{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:12:13Z","timestamp":1740147133879,"version":"3.37.3"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100013915","name":"Sarnoff Cardiovascular Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013915","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod. Sci."],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:p>Cardiovascular disease is the leading cause of pregnancy mortality. Socioeconomic and racial disparities in pregnancy are well established. Despite this, little is known about the impact of social determinants of health in pregnant patients with heart disease. This study aims to determine whether pregnant patients with heart disease living in lower income neighborhoods and managed at cardio-obstetrics programs have higher rates of cardiac events or preterm deliveries compared with those living in higher income neighborhoods. This is a retrospective cohort study of 206 patients between 2010 and 2020 at a quaternary care hospital in Northern California. The exposure was household income level based on neighborhood defined by the US Census data. Patients in lower income neighborhoods (<jats:italic>N<\/jats:italic>\u2009=\u2009103) were 45% Hispanic, 34% White, and 14% Asian versus upper income neighborhoods (<jats:italic>N<\/jats:italic>\u2009=\u2009103), which were 48% White, 31% Asian, and 12% Hispanic (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There was no significant difference in the rates of intrapartum cardiac events (10% vs. 4%; <jats:italic>p<\/jats:italic>\u2009=\u20090.16), postpartum cardiac events (14% vs. 17%; <jats:italic>p<\/jats:italic>\u2009=\u20090.7), and preterm delivery (24% vs. 17%; <jats:italic>p<\/jats:italic>\u2009=\u20090.23). The rates of antepartum hospitalization were higher for lower income neighborhoods (42% vs 22%; <jats:italic>p<\/jats:italic>\u2009=\u20090.004). While there is no significant difference in cardiac events and preterm delivery rates between patients from low versus high income neighborhoods, patients from lower income neighborhoods have higher antepartum hospitalization rates. Earlier identification of clinical deterioration provided by a cardio-obstetrics team may contribute to increased hospitalizations, which might mitigate socioeconomic disparities in outcomes for these pregnant patients with heart disease.\n<\/jats:p>","DOI":"10.1007\/s43032-022-00978-z","type":"journal-article","created":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T11:04:34Z","timestamp":1657623874000},"page":"3007-3014","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of Neighborhood Income with Clinical Outcomes Among Pregnant Patients with Cardiac Disease"],"prefix":"10.1007","volume":"29","author":[{"given":"Corinne","family":"Carland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2443-4789","authenticated-orcid":false,"given":"Danielle M.","family":"Panelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8213-1319","authenticated-orcid":false,"given":"Stephanie A.","family":"Leonard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eryn","family":"Bryant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7513-3823","authenticated-orcid":false,"given":"Elizabeth B.","family":"Sherwin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3665-7728","authenticated-orcid":false,"given":"Christine J.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9405-6301","authenticated-orcid":false,"given":"Eleanor","family":"Levin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shirin","family":"Jimenez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer A.","family":"Tremmel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A.","family":"Heidenreich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5842-6723","authenticated-orcid":false,"given":"Katherine","family":"Bianco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5190-3467","authenticated-orcid":false,"given":"Abha","family":"Khandelwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,7,11]]},"reference":[{"issue":"2","key":"978_CR1","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1097\/AOG.0000000000002114","volume":"130","author":"AA Creanga","year":"2017","unstructured":"Creanga AA, Syverson C, Seed K, Callaghan WM. Pregnancy-related mortality in the United States, 2011\u20132013. Obstet Gynecol. 