Transient Gestational Hypertension and Its Subsequent Maternal and Perinatal Outcomes.
- 1Gynaecology and Obstetrics, Caja de Seguro Social, Panama City, PAN.
- 2Obstetrics and Gynaecology, Seguro Social Panamá, Sistema Nacional de Investigadores (SNI) of Secretaria Nacional de Ciencia y Tecnología (SENACYT), Panama City, PAN.
Abstract
Objective
To describe maternal and perinatal outcomes among pregnant women with transient gestational hypertension (TGH) defined through prolonged in-hospital surveillance.Methods
This 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
A 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
Even 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.
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BibTeX
@article{garcia2026transient,
title = {{Transient Gestational Hypertension and Its Subsequent Maternal and Perinatal Outcomes.}},
author = {Nicolás García and Paulino Vigil-De Gracia},
journal = {Cureus},
year = {2026},
month = sep,
doi = {10.7759/cureus.116795},
url = {https://europepmc.org/article/MED/42921386},
note = {CC BY},
}
RIS
TY - JOUR
TI - Transient Gestational Hypertension and Its Subsequent Maternal and Perinatal Outcomes.
AU - Nicolás García
AU - Paulino Vigil-De Gracia
PY - 2026
DA - 2026/09/23
JO - Cureus
DO - 10.7759/cureus.116795
UR - https://europepmc.org/article/MED/42921386
AB - Objective To describe maternal and perinatal outcomes among pregnant women with transient gestational hypertension (TGH) defined through prolonged in-hospital surveillance.Methods This 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 A 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 Even 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.
SN - 2168-8184
ER -