{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:54:50Z","timestamp":1791316490631,"version":"4.3.1"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005847","name":"Health and Medical Research Fund","doi-asserted-by":"publisher","award":["10210746"],"award-info":[{"award-number":["10210746"]}],"id":[{"id":"10.13039\/501100005847","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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare anthropometric and cardiovascular parameters at 6\u201312\u2009weeks postpartum among women classified at first\u2010trimester screening as high risk for pre\u2010eclampsia (PE) who subsequently developed hypertensive disorders of pregnancy (HDP), those classified as high risk who did not develop HDP and those classified as low risk for PE,\u00a0and, among high\u2010risk women, to evaluate the trajectory of these parameters from 6\u201312\u2009weeks to 12\u2009months postpartum according to the subsequent development of HDP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective postpartum longitudinal study conducted at the Prince of Wales Hospital, Hong Kong Special Administrative Region, in which women underwent postpartum assessment between October 2022 and January 2025. Eligible participants were Chinese women in the postpartum period following a singleton pregnancy who had undergone first\u2010trimester PE screening at 11\u2009+\u20090 to 13\u2009+\u20096\u2009weeks' gestation. Women were classified into three groups based on their first\u2010trimester screening result and subsequent pregnancy outcome: (1) women at high risk (\u2265\u20091:100) for PE who subsequently developed HDP; (2) women at high risk for PE who did not develop HDP; and (3) low\u2010risk controls with a normotensive pregnancy. Participants were enrolled between 6 and 12\u2009weeks postpartum for anthropometric and cardiovascular assessments, and these findings were compared among the groups. Subsequently, women at high risk for PE were examined longitudinally at 6\u2009months and 12\u2009months postpartum to assess changes in anthropometric and cardiovascular parameters. High\u2010risk women received lifestyle counseling at each visit. Linear mixed\u2010effects analysis was performed to compare the longitudinal changes in anthropometric and cardiovascular parameters over the postpartum period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 201 women were included in the study, of whom 130 were at high risk for PE and did not develop HDP, 41 were at high risk for PE and developed HDP and 30 were low\u2010risk controls. At 6\u201312\u2009weeks postpartum, high\u2010risk women with HDP exhibited a significantly higher mean arterial pressure, left ventricular (LV) mass index (MI), systemic vascular resistance, myocardial performance index and more impaired global longitudinal strain (GLS), along with lower mitral annular plane systolic excursion, compared with the low\u2010risk and high\u2010risk\u2010without\u2010HDP groups. Similar findings mostly persisted over the 12\u2010month postpartum period, even after adjusting for risk factors (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). From 6 to 12\u2009weeks to 12\u2009months postpartum, the high\u2010risk\u2010without\u2010HDP group showed a statistically significant declining trend in weight, waist circumference and waist\u2010to\u2010hip ratio, along with reduced weight gain from the first trimester to 12\u2009months postpartum, whereas the high\u2010risk\u2010with\u2010HDP group showed no significant change during the same period. The high\u2010risk\u2010without\u2010HDP group exhibited a decreasing trend in LV\u2010MI and increasing trends in LV ejection fraction, GLS, left atrial emptying fraction and left atrial expansion index from 6\u201312\u2009weeks to 6\u2009months postpartum. Conversely, in the high\u2010risk\u2010with\u2010HDP group, these improvements only became apparent at 12\u2009months postpartum (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Women identified as being at high risk for PE at first\u2010trimester screening, particularly those who develop HDP, exhibit consistently suboptimal anthropometric and cardiovascular trajectories during the first year postpartum. The observed association between maternal risk factors and an unfavorable cardiovascular profile underscores the need to extend anthropometric and cardiovascular screening and implement personalized interventions beyond the standard 6\u201312\u2010week postpartum visit in women with HDP. However, the feasibility and practicality of postpartum cardiovascular surveillance are limited by disparities in access to echocardiography, resource allocation for prolonged follow\u2010up and challenges in improving patient engagement in postpartum care. \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.70313","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T07:21:05Z","timestamp":1790580065000},"page":"527-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postpartum anthropometric and cardiovascular profile following hypertensive disorders of pregnancy: 12\u2010month follow\u2010up"],"prefix":"10.1002","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5632-3445","authenticated-orcid":false,"given":"Y.","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. S.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0769-8974","authenticated-orcid":false,"given":"J.","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"},{"name":"Reproductive Center First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, and National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9335-7855","authenticated-orcid":false,"given":"F.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. L.","family":"Lau","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7300-9159","authenticated-orcid":false,"given":"Q.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fujian Maternity and Child Health Hospital Fujian Medical University Teaching Hospital  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fujian Maternity and Child Health Hospital Fujian Medical University Teaching Hospital  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4120-155X","authenticated-orcid":false,"given":"A. P. 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