4.1 Review

Neurological function in children born to preeclamptic and hypertensive mothers - A systematic review

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.preghy.2017.07.144

Keywords

Functional neuroimaging; Case-control studies; Magnetic resonance imaging; Human pregnancy

Ask authors/readers for more resources

Background: Offspring whose mothers developed preeclampsia (PE-F1s) show developmental effects that are now being identified, such as cognitive, behavioural, and mood differences compared to offspring from non-complicated pregnancies. We hypothesize that the progressive angiokine dysregulation associated with development of preeclampsia (PE) reflects gene dysregulation in pre-implantation conceptuses, and manifests in all developing fetal tissues rather than exclusively to the placenta. This hypothesis predicts that fetal cerebrovascular and brain development are deviated by fetal-intrinsic, brain-based mechanisms during what is currently considered a placentally-induced maternal disease. Due to our initial results from brain-imaging and cognitive screening in a child pilot PE-F1 cohort, we developed this systematic review to answer the question of whether any consistent neurological measurements have been found to discriminate between brain functions in offspring of mothers who experienced a hypertensive pregnancy vs. offspring of mothers that did not. Methods: Relevant studies were searched systematically up to June 2017 in MEDLINE, PsycINFO, EMBASE and the grey literature. Results: Following predetermined inclusion and exclusion criteria, our search identified 27 out of 464 studies reporting on neurological function in offspring born to preeclamptic and hypertensive mothers. Conclusion: The current literature strongly supports the conclusion of the behavioural and cognitive deviations in PE-F1s. However, only three studies associated their findings with brain measurements via magnetic resonance imaging (MRI) in both healthy and at-risk pediatric populations. PE-F1s should be identified as an at-risk pediatric population during brain development and studied further as a defined group, perhaps stratified by maternal plasma angiokine levels. (C) 2017 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.1
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Cardiac & Cardiovascular Systems

Seizing the Window of Opportunity Within 1 Year Postpartum: Early Cardiovascular Screening

Christina M. Ackerman-Banks, Olga Grechukhina, Erica Spatz, Lisbet Lundsberg, Josephine Chou, Graeme Smith, Victoria R. Greenberg, Uma M. Reddy, Xiao Xu, Jane O'Bryan, Shelby Smith, Lauren Perley, Heather S. Lipkind

Summary: This study assessed the development of chronic hypertension in women with hypertensive disorder of pregnancy (HDP) compared to normotensive women after 6 to 12 months postpartum. The findings showed that women with HDP had a 4-fold increased odds of developing new chronic hypertension and increased 30-year cardiovascular disease risk.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2022)

Article Obstetrics & Gynecology

Before and After Legalization: Cannabis Use Among Pregnant Patients at a Tertiary Care Centre in Ontario

Meriah Drabkin, Jessica Pudwell, Graeme N. Smith

Summary: We compared levels of cannabis and other substance use before and after the legalization of cannabis in the obstetric population of the Kingston General Hospital (KGH). Our findings showed that there was no difference in the prevalence of cannabis use in our sample after legalization. Therefore, healthcare providers should discuss cannabis with patients who are pregnant or planning a pregnancy.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA (2022)

Article Computer Science, Artificial Intelligence

Predicting treatment-specific lesion outcomes in acute ischemic stroke from 4D CT perfusion imaging using spatio-temporal convolutional neural networks

Kimberly Amador, Matthias Wilms, Anthony Winder, Jens Fiehler, Nils D. Forkert

Summary: A novel deep spatio-temporal convolutional neural network is proposed to predict treatment-dependent stroke lesion outcomes by utilizing raw 4D CTP data, which outperforms current methods using perfusion maps.

MEDICAL IMAGE ANALYSIS (2022)

Article Obstetrics & Gynecology

Pregnancy as an opportunity to prevent type 2 diabetes mellitus: FIGO Best Practice Advice

Sumaiya Adam, Harold David McIntyre, Kit Ying Tsoi, Anil Kapur, Ronald C. Ma, Stephanie Dias, Pius Okong, Moshe Hod, Liona C. Poon, Graeme N. Smith, Lina Bergman, Esraa Algurjia, Patrick O'Brien, Virna P. Medina, Cynthia Maxwell, Lesley Regan, Mary L. Rosser, Bo Jacobsson, Mark A. Hanson, Sharleen L. O'Reilly, Fionnuala M. McAuliffe

Summary: Gestational diabetes (GDM) affects approximately 17 million pregnancies worldwide. Women with a history of GDM are at a significantly higher risk of developing type 2 diabetes and cardiovascular disease compared to those without prior GDM. Although prevention and delayed progression of GDM to type 2 diabetes is possible, it is not widely practiced. Considering the increasing rates of type 2 diabetes and CVD in women globally, it is crucial to utilize pregnancy as an opportunity for early identification and preventive intervention.

