{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:04:01Z","timestamp":1791302641753,"version":"4.1.0"},"reference-count":5,"publisher":"Georg Thieme Verlag KG","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to identify predictors of immediate postpartum breastfeeding among women with maternal cardiac disease (MCD).<\/jats:p><jats:p>\n            Study Design\u2003This study included all gravidas with MCD who delivered at a single institution from 2012 to 2018. Charts were abstracted for maternal demographics, obstetrical outcome, cardiac diagnoses, cardiac risk stratification scores, and prepregnancy echocardiogram findings. Kruskal\u2013Wallis and Fisher's exact tests were used to compare the breastfeeding (BF) group versus the nonbreastfeeding (NBF) group. Logistic regression was used to obtain odds ratios (ORs) with 95% confidence intervals (CIs).<\/jats:p><jats:p>\n            Results\u2003Among 211 gravidas with MCD, 12% were not breastfeeding at the time of postpartum hospital discharge. Compared with the BF group, the NBF group had a significantly higher proportion of women with cardiomyopathy (21% NBF vs. 7% BF, OR\u2009=\u20093.44, 95% CI: 1.12\u201310.71), with modified World Health Organization (WHO) classification \u2265III (33 vs. 14%, OR\u2009=\u20093.16, 95% CI: 1.22\u20138.15), and with prepregnancy ejection fraction (EF)\u2009&lt;\u200950% (55 vs. 14%, OR\u2009=\u20097.20, 95% CI: 1.92\u201327.06). There were otherwise no differences between the two groups with regards to other cardiac diagnoses or cardiac risk scores.<\/jats:p><jats:p>\n            Conclusion\u2003In women with MCD, cardiomyopathy, modified WHO class \u2265III, and a prepregnancy EF\u2009&lt;\u200950% were associated with NBF in the immediate postpartum period. These findings may guide providers in identifying a subset of women with MCD who can benefit from increased breastfeeding counseling and support.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0044-1780530","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:37:55Z","timestamp":1708389475000},"page":"2029-2032","source":"Crossref","is-referenced-by-count":1,"title":["Immediate Postpartum Breastfeeding following Pregnancy with Cardiac Disease"],"prefix":"10.1055","volume":"41","author":[{"given":"Yolanda","family":"Tinajero","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha I.","family":"Parikh","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian S.","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, University of California, San Francisco, California"},{"name":"Pregnancy and Cardiac Treatment Clinic, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan M.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Pregnancy and Cardiac Treatment Clinic, University of California, San Francisco, California"},{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anushree","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, University of California, San Francisco, California"},{"name":"Pregnancy and Cardiac Treatment Clinic, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2856-3185","authenticated-orcid":false,"given":"Nasim C.","family":"Sobhani","sequence":"additional","affiliation":[{"name":"Pregnancy and Cardiac Treatment Clinic, University of California, San Francisco, California"},{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.jacc.2008.05.013","article-title":"Pregnancy and contraception in congenital heart disease: what women are not told","volume":"52","author":"A H Kovacs","year":"2008","journal-title":"J Am Coll Cardiol"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"e320","DOI":"10.1097\/AOG.0000000000003243","article-title":"Practice Bulletin No 212: Pregnancy and heart disease","volume":"133","author":"American College of Obstetricians and Gynecologists' Presidential Task Force on Pregnancy and Heart Disease and Committee on Practice Bulletins\u2014Obstetrics","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"e2022057988","DOI":"10.1542\/peds.2022-057988","article-title":"Policy statement: breastfeeding and the use of human milk","volume":"150","author":"J Y Meek","year":"2022","journal-title":"Pediatrics"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1093\/cvr\/cvz252","article-title":"Peripartum cardiomyopathy: basic mechanisms and hope for new therapies","volume":"116","author":"M Ricke-Hoch","year":"2020","journal-title":"Cardiovasc Res"},{"issue":"08","key":"ref6","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1093\/eurjhf\/hfq120","article-title":"Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy","volume":"12","author":"K Sliwa","year":"2010","journal-title":"Eur J Heart Fail"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1780530.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:35:36Z","timestamp":1730810136000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1780530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,19]]},"references-count":5,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2024,9,27]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1780530","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,19]]}}}