2017;130(2):366\u201373. https:\/\/doi.org\/10.1097\/AOG.0000000000002114.","journal-title":"Obstet Gynecol"},{"issue":"3","key":"978_CR2","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1038\/jp.2011.74","volume":"32","author":"J Burlingame","year":"2012","unstructured":"Burlingame J, Horiuchi B, Ohana P, Onaka A, Sauvage LM. The contribution of heart disease to pregnancy-related mortality according to the pregnancy mortality surveillance system. J Perinatol. 2012;32(3):163\u20139. https:\/\/doi.org\/10.1038\/jp.2011.74.","journal-title":"J Perinatol"},{"issue":"3","key":"978_CR3","doi-asserted-by":"publisher","first-page":"379.e1","DOI":"10.1016\/j.ajog.2015.05.008","volume":"213","author":"AB Hameed","year":"2015","unstructured":"Hameed AB, et al. Pregnancy-related cardiovascular deaths in California: beyond peripartum cardiomyopathy. Am J Obstet Gynecol. 2015;213(3):379.e1-379.e10. https:\/\/doi.org\/10.1016\/j.ajog.2015.05.008.","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"978_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1161\/CIRCOUTCOMES.118.005417","volume":"12","author":"MB Davis","year":"2019","unstructured":"Davis MB, Walsh MN. Cardio-obstetrics: team-based care to improve maternal outcomes. Circ Cardiovasc Qual Outcomes. 2019;12(2):1\u20134. https:\/\/doi.org\/10.1161\/CIRCOUTCOMES.118.005417.","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"978_CR5","doi-asserted-by":"publisher","unstructured":"Owens A, Yang J, Nie L, Lima F, Avila C, Stergiopoulos K. Neonatal and maternal outcomes in pregnant women with cardiac disease.\u00a0J Am Heart Assoc\u00a0. 7(21). https:\/\/doi.org\/10.1161\/JAHA.118.009395.","DOI":"10.1161\/JAHA.118.009395"},{"issue":"4","key":"978_CR6","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1016\/j.jacc.2016.05.048","volume":"68","author":"U Elkayam","year":"2016","unstructured":"Elkayam U, Goland S, Pieper PG, Silverside CK. High-risk cardiac disease in pregnancy: part I. J Am Coll Cardiol. 2016;68(4):396\u2013410. https:\/\/doi.org\/10.1016\/j.jacc.2016.05.048.","journal-title":"J Am Coll Cardiol"},{"issue":"1","key":"978_CR7","doi-asserted-by":"publisher","first-page":"43","DOI":"10.3949\/ccjm.87a.18137","volume":"87","author":"KS Shapero","year":"2020","unstructured":"Shapero KS, Desai NR, Elder RW, Lipkind HS, Chou JC, Spatz ES. Cardio-obstetrics: recognizing and managing cardiovascular complications of pregnancy. Cleve Clin J Med. 2020;87(1):43\u201352. https:\/\/doi.org\/10.3949\/ccjm.87a.18137.","journal-title":"Cleve Clin J Med"},{"key":"978_CR8","doi-asserted-by":"publisher","unstructured":"Naderi S, Tsai SA, Khandelwal A. Hypertensive disorders of pregnancy. 2017, pp. 17\u201322.\u00a0https:\/\/doi.org\/10.1007\/s11883-017-0648-z.","DOI":"10.1007\/s11883-017-0648-z"},{"issue":"17","key":"978_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1161\/JAHA.118.009382","volume":"7","author":"W Ying","year":"2018","unstructured":"Ying W, Catov JM, Ouyang P. Hypertensive disorders of pregnancy and future maternal cardiovascular risk. J Am Heart Assoc. 2018;7(17):1\u20139. https:\/\/doi.org\/10.1161\/JAHA.118.009382.","journal-title":"J Am Heart Assoc"},{"issue":"2","key":"978_CR10","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1002\/clc.22887","volume":"41","author":"A Hauspurg","year":"2018","unstructured":"Hauspurg A, Ying W, Hubel CA, Michos ED, Ouyang P. Adverse pregnancy outcomes and future maternal cardiovascular disease. Clin Cardiol. 2018;41(2):239\u201346. https:\/\/doi.org\/10.1002\/clc.22887.","journal-title":"Clin Cardiol"},{"key":"978_CR11","doi-asserted-by":"publisher","unstructured":"Honigberg MC et al. Heart failure in women with hypertensive disorders of pregnancy. Hypertension. 