{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T22:25:19Z","timestamp":1787091919423,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003123","name":"Fetal Medicine Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003123","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Gestational diabetes mellitus (GDM) is associated with future maternal cardiovascular disease, independent of the development of Type\u20102 diabetes mellitus. As a major cardiovascular risk factor, we examined the incidence and predictors of hypertension at 5\u2009months postpartum in women with previous GDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between September 2023 and January 2025, we conducted a single\u2010center observational prospective cohort study of all women who received routine prenatal care at 12\u2009weeks' gestation at King's College Hospital, London, UK, and developed GDM during the index pregnancy. Those with chronic hypertension were excluded from the analysis. Women were invited to a 5\u2010month postpartum visit, at which assessment was undertaken for hypertension (systolic blood pressure (BP) \u2265\u2009130\u2009mmHg or diastolic BP \u2265\u200980\u2009mmHg, or receiving antihypertensive treatment), obesity, adiposity, dysglycemia, dyslipidemia and renal dysfunction. Logistic regression was performed to assess predictors of postnatal hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 678 included women with previous GDM in the index pregnancy, 179 (26.4%) developed hypertension at a median of 5.1 (interquartile range (IQR), 4.4\u20136.7)\u2009months postpartum. Multivariable analysis showed that postpartum hypertension was associated with: higher maternal age, Black or mixed ethnicity, higher median weight in early pregnancy, higher systolic and diastolic blood pressure in early pregnancy, and development of pre\u2010eclampsia (PE) or gestational hypertension (GH) in the index pregnancy. The area under the receiver\u2010operating\u2010characteristics curve for the prediction of postpartum hypertension was 0.72 (95%\u2009CI, 0.68\u20130.77) without inclusion of development of PE or GH, and 0.74 (95%\u2009CI, 0.70\u20130.78) with their inclusion. The corresponding detection rates for postpartum hypertension were 49.5% and 53.7%, respectively, at a 20% false\u2010positive rate. Notably, women with GDM in the index pregnancy frequently had dysglycemia (351\/678 (51.8%)) as well as body mass index \u2265\u200930\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (232\/678 (34.2%)), waist\u2010to\u2010height ratio &gt;\u20090.5 (502\/678 (74.0%)), dyslipidemia (186\/678 (27.4%)) and\/or renal dysfunction (78\/678 (11.5%)). At the 5\u2010month postpartum review, among women with previous GDM who developed postpartum hypertension compared to those who were normotensive at follow\u2010up, median BMI was significantly higher (30.1 (IQR, 26.7\u201336.8)\n                      <jats:italic>vs<\/jats:italic>\n                      27.0 (IQR, 23.5\u201330.6)\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), a waist\u2010to\u2010height ratio &gt;\u20090.5 was significantly more prevalent (87.7%\n                      <jats:italic>vs<\/jats:italic>\n                      69.1%) and dyslipidemia was significantly more common (35.8%\n                      <jats:italic>vs<\/jats:italic>\n                      24.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      One in four women with recent GDM developed hypertension at 5\u2009months postpartum. However, risk prediction from factors observed in early pregnancy was only modest, reinforcing the need for universal postpartum BP assessment. The high prevalence of hypertension and other cardio\u2010renal\u2010metabolic abnormalities following GDM emphasizes the associated enhanced cardiovascular risk, and the postnatal opportunities for intervention early in the life course of these women. \u00a9 2026 The Author(s).\n                      <jats:italic>Ultrasound in Obstetrics &amp; Gynecology<\/jats:italic>\n                      published by John Wiley &amp; Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/uog.70291","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:24:21Z","timestamp":1784305461000},"page":"202-210","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hypertension at 5 months postpartum in women with gestational diabetes"],"prefix":"10.1002","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9359-997X","authenticated-orcid":false,"given":"C.","family":"G\u00f3mez Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"},{"name":"Faculty of Medicine Complutense University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4214-5059","authenticated-orcid":false,"given":"M.","family":"Charakida","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"},{"name":"School of Biomedical Engineering and Imaging Sciences, King's College London  London UK"},{"name":"2nd Department of University Paediatric Clinic National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Moser","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Breiviene","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Mansukhani","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1355-610X","authenticated-orcid":false,"given":"L. A.","family":"Magee","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health School of Life Course and Population Sciences, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4136-3070","authenticated-orcid":false,"given":"P.","family":"von Dadelszen","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health School of Life Course and Population Sciences, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1266-0711","authenticated-orcid":false,"given":"K. 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