Pub Date : 2021-01-01DOI: 10.14390/jsshp.hrp2021-014
M. Morikawa, Mana Obata-Yasuoka, T. Miyake, M. Kasai, Yuzo Uchida, Hiromi Hamada, T. Kimura, H. Watari
Aim: This study aimed to clarify outcomes of pregnancies in women with previous bariatric surgery (BS). Methods: A national questionnaire was conducted targeting all 408 perinatal institutions in Japan. Reponses were obtained from 229 institutions, of which four reported a total of five singleton pregnancies and subsequent deliveries in women with previous BS in 2018. Outcomes of these women (BS group) were investigated. Case presentations: One woman (20.0%) delivered without preeclampsia prior to undergoing BS. Among the five women, median maternal age was 36 years, and median interval between previous BS and conception was 28 months. Mean maternal body mass index decreased by 10.5 between BS and conception and increased by 4.57 between conception and delivery. Three women (60.0%) developed preeclampsia (hypertension and proteinuria), two women had chronic hypertension at conception that developed into superimposed preeclampsia, and one woman had new-onset preeclampsia. Three women (60.0%) had type 2 diabetes mellitus (including overt diabetes in pregnancy), and none had new-onset gestational diabetes mellitus. One woman had a preterm delivery at 32 gestational weeks via cesarean section due to abruptio placentae caused by preeclampsia. All five women gave birth to live appropriate-for-gestational age infants with no abnormalities. Conclusion: The incidence of preeclampsia is high among pregnant women with previous BS who have diabetes mellitus at conception.
{"title":"Pregnant women with previous bariatric surgery are at high risk of preeclampsia: A multicenter case series and narrative literature review","authors":"M. Morikawa, Mana Obata-Yasuoka, T. Miyake, M. Kasai, Yuzo Uchida, Hiromi Hamada, T. Kimura, H. Watari","doi":"10.14390/jsshp.hrp2021-014","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-014","url":null,"abstract":"Aim: This study aimed to clarify outcomes of pregnancies in women with previous bariatric surgery (BS). Methods: A national questionnaire was conducted targeting all 408 perinatal institutions in Japan. Reponses were obtained from 229 institutions, of which four reported a total of five singleton pregnancies and subsequent deliveries in women with previous BS in 2018. Outcomes of these women (BS group) were investigated. Case presentations: One woman (20.0%) delivered without preeclampsia prior to undergoing BS. Among the five women, median maternal age was 36 years, and median interval between previous BS and conception was 28 months. Mean maternal body mass index decreased by 10.5 between BS and conception and increased by 4.57 between conception and delivery. Three women (60.0%) developed preeclampsia (hypertension and proteinuria), two women had chronic hypertension at conception that developed into superimposed preeclampsia, and one woman had new-onset preeclampsia. Three women (60.0%) had type 2 diabetes mellitus (including overt diabetes in pregnancy), and none had new-onset gestational diabetes mellitus. One woman had a preterm delivery at 32 gestational weeks via cesarean section due to abruptio placentae caused by preeclampsia. All five women gave birth to live appropriate-for-gestational age infants with no abnormalities. Conclusion: The incidence of preeclampsia is high among pregnant women with previous BS who have diabetes mellitus at conception.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.14390/jsshp.hrp2021-002
T. Arai, S. Tanabe, I. Honda, A. Kohyama
Super-obesity (defined as a body mass index > 50 kg /m2) is quite rare in Japan, and associated with various perinatal complications. Here we report a case of a 30-year-old nulliparous woman with a body mass index of 55.2. Obstetricians, anesthesiologists, physicians, and dietitians provided information and counseling from the early stage of pregnancy, given the potential difficulties during pregnancy and labor. She gained only 2 kg during the pregnancy, and the pregnancy course was uneventful except for the emergence of gestational diabetes and initiation of insulin therapy. To address the difficulties associated with super-obesity, three fetal anatomical scans were performed, a bariatric ward bed and operating table were prepared, and an epidural catheter was inserted early in labor. At 40 weeks of gestation, a baby was delivered vaginally after spontaneous labor onset. Although uterine contractions were difficult to detect, the measures taken made it possible to manage labor without any notable complications.
