{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T08:26:11Z","timestamp":1787127971516,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the association between race and severe maternal morbidity (SMM) in delivery hospitalizations with polycystic ovarian syndrome (PCOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cross-sectional study using the Nationwide Inpatient Sample (Q4 2015\u20132019). SMM was defined by the CDC algorithm of 21 ICD-10 indicators. Multivariable logistic regression assessed associations between race and SMM, adjusting for demographics, insurance, hospital type, obesity, hypertension, and diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>Delivery hospitalizations with PCOS (ICD-10 E28.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 3.1 million deliveries, 19,962 (0.64%) had PCOS; 444 (2.22%) experienced SMM. Patients were predominantly White (66.7%) and &lt;35 years (76.9%). Common comorbidities included obesity (30.2%), hypertension (9.5%), and diabetes (5.1%). Unadjusted analyses showed the highest SMM among Black (3.4%), Native American\/Other (3.0%), and Asian\/Pacific Islander (2.7%) patients. SMM was also more common among those \u226535 years, with public insurance, and at urban teaching hospitals. In adjusted models, Native American\/Other (adjusted odds ratio [AOR] 1.44, 95% confidence interval [CI] 1.07\u20131.92), Black (AOR 1.42, 95% CI 1.11\u20131.81), and Asian\/Pacific Islander (AOR 1.40, 95% CI 1.07\u20131.83) patients had significantly higher odds of SMM compared with White patients. Additional predictors included age \u226535 years (AOR 1.54, 95% CI 1.31\u20131.80), obesity (AOR 1.19, 95% CI 1.01\u20131.39), hypertension (AOR 1.65, 95% CI 1.32\u20132.04), and public insurance (AOR 1.35, 95% CI 1.14\u20131.60). Urban nonteaching hospitals (AOR 0.63, 95% CI 0.50\u20130.79) and Midwest hospital region (AOR 0.76, 95% CI 0.62\u20130.93) were associated with reduced odds of SMM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Racial disparities in SMM persisted among patients with PCOS despite adjustment for comorbidities and hospital factors. Race-conscious prenatal care and structural interventions are needed to reduce inequities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15409996261423855","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T06:35:47Z","timestamp":1771310147000},"page":"560-566","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial Disparities in Severe Maternal Morbidity Among Patients with Polycystic Ovarian Syndrome"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4095-678X","authenticated-orcid":false,"given":"Carolyn","family":"Robb","sequence":"first","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Strafella","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Ayar","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahi","family":"Desai","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annieka","family":"Reno","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Grunfeld","sequence":"additional","affiliation":[{"name":"Touro College of Osteopathic Medicine, New York City, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Drugge","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vani","family":"Dandolu","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, New York, USA."},{"name":"NYC Health and Hospitals\/Metropolitan, New York City, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"CDC. Severe maternal morbidity. Maternal Infant Health. May 20 2024. Available from: https:\/\/www.cdc.gov\/maternal-infant-health\/php\/severe-maternal-morbidity\/index.html [Last accessed: May23 2025]."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.17641"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-020-01356-y"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deaa144"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2024.101448"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2023.01.031"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.12.019"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.01.003"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xfre.2025.02.008"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/rmb2.12630"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000242"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2025.107416"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xfre.2021.10.003"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e31829bbc89"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X12473751"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrg3142"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrn3818"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms232012698"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002307"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.18986"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2022.100809"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.307134"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003080"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004057"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgae705"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15409996261423855","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15409996261423855","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15409996261423855","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:51:23Z","timestamp":1787125883000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15409996261423855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6,1]]}},"alternative-id":["10.1177\/15409996261423855"],"URL":"https:\/\/doi.org\/10.1177\/15409996261423855","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]}}}