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Pregnancy Characteristics and Women's Future Cardiovascular Health: An Underused Opportunity to Improve Women's Health?

Epidemiologic reviews, 2014-01, Vol.36 (1), p.57-70 [Peer Reviewed Journal]

2015 INIST-CNRS ;The Author 2013. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2013 ;ISSN: 0193-936X ;EISSN: 1478-6729 ;DOI: 10.1093/epirev/mxt006 ;PMID: 24025350 ;CODEN: EPIRD7

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Title:
Pregnancy Characteristics and Women's Future Cardiovascular Health: An Underused Opportunity to Improve Women's Health?
Author: RICH-EDWARDS, Janet W ; FRASER, Abigail ; LAWLOR, Deborah A ; CATOV, Janet M
Subjects: Biological and medical sciences ; Birth Weight ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - prevention & control ; Causality ; Comorbidity ; Diabetes, Gestational - epidemiology ; Epidemiology ; Female ; Fetal Development ; Fetal Macrosomia - epidemiology ; General aspects ; Humans ; Hypertension - epidemiology ; Incidence ; Maternal Mortality ; Medical sciences ; Miscellaneous ; Parity ; Pre-Eclampsia - epidemiology ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Complications, Cardiovascular - epidemiology ; Premature Birth - epidemiology ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Assessment ; Women's Health
Is Part Of: Epidemiologic reviews, 2014-01, Vol.36 (1), p.57-70
Description: Growing evidence indicates that women with a history of common pregnancy complications, including fetal growth restriction and preterm delivery (often combined as low birth weight), hypertensive disorders of pregnancy, and gestational diabetes, are at increased risk for cardiovascular disease later in life. The purpose of this paper was to review the associations of parity and these 4 pregnancy complications with cardiovascular morbidity and mortality; to review the role of cardiovascular risk factors before, during, and after pregnancy complications in explaining these associations; and to explore the implications of this emerging science for new research and policy. We systematically searched for relevant cohort and case-control studies in Medline through December 2012 and used citation searches for already published reviews to identify new studies. The findings of this review suggest consistent and often strong associations of pregnancy complications with latent and future cardiovascular disease. Many pregnancy complications appear to be preceded by subclinical vascular and metabolic dysfunction, suggesting that the complications may be useful markers of latent high-risk cardiovascular trajectories. With further replication research, these findings would support the utility of these prevalent pregnancy complications in identifying high-risk women for screening, prevention, and treatment of cardiovascular disease, the leading cause of morbidity and mortality among women.
Publisher: Cary, NC: Oxford University Press
Language: English
Identifier: ISSN: 0193-936X
EISSN: 1478-6729
DOI: 10.1093/epirev/mxt006
PMID: 24025350
CODEN: EPIRD7
Source: GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection

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Pregnancy Characteristics and Women's Future Cardiovascular Health: An Underused Opportunity to Improve Women's Health?

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