超级肥胖(定义为体重指数超过50 kg /m2)在日本相当罕见，并与各种围产期并发症有关。我们报告一例30岁未生育妇女，体重指数为55.2。考虑到怀孕和分娩期间的潜在困难，产科医生、麻醉师、内科医生和营养师从怀孕早期就提供了信息和咨询。她在怀孕期间只增加了2公斤，除了出现妊娠期糖尿病和开始胰岛素治疗外，整个怀孕过程都很顺利。为了解决与超级肥胖相关的困难，我们进行了三次胎儿解剖扫描，准备了肥胖病房床和手术台，并在分娩早期插入硬膜外导管。在妊娠40周时，一名婴儿在自然分娩后顺产。虽然子宫收缩很难发现，但所采取的措施使分娩没有任何明显的并发症。
{"title":"Super-obese pregnancy - understanding the difference from a normal pregnancy and using early multidisciplinary intervention can lead to good outcomes: a case report","authors":"T. Arai, S. Tanabe, I. Honda, A. Kohyama","doi":"10.14390/jsshp.hrp2021-002","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-002","url":null,"abstract":"Super-obesity (defined as a body mass index > 50 kg /m2) is quite rare in Japan, and associated with various perinatal complications. Here we report a case of a 30-year-old nulliparous woman with a body mass index of 55.2. Obstetricians, anesthesiologists, physicians, and dietitians provided information and counseling from the early stage of pregnancy, given the potential difficulties during pregnancy and labor. She gained only 2 kg during the pregnancy, and the pregnancy course was uneventful except for the emergence of gestational diabetes and initiation of insulin therapy. To address the difficulties associated with super-obesity, three fetal anatomical scans were performed, a bariatric ward bed and operating table were prepared, and an epidural catheter was inserted early in labor. At 40 weeks of gestation, a baby was delivered vaginally after spontaneous labor onset. Although uterine contractions were difficult to detect, the measures taken made it possible to manage labor without any notable complications.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.14390/jsshp.hrp2021-005
Yoshie Shibata, Miwa Miyazaki, Z. Hayashi, Shunji Suzuki
{"title":"Influence of platelet counts on postpartum hemorrhage in elective cesarean section for Japanese twins","authors":"Yoshie Shibata, Miwa Miyazaki, Z. Hayashi, Shunji Suzuki","doi":"10.14390/jsshp.hrp2021-005","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-005","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.14390/jsshp.hrp2021-010
K. Mimura, K. Takagi, Hirotada Suzuki, T. Iriyama, H. Seki
1Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan, 2Perinatal Center, Division of Maternal and Fetal Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan, 3Departments of Obstetrics and Gynecology, Jichi Medical University School of Medicine, Tochigi, Japan, 4Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan, 5Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Saitama, Japan Hypertension Research In Pregnancy
{"title":"Diagnosis and management of fetal growth restriction and uteroplacental dysfunction in hypertensive disorders of pregnancy in Japan: a nationwide survey by the Japan Society for the Study of Hypertension in Pregnancy (JSSHP)","authors":"K. Mimura, K. Takagi, Hirotada Suzuki, T. Iriyama, H. Seki","doi":"10.14390/jsshp.hrp2021-010","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-010","url":null,"abstract":"1Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan, 2Perinatal Center, Division of Maternal and Fetal Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan, 3Departments of Obstetrics and Gynecology, Jichi Medical University School of Medicine, Tochigi, Japan, 4Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan, 5Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Saitama, Japan Hypertension Research In Pregnancy","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.14390/jsshp.hrp2021-013
Y. Sakabe, H. Nishizawa, Asuka Kato, Hikari Yoshizawa, Yoshiteru Noda, Akiko Ohwaki, T. Sekiya, Takuma Fujii, H. Kurahashi
Aim: Pre-eclampsia is considered a multi-factorial disease, in which both fetal and maternal factors are involved in its onset. In this study, we aimed to test the longstanding hypothesis that the immune response to bacterial endotoxin could explain the etiology of pre-eclampsia. Methods: Serum lipopolysaccharide binding protein (LBP) concentrations and the vaginal microbiome were compared between subjects with pre-eclampsia and those with normotensive pregnancies. Results: Serum LBP concentrations were higher in subjects with pre-eclampsia compared to those with normotensive pregnancies. LBP concentrations were poorly correlated with disease onset, blood pressure, birthweight, and placental weight. Moreover, there was no evidence of bacterial species specific to pre-eclampsia based on a comparative analysis of the vaginal microbiome of subjects with pre-eclampsia and those with normotensive pregnancies. Conclusion: Serum LBP concentrations were significantly higher in subjects with pre-eclampsia compared to those with normotensive pregnancies. The clinical significance of high serum LBP concentrations in pre-eclampsia requires further investigation.