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2023)

Article Obstetrics & Gynecology

Management of obesity across women's life course: FIGO Best Practice Advice

Cynthia Maxwell, Rachelle Shirley, Amy C. O'Higgins, Mary L. Rosser, Patrick O'Brien, Moshe Hod, Sharleen L. O'Reilly, Virna P. Medina, Graeme N. Smith, Mark A. Hanson, Sumaiya Adam, Ronald C. Ma, Anil Kapur, Harold David McIntyre, Bo Jacobsson, Liona C. Poon, Lina Bergman, Lesley Regan, Esraa Algurjia, Fionnuala M. McAuliffe

Summary: Obesity is a chronic, progressive, relapsing, and treatable neurobehavioral disease that affects women's health and requires a focus on optimizing health outcomes rather than weight loss. Appropriate and sensitive language, as well as trauma-informed care, is necessary when discussing obesity.

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2023)

Article Obstetrics & Gynecology

Hypertensive disorders of pregnancy and long-term cardiovascular health: FIGO Best Practice Advice

Liona C. Poon, Long Nguyen-Hoang, Graeme N. Smith, Lina Bergman, Patrick O'Brien, Moshe Hod, Pius Okong, Anil Kapur, Cynthia Maxwell, Harold David McIntyre, Bo Jacobsson, Esraa Algurjia, Mark A. Hanson, Mary L. Rosser, Ronald C. Ma, Sharleen L. O'Reilly, Lesley Regan, Sumaiya Adam, Virna P. Medina, Fionnuala M. McAuliffe

Summary: Hypertensive disorders of pregnancy (HDP) are the leading cause of maternal and perinatal morbidity and mortality, accounting for 16% of maternal deaths in high-income countries and approximately 25% in low- and middle-income countries. HDP increases the risk of future cardiovascular disease. Failure to achieve normal cardiovascular adaptation during pregnancy is associated with the development of HDP. Women with a history of HDP may experience long-term hemodynamic alterations, predisposing them to cardiovascular morbidity and mortality. Therefore, it is crucial to identify underlying cardiovascular risk factors during pregnancy and the postpartum period and develop strategies for lifestyle and therapeutic interventions to reduce the risk of future cardiovascular disease in women with a history of HDP.

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2023)

Article Obstetrics & Gynecology

Study protocol for the sheMATTERS study (iMproving cArdiovascular healTh in new moThERS): a randomized behavioral trial assessing the effect of a self-efficacy enhancing breastfeeding intervention on postpartum blood pressure and breastfeeding continuation in women with hypertensive disorders of pregnancy

Natalie Dayan, Graeme Smith, Atanas Nedelchev, Haim Abenhaim, Richard Brown, Deborah Da Costa, Suhad Ali, Jesseca Perlman, Tuong-Vi Nguyen, Cindy-Lee Dennis, Wael Abdelmageed, Sonia Semenic

Summary: This study aims to test whether a self-efficacy enhancing breastfeeding intervention can improve breastfeeding outcomes and lower postpartum blood pressure in women with hypertensive disorders of pregnancy (HDP). If effective, this enhanced breastfeeding support can be widely implemented in women lactating after HDP.

BMC PREGNANCY AND CHILDBIRTH (2023)

Article Obstetrics & Gynecology

High-sensitivity C-reactive protein use in cardiovascular risk screening at 6 to 12 months postpartum following hypertensive disorders of pregnancy

Ainsley M. Johnstone, Jessica Pudwell, Christina M. Ackerman-Banks, Lisbet S. Lundsberg, Heather S. Lipkind, Graeme N. Smith

Summary: Patients with a hypertensive disorder of pregnancy are at increased risk of cardiovascular disease postpartum, and high-sensitivity C-reactive protein can be used as a marker to identify this risk. The study found that patients with elevated levels of high-sensitivity C-reactive protein in the postpartum period have a higher risk of metabolic syndrome and cardiovascular disease within 6 to 12 months.

AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM (2023)

Article Biochemistry & Molecular Biology

Comparing 2D and 3D representations for face-based genetic syndrome diagnosis

Jordan J. Bannister, Matthias Wilms, J. David Aponte, David C. Katz, Ophir D. Klein, Francois P. Bernier, Richard A. Spritz, Benedikt Hallgrimsson, Nils D. Forkert

Summary: Human genetic syndromes are difficult to diagnose clinically, and facial phenotype plays a crucial role in diagnosis. Computer-assisted facial phenotyping has shown promise in aiding diagnosis. This study compares the performance of 2D and 3D image-based approaches to syndrome diagnosis and finds that 3D surface-based classification models outperform 2D image-based models. These findings suggest that the adoption of 3D facial scanning technology and collection of syndromic 3D facial scan data can greatly improve face-based syndrome diagnosis.

EUROPEAN JOURNAL OF HUMAN GENETICS (2023)

Article Neurosciences

Proof-of-concept of a novel structural equation modelling approach for the analysis of functional magnetic resonance imaging data applied to investigate individual differences in human pain responses

Patrick W. Stroman, Jocelyn M. Powers, Gabriela Ioachim

Summary: This paper demonstrates a novel network analysis method for functional magnetic resonance imaging (fMRI) data. The method combines structural equation modeling (SEM) and physiological response modeling to explain interconnected regions' blood oxygenation-level dependent (BOLD) responses. The results show that the method can estimate both input and output signaling of each region and provide weighting factors for the influence of input signals on output signaling. The results also suggest that individual differences in nociceptive processing are mediated by differences in descending regulation of spinal cord neurons under the influence of certain brain regions.

HUMAN BRAIN MAPPING (2023)

Article Health Care Sciences & Services

Elicited clinician knowledge did not improve dementia risk prediction in individuals with mild cognitive impairment

Meng Wang, Thierry Chekouo, Zahinoor Ismail, Nils D. Forkert, David B. Hogan, Aravind Ganesh, Richard Camicioli, Dallas Seitz, Michael J. Borrie, Ging-Yuek Robin Hsiung, Mario Masellis, Paige Moorhouse, Carmela Tartaglia, Eric E. Smith, Tolulope T. Sajobi

Summary: The study aimed to develop and validate a Bayesian risk prediction model combining research cohort data and expert knowledge to predict dementia progression in people with mild cognitive impairment (MCI). The results showed that adding expert knowledge did not improve the accuracy of the model in predicting dementia progression.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Neurosciences

A Comparison of Functional Connectivity in the Human Brainstem and Spinal Cord Associated with Noxious and Innocuous Thermal Stimulation Identified by Means of Functional MRI

Elena Koning, Jocelyn M. M. Powers, Gabriela Ioachim, Patrick W. W. Stroman

Summary: The somatosensory system plays a crucial role in processing pain signals. This study used functional magnetic resonance imaging (fMRI) to investigate neural connectivity in the brainstem and spinal cord in response to painful and innocuous stimuli. The results showed differences in functional connectivity between specific regions during pain and innocuous conditions, indicating individual differences in pain experience. These findings contribute to our understanding of pain processing at the level of the brainstem and spinal cord.

BRAIN SCIENCES (2023)

Article Obstetrics & Gynecology

Use of family history of cardiovascular disease or chronic hypertension to better identify who needs postpartum cardiovascular risk screening

Christina M. Ackerman-Banks, Jessica Pudwell, Lisbet Lundsberg, Heather S. Lipkind, Graeme N. Smith

Summary: This study aimed to determine if the use of first-degree family history of cardiovascular disease or chronic hypertension could better identify individuals who need postpartum cardiovascular risk screening. The results showed that individuals with a positive family history of chronic hypertension, myocardial infarction, or stroke were more likely to be diagnosed with chronic hypertension and had elevated cardiovascular disease risk.

AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM (2023)

Article Computer Science, Information Systems

Image-encoded biological and non-biological variables may be used as shortcuts in deep learning models trained on multisite neuroimaging data

Raissa Souza, Matthias Wilms, Milton Camacho, G. Bruce Pike, Richard Camicioli, Oury Monchi, Nils D. Forkert

Summary: This study investigates the ability of deep learning models to classify originating site locations directly from MRI scans. The results show that DL models can achieve an accuracy of 85% in classifying sites using T1-weighted and intensity-harmonized T1-weighted scans, while the accuracy drops to 54% when using log-Jacobian deformation maps.

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION (2023)

Letter Cardiac & Cardiovascular Systems

Management of cardiac and cardiovascular dysfunction postpartum should include support to initiate and continue breastfeeding

Graeme N. Smith, Natalie Dayan

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY (2023)

No Data Available