{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:05:31Z","timestamp":1790179531491,"version":"4.1.0"},"reference-count":56,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Cardiovascular disease (CVD) remains a leading cause of pregnancy\u2010related morbidity and death in the early postpartum period. Stillbirth is associated with elevated long\u2010term CVD risk. However, whether stillbirth unmasks short\u2010term CVD is less well characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We conducted a population\u2010based retrospective cohort study of singleton delivery hospitalizations using the Nationwide Readmissions Database (2010\u20132020). The primary outcome was CVD\u2010related readmission or in\u2010hospital death within the calendar year of delivery, including heart disease and stroke. Associations were estimated using adjusted Cox proportional hazards models and corrected for unmeasured confounding. Analyses were stratified by chronic hypertension, ischemic placental disease, and diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">Among 18\u2009253\u2009997 singleton delivery hospitalizations, 117\u2009230 (6.5 per 1000) resulted in stillbirth. Median follow\u2010up was 6.4 months (interquartile range, 3.7\u20139.1). The rate of CVD\u2010related readmission was higher following stillbirth than live birth (404.0 versus 166.0 per 100\u2009000 delivery hospitalizations; incidence proportion difference, 238 per 100\u2009000 [95% CI, 192\u2013285]). Stillbirth was associated with higher hazards of CVD hospitalization (adjusted hazard ratio [HR], 2.03 [95% CI, 1.78\u20132.32]), including heart disease (adjusted HR, 2.00 [95% CI, 1.72\u20132.32]), stroke (adjusted HR, 2.29 [95% CI, 1.80\u20132.92]), and CVD\u2010related death (adjusted HR, 2.08 [95% CI, 1.12\u20133.84]). CVD hospitalization risk was elevated within 30\u2009days postpartum and peaked from 60 to 89\u2009days. Risks of CVD hospitalization were higher with co\u2010occurring chronic hypertension, ischemic placental disease, or diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Stillbirth was associated with increased short\u2010term CVD\u2010related readmission and death, extending prior evidence linking stillbirth to long\u2010term CVD risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.126.051951","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:27:58Z","timestamp":1789738078000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Stillbirth as a Risk Marker for Postpartum Readmission for Cardiovascular Disease: A Population\u2010Based Retrospective Cohort Study"],"prefix":"10.1161","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6299-4143","authenticated-orcid":false,"given":"Anushka","family":"Pande","sequence":"first","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School","place":["Piscataway, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9317-2016","authenticated-orcid":false,"given":"Ruby","family":"Lin","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0592-3000","authenticated-orcid":false,"given":"Rachel","family":"Lee","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1131-8148","authenticated-orcid":false,"given":"Emily B.","family":"Rosenfeld","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]},{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2617-3151","authenticated-orcid":false,"given":"Minxiu","family":"Shi","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0410-2595","authenticated-orcid":false,"given":"Cande V.","family":"Ananth","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]},{"name":"Rutgers Robert Wood Johnson Medical School, Cardiovascular Institute of New Jersey","place":["New Brunswick, USA"]},{"name":"Rutgers School of Public Health","place":["Piscataway, USA"]},{"name":"Rutgers Robert Wood Johnson Medical School","place":["New Brunswick, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Centers for Disease Control and Prevention . 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