PloS one
Predictors of preeclampsia with severe features: A multi-center analysis of maternal and health system factors in Thai tertiary hospitals
By Boonyaporn T, Limruangrong P, Ratinthorn A and 1 others.
Abstract
Background
Preeclampsia (PE) with severe features threatens maternal and neonatal health. This study examined maternal and health-service factors associated with severe features and compared maternal and neonatal outcomes in Thailand.
Methods
This case-control study enrolled 156 postpartum women with PE (52 with and 104 without severe features) and 111 nurse-midwives in antenatal care, labor, and postpartum units across four Thai tertiary hospitals. Data were collected using postpartum and nurse-midwife questionnaires, and a maternal-neonatal health record form. Group differences were assessed using independent t-test, chi-square or Fisher's exact tests. Multivariable binary logistic regression examined factors associated with severe features, adjusting for antenatal care visits and gravidity.