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Original ArticleOpen Access
Seasonal Variation in the Prevalence of Preeclampsia
Pitakkarnkul S 
,
Phaloprakarn C ,
Wiriyasirivaj B ,
Manusirivithaya S ,
Tangjitgamol S
,
Phaloprakarn C ,
Wiriyasirivaj B ,
Manusirivithaya S ,
Tangjitgamol S Objective: To determine whether there is a seasonal impact on the prevalence of preeclampsia in the tropical climate of
Bangkok.
Material and Method: Medical records of all singleton pregnant women who delivered in the authors’ institution between
2008 and 2009 were reviewed. The meteorological variables during the study period were obtained from database of the Thai
Meteorological Department. The period of study was then divided into two main seasons: monsoon and dry seasons. The
rates of preeclampsia occurring in the two seasons, based on the date of conception and date of delivery, were compared.
Results: Data of 7,013 gravidas were included for analysis. Of these, 327 (4.7%) developed preeclampsia. The monsoon
season had lower mean maximum temperature (37.0°C vs. 38.1°C, p = 0.114), was more humid (77.0% vs. 68.7%,
p < 0.001) and had higher daily rainfall (196.5 mm vs. 37.0 mm, p < 0.001) than dry season. Women who conceived in the
dry season were at greater risk to develop preeclampsia than those who conceived in the monsoon season (5.3% vs. 3.7%,
adjusted OR 1.51; 95% CI 1.18-1.93). The preeclampsia rates of women who delivered in both seasons were not significantly
different: 5.0% in the dry season vs. 4.3% in the monsoon, p = 0.178.
Conclusion: There is a seasonal impact on the prevalence of preeclampsia based on the time of conception, but not the time
of delivery. The rate of preeclampsia is significantly higher when conception occurs in the dry season.
Keywords: Seasonal variation, Preeclampsia, Tropical climate, Date of delivery, Date of conception
Bangkok.
Material and Method: Medical records of all singleton pregnant women who delivered in the authors’ institution between
2008 and 2009 were reviewed. The meteorological variables during the study period were obtained from database of the Thai
Meteorological Department. The period of study was then divided into two main seasons: monsoon and dry seasons. The
rates of preeclampsia occurring in the two seasons, based on the date of conception and date of delivery, were compared.
Results: Data of 7,013 gravidas were included for analysis. Of these, 327 (4.7%) developed preeclampsia. The monsoon
season had lower mean maximum temperature (37.0°C vs. 38.1°C, p = 0.114), was more humid (77.0% vs. 68.7%,
p < 0.001) and had higher daily rainfall (196.5 mm vs. 37.0 mm, p < 0.001) than dry season. Women who conceived in the
dry season were at greater risk to develop preeclampsia than those who conceived in the monsoon season (5.3% vs. 3.7%,
adjusted OR 1.51; 95% CI 1.18-1.93). The preeclampsia rates of women who delivered in both seasons were not significantly
different: 5.0% in the dry season vs. 4.3% in the monsoon, p = 0.178.
Conclusion: There is a seasonal impact on the prevalence of preeclampsia based on the time of conception, but not the time
of delivery. The rate of preeclampsia is significantly higher when conception occurs in the dry season.
Keywords: Seasonal variation, Preeclampsia, Tropical climate, Date of delivery, Date of conception
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