{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:28:43Z","timestamp":1787498923851,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T00:00:00Z","timestamp":1394064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HL U54 HL108460"],"award-info":[{"award-number":["HL U54 HL108460"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Gordon and Marilyn Macklin Foundation"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To characterise the obstetrical management and outcomes in a series of women with a history of Kawasaki disease (\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      ) in childhood.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      Tertiary healthcare setting in the\n                      <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>\n                      Women with a history of\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      in childhood.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Women completed a detailed health questionnaire and participated in research imaging studies as part of the San Diego Adult\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      Collaborative Study.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Obstetrical management, complications during pregnancy and delivery, and infant outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten women with a history of\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      in childhood carried a total of 21 pregnancies to term. There were no cardiovascular complications during labour and delivery despite important cardiovascular abnormalities in four of the ten subjects. Pregnancy was complicated by pre\u2010eclampsia and the post\u2010partum course was complicated by haemorrhage in one subject each. Two of the 21 progeny subsequently developed\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Women with important cardiovascular sequelae from\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      in childhood should be managed by a team that includes both a maternal\u2013fetal medicine specialist and a cardiologist. Pre\u2010pregnancy counselling should include delineation of the woman's current functional and structural cardiovascular status and appropriate adjustment of medications, but excellent outcomes are possible with appropriate care. Review of the English and Japanese literature on\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      and pregnancy revealed the occurrence of myocardial infarction during pregnancy in women with missed\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      and aneurysms that were not diagnosed until their acute event. Our study highlights the need for counselling with regard to the increased genetic risk of\n                      <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>\n                      in offspring born to these mothers.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.12685","type":"journal-article","created":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T01:40:58Z","timestamp":1394070058000},"page":"1431-1438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Pregnancy in women with a history of\n                    <scp>K<\/scp>\n                    awasaki disease: management and outcomes"],"prefix":"10.1111","volume":"121","author":[{"given":"CT","family":"Gordon","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of California, San Diego La Jolla CA 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