Cardiovascular disease risk in women with a history of spontaneous preterm delivery: A systematic review and meta-analysis
Open accessAbstract
BACKGROUND: Increasing evidence suggests a relation between having had spontaneous preterm delivery and cardiovascular disease in the future. We performed a systematic review and meta-analysis to assess the relation between a history of spontaneous preterm delivery and risk of ischaemic heart disease (IHD), stroke or overall cardiovascular disease (CVD). METHODS: We carried out a systematic search in Medline (from 1966 to 17 July 2014) and Embase (from 1980 to 17 July 2014). We included studies with a cohort design assessing the relation between spontaneous preterm delivery and fatal or nonfatal IHD, stroke, or overall CVD. IHD, stroke and CVD were assessed through linkage with national registries. Hazard ratios (HRs) were pooled using a random-effects model. RESULTS: Of the 10 cohort studies included; sample sizes ranged from 3706 to 923,686 women and follow-up ranged from 12-35 years. Spontaneous preterm delivery was related to an increased risk of developing or dying from IHD (HR 1.38, 95% confidence interval (CI) 1.22-1.57), stroke (HR 1.71, 95% CI 1.53-1.91) and overall CVD (relative risk (HR) 2.01, 95% CI 1.52-2.65). All studies found a positive effect, although substantial between-study heterogeneity was found for IHD and CVD. CONCLUSION: Spontaneous preterm delivery is an independent risk factor for the development of IHD, stroke and overall CVD.
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Preterm delivery is associated with an increased risk of fatal and non-fatal composite cardiovascular disease.
“Preterm delivery was associated with an increased risk of fatal and non-fatal composite cardiovascular disease.102 60”
From Association between the reproductive health of young women and cardiovascular disease in later life: umbrella review (2020) · cites this paper as [102]
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- Authors
- Heida, K. Y., Velthuis, B. K., Oudijk, M. A., Reitsma, J. B., Bots, M. L., Franx, A., van Dunné, F. M., & on behalf of the Dutch Guideline Development Group on Cardiovascular Risk Management after Reproductive Disorders
- Affiliations
- University Medical Center Utrecht (NL)
- Department of Obstetrics and Gynaecology, Medical Center Haaglanden, the Netherlands
- Corresponding author
- Heida, Karst Y
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-02-09
- Volume
- 23
- Issue
- 3
- Pages
- 253-263
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W2120179733
- Cited by
- 100
- References
- 43
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 12 · 2023: 7 · 2022: 12 · 2021: 5 · 2020: 13 · 2019: 11 · 2018: 7 · 2017: 7 · 2016: 6 · 2015: 2
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Issues in Pregnancy
- Keywords
- spontaneous preterm birth, cardiovascular risk, ischemic heart disease, stroke, women's health, long-term maternal outcomes, cardiovascular risk factors
- MeSH terms
- Adult, Female, Humans, Middle Aged, Pregnancy, Risk Factors, Time Factors, Chi-Square Distribution, Odds Ratio, Myocardial Ischemia, Risk Assessment, Stroke, Premature Birth, Young Adult
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