{"title":"High serum concentrations of lipopolysaccharide binding protein in pregnancies with pre-eclampsia","authors":"Y. Sakabe, H. Nishizawa, Asuka Kato, Hikari Yoshizawa, Yoshiteru Noda, Akiko Ohwaki, T. Sekiya, Takuma Fujii, H. Kurahashi","doi":"10.14390/jsshp.hrp2021-013","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2021-013","url":null,"abstract":"Aim: Pre-eclampsia is considered a multi-factorial disease, in which both fetal and maternal factors are involved in its onset. In this study, we aimed to test the longstanding hypothesis that the immune response to bacterial endotoxin could explain the etiology of pre-eclampsia. Methods: Serum lipopolysaccharide binding protein (LBP) concentrations and the vaginal microbiome were compared between subjects with pre-eclampsia and those with normotensive pregnancies. Results: Serum LBP concentrations were higher in subjects with pre-eclampsia compared to those with normotensive pregnancies. LBP concentrations were poorly correlated with disease onset, blood pressure, birthweight, and placental weight. Moreover, there was no evidence of bacterial species specific to pre-eclampsia based on a comparative analysis of the vaginal microbiome of subjects with pre-eclampsia and those with normotensive pregnancies. Conclusion: Serum LBP concentrations were significantly higher in subjects with pre-eclampsia compared to those with normotensive pregnancies. The clinical significance of high serum LBP concentrations in pre-eclampsia requires further investigation.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66621891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Awards for the Year 2019","authors":"","doi":"10.14390/jsshp.8.31","DOIUrl":"https://doi.org/10.14390/jsshp.8.31","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43309396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-30DOI: 10.14390/jsshp.hrp2020-003
Toru Kobayashi, Toshitaka Tanaka, M. Kawata, K. Oguma, Saki Ito, N. Matsuzawa, Y. Murase, Shotaro Yata, Satomi Tanaka, H. Kaneda
Aim: This study aimed to evaluate the effectiveness of intrauterine gauze or balloon tamponade for the management of postpartum hemorrhage due to uterine atony during maternal transportation from private clinics to higher-level facilities. Methods: A total of 1,428 patients were transported to the Department of Obstetrics, Juntendo University Shizuoka Hospital, between January 2008 and December 2019. Among these, 42 patients had postpartum hemorrhage due to uterine atony. Of the 42 patients, 29 (69.0%) were treated with intrauterine gauze or balloon tamponade before transportation (tamponade group); no intrauterine packing was performed in the remaining 13 (31.0%) (non-tamponade group). The primary outcome was the rate of critical obstetrical hemorrhage at hospital arrival. Secondary outcomes were blood loss before and after transportation, hemoglobin, platelets, fibrinogen, amount of blood transfusion, and rate of transfusion. Results: The rate of critical obstetrical hemorrhage was significantly lower in the tamponade group (34.5% (10/29)) compared to the non-tamponade group (76.9% (10/13)). Moreover, total blood loss during transportation and after hospital arrival was significantly lower in the tamponade group (487 ± 331 g) compared to the non-tamponade group (1,199 ± 1,012 g).
