{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:22:58Z","timestamp":1783434178661,"version":"3.54.6"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hypertensive disorders of pregnancy (HDP) cause significant perinatal morbidity. We developed a nomogram predicting preterm delivery risk using pre\u2010delivery 24\u2010h ambulatory blood pressure monitoring (ABPM) and clinical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>HDP patients undergoing ABPM within 1\u2009month pre\u2010delivery were enrolled. Multivariable logistic regression identified preterm labor predictors. Nomogram performance was validated via receiver operating characteristic (ROC) analysis, calibration curves, and decision curve analysis (DCA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with dipper and non\u2010dipper types, the reverse dipper\u2010type on 24\u2010h ABPM was significantly associated with higher rates of preterm labor (55, 56.1% vs. 11, 30.6% vs. 75, 46.3%, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.028) and cesarean delivery (91, 92.9% vs. 28, 77.8% vs. 145, 89.5%, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.044). Multivariable analysis identified pregnancy weight gain (odds ratio [OR] 0.88, 95% confidence interval [CI]: 0.83\u20130.93,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), gravidity (OR 3.60, 95% CI: 1.69\u20137.66,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001), assisted reproductive technology use (OR 3.99, 95% CI: 1.29\u201312.34,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.016), nighttime systolic blood pressure load (OR 1.02, 95% CI: 1.00\u20131.04,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.026), nighttime heart rate (OR 1.06, 95% CI: 1.03\u20131.09,\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      \u20090.001), urine protein (OR 3.07, 95% CI: 1.27\u20137.45,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.013), and urine output (OR 1.01, 95% CI: 1.00\u20131.01,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.003) as independent risk factors for preterm labor in women with HDP. These seven variables were incorporated into a nomogram prediction model. The discriminative ability of the model was assessed using a ROC curve, yielding an AUC of 0.852. The DCA indicated a favorable net benefit and clinical utility for the model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This validated nomogram improves preterm risk stratification in HDP using pre\u2010delivery ABPM parameters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70515","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T11:54:11Z","timestamp":1757332451000},"page":"1597-1609","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Beyond clinic readings: Twenty\u2010four hour ambulatory blood pressure monitoring profiling enhances preterm delivery risk stratification in hypertensive pregnancies"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5340-8419","authenticated-orcid":false,"given":"Li","family":"Xintong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology The First Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Ning","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology The First Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Yanhong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Genertec Universal Xi'an Xihang Hospital  Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei","family":"Meili","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The First Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiang","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The First Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zou","family":"Yuliang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The First Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-023-00417-6"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2014.01.003"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2024.0276"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.16991"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra060433"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/07420528.2012.715872"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.14688"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14523"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2021.09.008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2201295"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000000399"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000087"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2022.0160"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2015.12.024"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03938-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-05694-3"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-019-0119-6"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.3635"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/5526942"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001067"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000068"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.123.21497"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.114.302524"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10157-019-01746-1"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2015-000332"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep34932"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)00733-X"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/07420528.2020.1835944"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-016-0285-6"},{"key":"e_1_2_11_31_1","first-page":"1","volume-title":"The 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