Risk factors for preeclampsia in a high-risk cohort of women served by a nursing-based home visiting program

Candace Tannis, Rachel Fletcher-Slater, Inessa Lopez, Alexandrah Gichingiri, Mario Cassara, Susanne Lachapelle, Elizabeth Garland

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


In this chapter we aimed to identify the impact of psychosocial risk factors on pregnancy outcomes for high risk women in an urban setting. Women in this category tend to experience adverse pregnancy outcomes, like preeclampsia, at greater rates than low or medium risk women. A retrospective paper chart review of East Harlem women served by LSA Family Health Service (LSA) Maternal Outreach Program (MOP) was conducted. All women who enrolled in the MOP with a singleton pregnancy from January 2015 to December 2017, were eligible for inclusion in our analyses. Data were analyzed using SPSS (version 23). Of 379 total charts reviewed, 68.6% (n=203) were Hispanic/Latina women, 44.8% (n=163) were English only speakers, 67.4% (n=226) were identified as overweight/obese, 90.6% (n=328) were mothers over the age of 20 among those for whom data were available. Sixty-two percent (n=235) initiated prenatal care in their first trimester, and 71.5% (n=271) were referred to the MOP by a hospital or other healthcare provider. The percentage of preeclampsia among mothers was 26.9% (n=102). After adjustment for type of LSA services received, and race/ethnicity, there were no associations between psychosocial risk factors and preeclampsia diagnosis in this population. Further research is needed on the relationship between psychosocial risk factors and preeclampsia to identify potential areas of intervention and reduce the burden of disease.

Original languageEnglish
Title of host publicationPublic Health
Subtitle of host publicationEnvironment and Child Health in a Changing World
PublisherNova Science Publishers, Inc.
Number of pages15
ISBN (Electronic)9781536153958
ISBN (Print)9781536153941
StatePublished - 19 Jun 2019


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