{
  "abstract": "Objective\n\nTo describe maternal and perinatal outcomes among pregnant women with transient gestational hypertension (TGH) defined through prolonged in-hospital surveillance.Methods\n\nThis retrospective cohort included pregnant women hospitalized at ≥20 weeks of gestation at a referral hospital in Panama between July 1, 2023, and December 31, 2024. Women were included if they had an initial systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, with no subsequent elevated reading during seven days of measurements obtained every four hours; they were then discharged and followed until delivery. The primary outcome was the subsequent development of gestational hypertension or preeclampsia.Results\n\nA total of 20 pregnant women were included; mean age was 31.9 ± 6.3 years, median gestational age at the initial episode was 32.1 weeks (interquartile range (IQR), 27.9-34.2). Five patients (25.0%; 95% confidence interval, 11.2-46.9) subsequently developed a hypertensive disorder: three developed gestational hypertension and two developed preeclampsia, including one with severe features due to a hypertensive crisis. Among those who progressed, the median time to the new diagnosis was 30 days (IQR, 27-35). Delivery occurred at a median of 38 weeks; there was one preterm delivery, one neonatal intensive care unit admission, and no maternal or perinatal deaths. In exploratory analyses, progression was associated with a higher cesarean delivery rate and lower neonatal birth weight.Conclusions\n\nEven after seven days of in-hospital normotension, one in four pregnant women progressed to TGH. TGH should not be considered benign and requires subsequent surveillance, ideally with out-of-hospital blood pressure measurements.",
  "abstract_shown": true,
  "affiliations": [
    "Gynaecology and Obstetrics, Caja de Seguro Social, Panama City, PAN.",
    "Obstetrics and Gynaecology, Seguro Social Panamá, Sistema Nacional de Investigadores (SNI) of Secretaria Nacional de Ciencia y Tecnología (SENACYT), Panama City, PAN."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Nicolás García"
    },
    {
      "affs": [
        1
      ],
      "name": "Paulino Vigil-De Gracia"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/f6e38arzkxnwb.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116795",
  "fulltext_url": "https://europepmc.org/articles/PMC13694114",
  "id": "f6e38arzkxnwb",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42921386",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2729|Pregnancy and preeclampsia studies"
    ]
  ],
  "openalex": "W7214117678",
  "pdf_url": "https://europepmc.org/articles/PMC13694114?pdf=render",
  "pmcid": "PMC13694114",
  "pmid": "42921386",
  "published": "2026-09-23",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/f6e38arzkxnwb.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:36Z",
      "native_id": "MED:42921386",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42921386"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2729|Pregnancy and preeclampsia studies",
      "subfield": "reproductive-child"
    }
  ],
  "title": "Transient Gestational Hypertension and Its Subsequent Maternal and Perinatal Outcomes.",
  "title_text": "Transient Gestational Hypertension and Its Subsequent Maternal and Perinatal Outcomes.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:36Z",
  "url": "https://research.draconitic.com/paper/f6e38arzkxnwb",
  "venue": "Cureus",
  "versions": []
}