{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:50:16Z","timestamp":1747198216627,"version":"3.40.5"},"reference-count":17,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0317_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We aimed to determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in pregnancy is associated with an increased risk of hypertensive disorders of pregnancy (HDP).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0317_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A multicenter retrospective cohort study of all pregnant patients who had SARS-CoV-2 testing and delivered in a large health system between March 2020 and March 2021. Cases were stratified into two groups: patients who tested positive for SARS-CoV-2 during pregnancy vs. patients who tested negative. The primary outcome of HDP, defined as a composite of gestational hypertension, preeclampsia, hemolysis, elevated liver enzymes, and low platelet count syndrome (HELLP Syndrome), and eclampsia by standard criteria, was compared between the two groups. Statistical analysis included multivariable logistic regression to adjust for potential confounders such as maternal demographics and comorbidities. Patient ZIP codes were linked to neighborhood-level data from the US Census Bureau\u2019s American Community Survey.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0317_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 22,438 patients included, 1,653 (7.4%) tested positive for SARS-CoV-2 infection. Baseline demographics such as age, body mass index, race, ethnicity, insurance type, neighborhood-built environmental and socioeconomic status, nulliparity, and pregestational diabetes differed significantly between the two groups. SARS-CoV- 2 infection in pregnancy was not associated with an increased risk of HDP compared to those without infection (14.9 vs. 14.8%; aOR 1.06 95% CI 0.90\u20131.24).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0317_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In this large cohort that included a universally-tested population with several socioeconomic indicators, SARS-CoV-2 infection in pregnancy was not associated with an increased risk of HDP.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0317","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T07:50:48Z","timestamp":1675237848000},"page":"623-627","source":"Crossref","is-referenced-by-count":4,"title":["Hypertensive disorders of pregnancy and severe acute respiratory syndrome coronavirus-2 infection"],"prefix":"10.1515","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9395-4895","authenticated-orcid":false,"given":"Cara S.","family":"Wetcher","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , North Shore University Hospital, Northwell Health\/Zucker School of Medicine , Manhasset , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moti","family":"Gulersen","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , North Shore University Hospital, Northwell Health\/Zucker School of Medicine , Manhasset , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burton","family":"Rochelson","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , North Shore University Hospital, Northwell Health\/Zucker School of Medicine , Manhasset , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiwei","family":"Shan","sequence":"additional","affiliation":[{"name":"Biostatistics Unit , The Feinstein Institutes for Medical Research , Manhasset , NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Bornstein","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , Lenox Hill Hospital, Northwell Health\/Zucker School of Medicine , New York , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5534-6928","authenticated-orcid":false,"given":"Matthew J.","family":"Blitz","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology , South Shore University Hospital, Northwell Health\/Zucker School of Medicine , Bay Shore , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"2023060719030802423_j_jpm-2022-0317_ref_001","doi-asserted-by":"crossref","unstructured":"Metz, TD, Clifton, RG, Hughes, BL, Sandoval, G, Saade, GR, Grobman, WA, et al.. 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