an SBP120 mm Hg (relative risk [95% confidence interval], 2.81 [1.94-4.08]), a DBP70 mm Hg (2.42 [1.68-3.49]), an aspartate aminotransferase level18 U/L (2.22 [1.55-3.19]), and a uric acid level5.3 mg/dL (1.68 [1.20-2.36]) were independent risk factors for postpartum hypertension.Antenatal blood pressure measurements and a laboratory work-up may be useful clinically for predicting postpartum hypertension in women with twin pregnancies.

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