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We hypothesised that a small\u2010for\u2010gestational\u2010age (<jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>) birth in a late preeclamptic pregnancy may be associated with increased subsequent risk of early preeclampsia. We also studied effects of maternal factors on risks of preeclampsia recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a nation\u2010wide Swedish cohort study of first and second consecutive single births between 1992 and 2012, we identified 22 473 mothers with preeclampsia in their first pregnancy. We calculated relative risks (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>), and 95% confidence intervals (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>), to investigate associations between subtypes of preeclampsia in the first pregnancy and risks of early (&lt;34\u00a0weeks) and late (\u226534\u00a0weeks) preeclampsia in the second pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In women with a previous late preeclampsia, a co\u2010occurring <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> birth was associated with an increased risk of subsequent early preeclampsia (adjusted <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 2.85, 95% CI 1.93, 4.20), but not of subsequent late preeclampsia. Among women with a previous early preeclampsia, a co\u2010occurring <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> birth was not associated with increased subsequent risks of early or late preeclampsia. Interpregnancy weight gain was associated with increased risks of early and late preeclampsia in the second pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Late preeclampsia combined with fetal growth restriction may be regarded as an ischaemic placental disease. Given the high absolute risk of preeclampsia recurrence, preventing weight gain may be especially important in women with previous preeclampsia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12317","type":"journal-article","created":{"date-parts":[[2016,10,17]],"date-time":"2016-10-17T05:37:03Z","timestamp":1476682623000},"page":"563-570","source":"Crossref","is-referenced-by-count":17,"title":["The Impact of Small for Gestational Age Births in Early and Late Preeclamptic Pregnancies for Preeclampsia Recurrence: a Cohort Study of Successive Pregnancies in Sweden"],"prefix":"10.1111","volume":"30","author":[{"given":"Sven","family":"Cnattingius","sequence":"first","affiliation":[{"name":"Clinical Epidemiology Unit Department of Medicine Solna Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna\u2010Karin","family":"Wikstr\u00f6m","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit Department of Medicine Solna Karolinska Institutet Stockholm Sweden"},{"name":"Department of Clinical Sciences Danderyd Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olof","family":"Stephansson","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit Department of Medicine Solna Karolinska Institutet Stockholm Sweden"},{"name":"School of Public Health University of California Berkeley CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kari","family":"Johansson","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit Department of Medicine Solna Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2007.03.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.06.044"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.09.003"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441201"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38555.462685.8F"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000266983.77458.71"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181a66f2d"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.107.096248"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj354"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00882.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13310"},{"key":"e_1_2_6_13_1","unstructured":"The National Board of Health and Welfare.The Swedish Medical Birth Register. 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