2020 :1506\u20131513. https:\/\/doi.org\/10.1161\/HYPERTENSIONAHA.120.15654.","DOI":"10.1161\/HYPERTENSIONAHA.120.15654"},{"key":"978_CR12","doi-asserted-by":"publisher","unstructured":"Mehta LS, et al. Cardiovascular considerations in caring for pregnant patients: a scientific statement from the American heart association. Circulation. 2020:E884\u2013E903. https:\/\/doi.org\/10.1161\/CIR.0000000000000772.","DOI":"10.1161\/CIR.0000000000000772"},{"key":"978_CR13","doi-asserted-by":"publisher","unstructured":"Jeejeebhoy FM, et al. Cardiac arrest in pregnancy a scientific statement from the American heart association.\u00a02015,\u00a0pp. 1747\u20131773. https:\/\/doi.org\/10.1161\/CIR.0000000000000300.","DOI":"10.1161\/CIR.0000000000000300"},{"issue":"8","key":"978_CR14","doi-asserted-by":"publisher","first-page":"e50","DOI":"10.1161\/CIR.0000000000000458","volume":"135","author":"MM Canobbio","year":"2017","unstructured":"Canobbio MM, Warnes CA, Aboulhosn J, Connolly HM, Khanna A, Koos BJ, Mital S, Rose C, Silversides C, Stout K. Management of pregnancy in patients with complex congenital heart disease: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2017;135(8):e50\u201387.","journal-title":"Circulation."},{"key":"978_CR15","doi-asserted-by":"crossref","unstructured":"Presidential Task Force on Pregnancy and Heart Disease. ACOG practice bulletin 212: pregnancy and heart disease. Obstet Gynecol.\u00a02019; 133(5):320\u2013356.","DOI":"10.1097\/AOG.0000000000003243"},{"key":"978_CR16","doi-asserted-by":"publisher","unstructured":"Grodzinsky A, et al. Maternal mortality in the United States and the HOPE Registry. Curr Treat Options Cardiovasc Med. 2019:\u00a021\u201342.\u00a0https:\/\/doi.org\/10.1007\/s11936-019-0745-0.","DOI":"10.1007\/s11936-019-0745-0"},{"issue":"8","key":"978_CR17","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1161\/CIRCULATIONAHA.117.031889","volume":"137","author":"K Florio","year":"2018","unstructured":"Florio K, Daming TB, Grodzinsky A. Poorly understood maternal risks of pregnancy in women with heart disease. Circulation. 2018;137(8):766\u20138. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.117.031889.","journal-title":"Circulation"},{"key":"978_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-017-1609-9","volume":"17","author":"C Taylor","year":"2017","unstructured":"Taylor C, et al. Implementation of guidelines for multidisciplinary team management of pregnancy in women with pre-existing diabetes or cardiac conditions\u202f: results from a UK national survey. BMC Pregnancy Childbirth. 2017;17:1\u20139. https:\/\/doi.org\/10.1186\/s12884-017-1609-9.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"February","key":"978_CR19","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1111\/1471-0528.14547","volume":"124","author":"M Cauldwell","year":"2017","unstructured":"Cauldwell M, et al. The management of labour in women with cardiac disease\u202f: need for more evidence\u202f? BJOG. 2017;124(February):1307\u20139. https:\/\/doi.org\/10.1111\/1471-0528.14547.","journal-title":"BJOG"},{"issue":"18","key":"978_CR20","doi-asserted-by":"publisher","first-page":"2102","DOI":"10.1016\/j.jacc.2020.08.071","volume":"76","author":"E Magun","year":"2020","unstructured":"Magun E, et al. Cardiovascular care for pregnant women with cardiovascular disease. J Am Coll Cardiol. 2020;76(18):2102\u201313. https:\/\/doi.org\/10.1016\/j.jacc.2020.08.071.","journal-title":"J Am Coll Cardiol"},{"issue":"5","key":"978_CR21","doi-asserted-by":"publisher","first-page":"435.e1","DOI":"10.1016\/j.ajog.2013.11.039","volume":"210","author":"AA Creanga","year":"2014","unstructured":"Creanga AA, Bateman BT, Kuklina EV, Callaghan WM. Racial and ethnic disparities in severe maternal morbidity: a multistate analysis, 2008\u20132010. Am J Obstet Gynecol. 