{"title":"Intrauterine gauze or balloon tamponade for the management of postpartum hemorrhage due to uterine atony during maternal transportation","authors":"Toru Kobayashi, Toshitaka Tanaka, M. Kawata, K. Oguma, Saki Ito, N. Matsuzawa, Y. Murase, Shotaro Yata, Satomi Tanaka, H. Kaneda","doi":"10.14390/jsshp.hrp2020-003","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2020-003","url":null,"abstract":"Aim: This study aimed to evaluate the effectiveness of intrauterine gauze or balloon tamponade for the management of postpartum hemorrhage due to uterine atony during maternal transportation from private clinics to higher-level facilities. Methods: A total of 1,428 patients were transported to the Department of Obstetrics, Juntendo University Shizuoka Hospital, between January 2008 and December 2019. Among these, 42 patients had postpartum hemorrhage due to uterine atony. Of the 42 patients, 29 (69.0%) were treated with intrauterine gauze or balloon tamponade before transportation (tamponade group); no intrauterine packing was performed in the remaining 13 (31.0%) (non-tamponade group). The primary outcome was the rate of critical obstetrical hemorrhage at hospital arrival. Secondary outcomes were blood loss before and after transportation, hemoglobin, platelets, fibrinogen, amount of blood transfusion, and rate of transfusion. Results: The rate of critical obstetrical hemorrhage was significantly lower in the tamponade group (34.5% (10/29)) compared to the non-tamponade group (76.9% (10/13)). Moreover, total blood loss during transportation and after hospital arrival was significantly lower in the tamponade group (487 ± 331 g) compared to the non-tamponade group (1,199 ± 1,012 g).","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44017501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Committee for Academic Affairs JSSHP Research Award 2020 Clinical Research and Basic Research","authors":"","doi":"10.14390/jsshp.8.33","DOIUrl":"https://doi.org/10.14390/jsshp.8.33","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43587525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-30DOI: 10.14390/jsshp.hrp2019-013
Takashi Kobayashi, S. Ueda, M. Takagi, M. Kihara, Yusuke Suzuki
Hypertensive disorders of pregnancy (HDP) represent a major cause of maternal and neonatal morbidity and mortality. Studies conducted over the last decade have improved our understanding of the potential mechanisms underlying HDP pathogenesis. The first step in HDP is reduced uteroplacental perfusion as a result of abnormal extravillous trophoblast invasion of spiral arterioles. Subsequent placental ischemia leads to maternal vascular endothelial dysfunction that may be caused by an imbalance between pro- and anti-angiogenic factors, enhanced formation of vasocontractile factors such as endothelin and thromboxane, increased vascular sensitivity to angiotensin II, and/or decreased formation of vasodilators such as nitric oxide (NO) and prostaglandin I2. NO is one of the major mediators from the endothelium, and its production is modified by endogenous NO synthase inhibitors such as asymmetric dimethylarginine (ADMA). ADMA levels are generally higher in patients with cardiovascular and metabolic diseases and widely recognized as a prognostic marker for major cardiovascular events and mortality. Recent studies have found ADMA levels to be higher in patients with preeclampsia. In addition, multiple studies indicate that elevated ADMA in early stages of pregnancy might predict the development of preeclampsia. Finally, ADMA has been found to be associated with uterine artery flow disturbance. Collectively, these findings strongly suggest that elevated ADMA-mediated endothelial dysfunction could be a causative factor for HDP. In this review, we discuss the biology of ADMA, with a particular focus on its potential role in HDP.
{"title":"Pathophysiological roles of ADMA-mediated endothelial injury in hypertensive disorders of pregnancy","authors":"Takashi Kobayashi, S. Ueda, M. Takagi, M. Kihara, Yusuke Suzuki","doi":"10.14390/jsshp.hrp2019-013","DOIUrl":"https://doi.org/10.14390/jsshp.hrp2019-013","url":null,"abstract":"Hypertensive disorders of pregnancy (HDP) represent a major cause of maternal and neonatal morbidity and mortality. Studies conducted over the last decade have improved our understanding of the potential mechanisms underlying HDP pathogenesis. The first step in HDP is reduced uteroplacental perfusion as a result of abnormal extravillous trophoblast invasion of spiral arterioles. Subsequent placental ischemia leads to maternal vascular endothelial dysfunction that may be caused by an imbalance between pro- and anti-angiogenic factors, enhanced formation of vasocontractile factors such as endothelin and thromboxane, increased vascular sensitivity to angiotensin II, and/or decreased formation of vasodilators such as nitric oxide (NO) and prostaglandin I2. NO is one of the major mediators from the endothelium, and its production is modified by endogenous NO synthase inhibitors such as asymmetric dimethylarginine (ADMA). ADMA levels are generally higher in patients with cardiovascular and metabolic diseases and widely recognized as a prognostic marker for major cardiovascular events and mortality. Recent studies have found ADMA levels to be higher in patients with preeclampsia. In addition, multiple studies indicate that elevated ADMA in early stages of pregnancy might predict the development of preeclampsia. Finally, ADMA has been found to be associated with uterine artery flow disturbance. Collectively, these findings strongly suggest that elevated ADMA-mediated endothelial dysfunction could be a causative factor for HDP. In this review, we discuss the biology of ADMA, with a particular focus on its potential role in HDP.","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48695518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Best Reviewer Awards","authors":"","doi":"10.14390/jsshp.8.32","DOIUrl":"https://doi.org/10.14390/jsshp.8.32","url":null,"abstract":"","PeriodicalId":42505,"journal":{"name":"Hypertension Research in Pregnancy","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41579833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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