Publications by authors named "Percy N Pacora"

Article Synopsis
  • The study investigates the genetic factors linked to placental abruption (PA) by analyzing SNP variations in circadian clock-related genes in placentas from PA cases and controls.
  • Seven specific SNPs in five genes were found to be associated with PA risk, with one SNP in the RORA gene linked to a 30% reduced risk of PA.
  • The research highlights that both placental and maternal genetic influences contribute to PA risk, with individuals having the highest combined genetic risk showing a significantly increased likelihood of experiencing PA.
View Article and Find Full Text PDF

Placental abruption (PA), a pregnancy-related vascular disorder, is a leading cause of maternal and perinatal morbidity and mortality. The success of identifying genetic susceptibility loci for PA, a multi-factorial heritable disorder, has been limited. We conducted a genome-wide association study (GWAS) and candidate gene association study using 470 PA cases and 473 controls from Lima, Peru.

View Article and Find Full Text PDF

Accumulating evidence suggests that placental abruption has a complex multifactorial pathogenesis that involves cardiovascular risk and metabolic dysfunction. However, comprehensive assessment of variations in genes involved in cardiometabolic traits associated with the risk of placental abruption is lacking. We conducted a case-control study investigating associations of variations in maternal cardiometabolic genes (characterized using 217,697 SNPs on the Illumina Cardio-Metabo Chip) with risk of placental abruption.

View Article and Find Full Text PDF

Background: Migraine, a common chronic-intermittent disorder of idiopathic origin characterized by severe debilitating headaches and autonomic nervous system dysfunction, and placental abruption, the premature separation of the placenta, share many common pathophysiological characteristics. Moreover, endothelial dysfunction, platelet activation, hypercoagulation, and inflammation are common to both disorders. We assessed risk of placental abruption in relation to maternal history of migraine before and during pregnancy in Peruvian women.

View Article and Find Full Text PDF

Background: Little is known about the influence of psychiatric factors on the etiology of placental abruption (PA), an obstetrical condition that complicates 1-2% of pregnancies. We examined the risk of PA in relation to maternal psychiatric symptoms during pregnancy.

Methods: This case-control study included 373 PA cases and 368 controls delivered at five medical centers in Lima, Peru.

View Article and Find Full Text PDF

Objective: We examined the relation of maternal sociodemographic, medical, and behavioral characteristics with risk of abruptio placentae in Peruvian women.

Study Design: This case-control study included 255 abruptio placentae cases and 258 pregnant controls. Multivariable logistic regression models were fit to calculate odds ratios (OR) and 95% CIs adjusted for putative abruptio placentae risk factors.

View Article and Find Full Text PDF