{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:30:44Z","timestamp":1777962644871,"version":"3.51.4"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"13","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,7,2]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">The aim of this study was to evaluate the association between early postpartum weight change and (1) hospital readmission and (2) 2\u2010week blood pressure trajectory.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">This retrospective study cohort included 1365 individuals with a hypertensive disorder of pregnancy enrolled in a postpartum hypertension remote monitoring program. Exposure was percentage weight change from delivery to first weight recorded within 10\u2009days postpartum. We first modeled likelihood of hospital readmission within 8\u2009weeks postpartum using logistic regression adjusting for age, race, insurance, type of hypertensive disorder of pregnancy, early body mass index, gestational weight gain, mode of delivery, and any discharge antihypertensive medications. We then performed case\u2013control analysis additionally matching in a 1:3 ratio on breastfeeding, early body mass index, discharge on antihypertensive medications, and days between weight measurements. Both analytic approaches were repeated, limiting to readmissions attributable to hypertension or heart failure. Finally, we compared blood pressure trajectories over first 2\u2009weeks postpartum. Individuals who did not lose weight in the early postpartum period had more admissions compared with weight loss groups (group 3: 14.1% versus group 2: 5.8% versus group 1: 4.5%). These individuals had 4 times the odds of postpartum readmissions (adjusted odds ratio [aOR], 3.9 [95% CI, 1.8\u20138.6]) to 7 (aOR, 7.8 [95% CI, 2.3\u201326.5]) compared with those with the most weight loss. This association strengthened when limited to hypertension or heart failure readmissions. These individuals also had more adverse postpartum blood pressure trajectories, with significant differences by weight change group.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Weight change is readily accessible and may identify individuals at high risk for postpartum readmission following a hypertensive disorder of pregnancy who could benefit from targeted interventions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.032820","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T14:12:35Z","timestamp":1719497555000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Postpartum Weight Change Association With Readmission and Blood Pressure Trend Among Individuals With Hypertensive Disorders of Pregnancy"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6806-7787","authenticated-orcid":false,"given":"Lara S.","family":"Lemon","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, Magee\u2010Womens Hospital University of Pittsburgh School of Medicine Pittsburgh PA USA"},{"name":"Department of Clinical Analytics University of Pittsburgh Medical Center Pittsburgh PA USA"},{"name":"Magee\u2010Womens Research Institute University of Pittsburgh School of Medicine Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3178-3397","authenticated-orcid":false,"given":"Kripa","family":"Venkatakrishnan","sequence":"additional","affiliation":[{"name":"Department of Clinical Analytics University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2535-0309","authenticated-orcid":false,"given":"Malamo","family":"Countouris","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine University of Pittsburgh Medical Center Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyagriv","family":"Simhan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, Magee\u2010Womens Hospital University of Pittsburgh School of Medicine Pittsburgh PA USA"},{"name":"Magee\u2010Womens Research Institute University of Pittsburgh School of Medicine Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5009-7371","authenticated-orcid":false,"given":"Alisse","family":"Hauspurg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, Magee\u2010Womens Hospital University of Pittsburgh School of Medicine Pittsburgh PA USA"},{"name":"Magee\u2010Womens Research Institute University of Pittsburgh School of Medicine Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03809-2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000437382.03963.88"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000564"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2018.01.012"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.015721"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.30815"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.128751"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.08.073"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2018.08.032"},{"key":"e_1_3_2_11_2","unstructured":"Managing Heart Failure Symptoms . Heart Failure. Accessed July 2023. https:\/\/www.heart.org\/en\/health\u2010topics\/heart\u2010failure\/warning\u2010signs\u2010of\u2010heart\u2010failure\/managing\u2010heart\u2010failure\u2010symptoms. Written by American Heart Association editorial staff and reviewed by science and medicine advisors. Last Reviewed June 2023."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003479"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100397"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2020.100250"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2022.2030306"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100446"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2018.12.007"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2020.02.006"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.16133"},{"key":"e_1_3_2_20_2","first-page":"335","volume-title":"Chesley's Hypertensive Disorders in Pregnancy","author":"Chesley LC","year":"1978","unstructured":"Chesley LC. Chesley's hypertensive disorders in pregnancy. In: Taylor RN, Roberts JM, Cunningham FGLM, eds Chesley's Hypertensive Disorders in Pregnancy. 4th ed. London: Elsevier; 1978:335\u2013377.","edition":"4"},{"key":"e_1_3_2_21_2","first-page":"1","article-title":"Gestational hypertension and preeclampsia","volume":"133","author":"ACOG practice bulletin no. 202","year":"2019","unstructured":"ACOG practice bulletin no. 202 . Gestational hypertension and preeclampsia. Obstet Gynecol. 2019;133:1.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001594"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12363"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/10641955.2016.1239735"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000148270.53433.66"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000102"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.2478\/raon-2018-0047"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.123.032820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:16:42Z","timestamp":1730816202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.123.032820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,2]]},"references-count":26,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2024,7,2]]}},"alternative-id":["10.1161\/JAHA.123.032820"],"URL":"https:\/\/doi.org\/10.1161\/jaha.123.032820","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,2]]},"assertion":[{"value":"2023-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e032820"}}