{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:24:45Z","timestamp":1767677085446,"version":"3.48.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the long\u2010term morbidity experienced by women with a history of severe maternal morbidity (SMM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective population\u2010based cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A tertiary medical centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>All women who experienced SMM between 2013 and 2018 and a matched comparison group without SMM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>SMM was defined as maternal admission to the intensive care unit during the delivery hospitalisation. Women with SMM were matched 1:1 to controls based on mode and year of delivery. Multivariable Cox proportional hazards regression models were used to assess the adjusted risks of long\u2010term diagnoses and hospitalisations, controlling for sociodemographic and clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Long\u2010term incidence of morbidities and hospitalisations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 288 women were included in the study, with a follow\u2010up ranging from 6 to 11\u2009years following the index pregnancy. Compared to women with no SMM in the index pregnancy, the SMM group demonstrated a significantly higher risk of cardiovascular and endocrine morbidities (adjusted HR: 4.01, 95% CI: 2.03\u20137.90 and 2.17; 95% CI: 1.24\u20133.79, respectively). Additionally, women with SMM in the index pregnancy had higher rates of SMM\u2010related hospitalisations (adjusted HR: 1.90, 95% CI: 1.10\u20133.29), all\u2010cause hospitalisations (adjusted HR: 2.21, 95% CI: 1.36\u20133.58) and hospitalisations within the first year following the index pregnancy (adjusted HR: 4.94, 95% CI: 1.06\u201323.13).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women with SMM require vigilant multidisciplinary medical surveillance following discharge from their delivery hospitalisation. The occurrence of SMM may serve as a warning sign of significant long\u2010term health risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70055","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:01:59Z","timestamp":1760079719000},"page":"454-462","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Maternal Health Outcomes Following Severe Maternal Morbidity: A Cohort Study"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1299-9112","authenticated-orcid":false,"given":"Itamar","family":"Gothelf","sequence":"first","affiliation":[{"name":"Goldman Medical School, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Israel","family":"Yoles","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Soroka University Medical Center Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Ben\u2010Ayoun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rabin Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majdi","family":"Imterat","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology, Hadassah Medical Center, Faculty of Medicine Hebrew University of Jerusalem  Jerusalem and Rehovot Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asnat","family":"Walfisch","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, and Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9057-4961","authenticated-orcid":false,"given":"Tamar","family":"Wainstock","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwab077"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000218"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.05.022"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.07.007"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.02.026"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-022-01343-3"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"142","article-title":"Severe Maternal Morbidity Cases in Israel in a High\u2010Volume High\u2010Resource Referral Center: A Retrospective Cohort Study","volume":"22","author":"Rottenstreich M.","year":"2020","journal-title":"Israel Medical Association Journal: IMAJ"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2016.06.005"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.4.631"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.944155"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.05.013"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.17641"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.12.020"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31826d60c5"},{"issue":"1","key":"e_1_2_12_16_1","first-page":"31","article-title":"A Global View of Severe Maternal Morbidity: Moving Beyond Maternal Mortality","volume":"15","author":"Geller S. 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