{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T21:39:27Z","timestamp":1787693967115,"version":"build-2784847793"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Many adverse pregnancy outcomes (APOs) are associated with elevated cardiovascular disease (CVD) risk. However, APO data in the context of pre-existing CVD risk factors, and from diverse populations, are limited. We assessed the occurrence of APOs among individuals with and without prepregnancy CVD risk factors, overall and by race\/ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective study using electronic medical record data from a large urban safety-net hospital. Individuals with prenatal care and delivery between 2016 and 2018 at the hospital were included, and data from prenatal intake through the delivery hospitalization were captured. The exposure, prepregnancy CVD risk factors (hypertension, diabetes, tobacco use, and obesity), and the outcome, APOs (hypertensive disorders of pregnancy, gestational diabetes, preterm delivery, low birth weight, and stillbirth), were identified from electronic medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified 3760 unique delivering individuals, of whom 55.1% self-identified as Black non-Hispanic and 17% as Hispanic. Prepregnancy CVD risk factor prevalence was 45.6%, most commonly obesity (26.6%). APO prevalence was 35.6%, most commonly a hypertensive disorder of pregnancy (20.1%). Overall, 45.7% of APOs occurred in the absence of recognized prepregnancy CVD risk factors, representing 16.3% of the total sample. Among individuals without prepregnancy CVD risk factors, APO prevalence was 30.0% and did not vary by race\/ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this racially and ethnically diverse hospital-based sample, APOs were present in one in three parous individuals without prepregnancy CVD risk factors\u2014a group with potentially elevated CVD risk who might otherwise be missed by traditional CVD risk factor screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2022.0322","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T12:07:46Z","timestamp":1677240466000},"page":"401-408","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Prepregnancy Cardiovascular Disease Risk Factors and Adverse Pregnancy Outcomes in a Safety-Net Hospital"],"prefix":"10.1177","volume":"32","author":[{"given":"Mara E.","family":"Murray Horwitz","sequence":"first","affiliation":[{"name":"Women's Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine A.","family":"Prifti","sequence":"additional","affiliation":[{"name":"Women's Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy A.","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Women's Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayodele T.","family":"Ajayi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille V.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Section of Hematology\/Oncology, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emelia J.","family":"Benjamin","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA."},{"name":"Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina D.","family":"Yarrington","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha E.","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m3502"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000961"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1189-1"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000001343"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab344"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000001311"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000678"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.0000442009.06663.48"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003243"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07149-x"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.17101"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-3761"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2019.00178"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8384"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/00333549211005814"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.3109\/10641955.2010.544955"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06734-4"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2020.04.009"},{"key":"e_1_3_5_20_2","unstructured":"Fingar 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Delivery Hospitalizations Involving Preeclampsia and Eclampsia 2005\u20132014: Statistical Brief #222. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs Agency for Healthcare Research and Quality (US): Rockville MD USA; 2006."},{"key":"e_1_3_5_21_2","first-page":"1","article-title":"Increases in prepregnancy obesity: United States, 2016\u20132019","volume":"392","author":"Driscoll AK","year":"2020","unstructured":"Driscoll AK, , Gregory ECW. Increases in prepregnancy obesity: United States, 2016\u20132019. 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