2014;210(5):435.e1-435.e8. https:\/\/doi.org\/10.1016\/j.ajog.2013.11.039.","journal-title":"Am J Obstet Gynecol"},{"key":"978_CR22","unstructured":"U.S. Federal Government. Office of Disease Prevention and Health Promotion. Social determinants of health. 2020. https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/social-determinants-of-health. Accessed 20 Sept 2020."},{"key":"978_CR23","doi-asserted-by":"crossref","unstructured":"Singh GK. Maternal mortality in the United States.\u00a02007:1935\u20132007.","DOI":"10.1016\/S0090-3671(08)70017-X"},{"issue":"2","key":"978_CR24","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/S0029-7844(97)00230-5","volume":"90","author":"CL Scott","year":"1997","unstructured":"Scott CL, Chavez GF, Atrash HK, Taylor DJ, Shah RS, Rowley D. Hospitalizations for severe complications of pregnancy, 1987\u20131992. Obstet Gynecol. 1997;90(2):225\u20139.","journal-title":"Obstet Gynecol"},{"key":"978_CR25","doi-asserted-by":"publisher","unstructured":"Irizarry OC, et al. Comparison of clinical characteristics and outcomes of peripartum cardiomyopathy between African American and non\u2013African American women. 2021; 2(11):1256\u20131260.\u00a0https:\/\/doi.org\/10.1001\/jamacardio.2017.3574.","DOI":"10.1001\/jamacardio.2017.3574"},{"key":"978_CR26","doi-asserted-by":"publisher","unstructured":"Jneid H, Kapadia SR. Disparities in cardiovascular disease.\u00a02021. https:\/\/doi.org\/10.1161\/JAHA.120.017832.","DOI":"10.1161\/JAHA.120.017832"},{"issue":"2","key":"978_CR27","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","volume":"42","author":"PA Harris","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture ( REDCap )\u2014 a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377\u201381. https:\/\/doi.org\/10.1016\/j.jbi.2008.08.010.","journal-title":"J Biomed Inform"},{"key":"978_CR28","doi-asserted-by":"publisher","unstructured":"Harris PA et al. The REDCap consortium\u202f: building an international community of software platform partners. J Biomed Inform.\u00a02019; 95:103208. https:\/\/doi.org\/10.1016\/j.jbi.2019.103208.","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"978_CR29","unstructured":"U.S. Census Bureau.  American community survey. 2018. [Online]. Available: https:\/\/www.census.gov\/acs\/www\/data\/data-tables-and-tools\/narrative-profiles\/2018\/. Accessed 1 Sep 2020."},{"key":"978_CR30","unstructured":"U.S. Census Bureau. American community survey: information guide. 2017. [Online]. Available: https:\/\/www.census.gov\/content\/dam\/Census\/programs-surveys\/acs\/about\/ACS_Information_Guide.pdf. Accessed 1 Sep 2020."},{"key":"978_CR31","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1161\/CIRCULATIONAHA.105.589655","volume":"113","author":"P Khairy","year":"2006","unstructured":"Khairy P, Ouyang DW, Fernandes SM, Lee-parritz A, Economy KE, Landzberg MJ. Pregnancy outcomes in women with congenital heart disease. Circulation. 2006;113:517\u201324. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.105.589655.","journal-title":"Circulation"},{"issue":"21","key":"978_CR32","doi-asserted-by":"publisher","first-page":"2419","DOI":"10.1016\/j.jacc.2018.02.076","volume":"71","author":"CK Silversides","year":"2018","unstructured":"Silversides CK, et al. Pregnancy outcomes in women with heart disease: the CARPREG II Study. J Am Coll Cardiol. 2018;71(21):2419\u201330. https:\/\/doi.org\/10.1016\/j.jacc.2018.02.076.","journal-title":"J Am Coll Cardiol"},{"issue":"3","key":"978_CR33","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/1471-2431-3-13","volume":"10","author":"TR Fenton","year":"2003","unstructured":"Fenton TR. A new growth chart for preterm babies: Babson and Benda\u2019s chart updated with recent data and a new format. BMC Pediatr. 2003;10(3):13.","journal-title":"BMC Pediatr"},{"key":"978_CR34","unstructured":"R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing, 2019. URL http:\/\/www.R-project.org\/."