{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T13:10:21Z","timestamp":1772802621044,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,19]],"date-time":"2015-10-19T00:00:00Z","timestamp":1445212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Western Norway Regional Health Authority","award":["911764"],"award-info":[{"award-number":["911764"]}]},{"name":"Research Council Norway","award":["190858\/V50"],"award-info":[{"award-number":["190858\/V50"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aetiology of congenital heart defects (<jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>) is mostly unknown, but maternal factors may modify the infant risk of <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>. We investigated the association between maternal preeclampsia and offspring risk of severe <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> in a nation\u2010wide cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Information on all births registered in the <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edical <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>irth <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>egistry of <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>orway, 1994\u20132009, was completed with information on <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> diagnoses from national health registries and the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ardiovascular <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>iseases in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>orway <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>roject (<jats:styled-content style=\"fixed-case\">CVDNOR<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 914\u2009703 singleton births without chromosomal abnormalities, 32\u2009864 (3.6%) were born after a pregnancy with preeclampsia. The preeclampsia was diagnosed before the 34th week of pregnancy (early\u2010onset preeclampsia) in 2618 (8.0% of preeclamptic pregnancies). <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>s were diagnosed in 10\u2009691 infants; of these, 2473 had severe <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>. The risk of severe <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> was compared between births with and without maternal preeclampsia and estimated with binomial log\u2010linear regression. When adjusting for year of birth, maternal age, parity, and pregestational diabetes, the risk ratio (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>) for severe <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> in offspring of mothers with any preeclampsia was 1.3 [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1.1, 1.5], and in pregnancies with early\u2010onset preeclampsia, the <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> was 2.8 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.8, 4.4). The association between early\u2010onset preeclampsia and specific types of severe <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> was stronger for atrioventricular septal defects (<jats:styled-content style=\"fixed-case\">AVSD<\/jats:styled-content>), with adjusted <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 13.5 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 6.8, 26.8).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early\u2010onset preeclampsia was strongly associated with infant risk of severe <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>, specifically; the risk of <jats:styled-content style=\"fixed-case\">AVSD<\/jats:styled-content> was 15\u2010fold higher if the mother was diagnosed with early\u2010onset preeclampsia, suggesting common aetiological factors for early\u2010onset preeclampsia and erroneous fetal heart development.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12252","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T11:21:57Z","timestamp":1445340117000},"page":"76-85","source":"Crossref","is-referenced-by-count":66,"title":["Possible Common Aetiology behind Maternal Preeclampsia and Congenital Heart Defects in the Child: a Cardiovascular Diseases in <scp>N<\/scp>orway Project Study"],"prefix":"10.1111","volume":"30","author":[{"given":"Kristoffer","family":"Brodwall","sequence":"first","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen  Bergen Norway"},{"name":"Department of Paediatrics Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4988-1203","authenticated-orcid":false,"given":"Elisabeth","family":"Leirgul","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen  Bergen Norway"},{"name":"Department of Heart Disease Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gottfried","family":"Greve","sequence":"additional","affiliation":[{"name":"Department of Medical Science University of Bergen  Bergen Norway"},{"name":"Department of Paediatrics Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stein Emil","family":"Vollset","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen  Bergen Norway"},{"name":"Norwegian Institute of Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrik","family":"Holmstr\u00f8m","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Oslo University Hospital  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grethe S.","family":"Tell","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen  Bergen Norway"},{"name":"Department of Health Registries Norwegian Institute of Public Health  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"\u00d8yen","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen  Bergen Norway"},{"name":"Center for Medical Genetics and Molecular Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.183216"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.001054"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000291497"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11582.x"},{"key":"e_1_2_7_6_1","first-page":"1","article-title":"Is preeclampsia associated with fetal malformation? 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