},{"key":"978_CR35","doi-asserted-by":"publisher","DOI":"10.1086\/682230","author":"AR Hemnes","year":"2015","unstructured":"Hemnes AR, et al. Statement on pregnancy in pulmonary hypertension from the Pulmonary Vascular Research Institute. Pulm Vasc Res Inst. 2015. https:\/\/doi.org\/10.1086\/682230.","journal-title":"Pulm Vasc Res Inst"},{"issue":"6","key":"978_CR36","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1007\/s11524-019-00401-0","volume":"96","author":"SL Mayne","year":"2019","unstructured":"Mayne SL, Pellissier BF, Kershaw KN. Neighborhood physical disorder and adverse pregnancy outcomes among women in Chicago: a cross-sectional analysis of electronic health record data. J Urban Heal. 2019;96(6):823\u201334.","journal-title":"J Urban Heal"},{"key":"978_CR37","unstructured":"2020 March Of Dimes Report Card - California. 2020. https:\/\/www.marchofdimes.org\/peristats\/tools\/reportcard.aspx?frmodrc=1&reg=06. Accessed 20 Sep 2020."},{"key":"978_CR38","doi-asserted-by":"publisher","unstructured":"Roos-hesselink J, et al. Pregnancy outcomes in women with cardiovascular disease\u202f: evolving trends over 10 years in the ESC Registry of Pregnancy and Cardiac Disease ( ROPAC ), 2019; 31:3848\u20133855. https:\/\/doi.org\/10.1093\/eurheartj\/ehz136.","DOI":"10.1093\/eurheartj\/ehz136"},{"issue":"2","key":"978_CR39","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1111\/1475-6773.12229","volume":"50","author":"SA Berkowitz","year":"2015","unstructured":"Berkowitz SA, Traore CY, Singer DE, Atlas SJ. Evaluating area-based socioeconomic status indicators for monitoring disparities within health care systems\u202f: results from a primary care network. Health Serv Res. 2015;50(2):398\u2013417. https:\/\/doi.org\/10.1111\/1475-6773.12229.","journal-title":"Health Serv Res"},{"key":"978_CR40","doi-asserted-by":"publisher","unstructured":"Thomas AJ, Eberly LE, Smith GD, and Neaton JD. Original contribution ZIP-code-based versus tract-based income measures as long-term risk-adjusted mortality predictors 2006; 164(6):586\u2013590. https:\/\/doi.org\/10.1093\/aje\/kwj234.","DOI":"10.1093\/aje\/kwj234"},{"key":"978_CR41","doi-asserted-by":"publisher","unstructured":"Palacio A, Tamariz L. Social determinants of health mediate COVID-19 disparities in South Florida, 2020\u00a0pp. 2\u20137. https:\/\/doi.org\/10.1007\/s11606-020-06341-9.","DOI":"10.1007\/s11606-020-06341-9"},{"key":"978_CR42","doi-asserted-by":"publisher","unstructured":"Cristea AI, et al. Median household income\u202f: association with mortality in children on chronic ventilation at home secondary.\u00a02015; 28(1):41\u201346. https:\/\/doi.org\/10.1089\/ped.2014.0406.","DOI":"10.1089\/ped.2014.0406"},{"key":"978_CR43","unstructured":"Self-sufficiency standard, by family composition.\u00a0 https:\/\/www.kidsdata.org\/topic\/449\/self-sufficiency-standard\/table#fmt=597&loc=59&tf=108&ch=1444,1446,1445,1447,1449,1448&sortColumnId=0&sortType=asc. Accessed 11 Sep 2020"}],"container-title":["Reproductive Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43032-022-00978-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43032-022-00978-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43032-022-00978-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T15:18:37Z","timestamp":1665069517000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s43032-022-00978-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,11]]},"references-count":43,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["978"],"URL":"https:\/\/doi.org\/10.1007\/s43032-022-00978-z","relation":{},"ISSN":["1933-7191","1933-7205"],"issn-type":[{"type":"print","value":"1933-7191"},{"type":"electronic","value":"1933-7205"}],"subject":[],"published":{"date-parts":[[2022,7,11]]},"assertion":[{"value":"8 December 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"IRB granted waiver of consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"IRB granted waiver of consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"All authors have given their consent for publication.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}