Maternal anemia during pregnancy and subsequent risk for cardiovascular disease
Abstract
OBJECTIVE: To investigate the association between anemia during pregnancy and subsequent future maternal cardiovascular morbidity and mortality. METHODS: A retrospective cohort study was conducted, comparing women with and without anemia during pregnancy. Deliveries occurred during 1988-1998 and had followed for more than a decade. Incidence of long-term cardiovascular morbidity was compared between the two groups. RESULTS: During the study period, 47 657 deliveries met the inclusion criteria; of these 12 362 (25.9%) occurred in women with anemia at least once during their pregnancies. Anemia of pregnancy was noted as a risk factor for long-term complex cardiovascular events (OR = 1.6, 95% CI 1-2.8, p = 0.04). Using a Cox multivariable regression model, controlling for ethnicity and maternal age, anemia was found to be an independent risk factor for long-term maternal cardiovascular hospitalization (OR for total hospitalizations = 1.2, 95% CI 1.1-1.4, p < 0.001). CONCLUSIONS: Anemia of pregnancy is an independent risk factor for long-term cardiovascular morbidity in a follow-up period of more than a decade.
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Certain reproductive factors, including endometriosis, pelvic inflammatory disease, first trimester bleeding without miscarriage, and anaemia in pregnancy, have been linked to an increased risk of future cardiovascular disease events.
“Certain reproductive factors, including endometriosis, pelvic inflammatory disease, first trimester bleeding without miscarriage, and anaemia in pregnancy, have been linked to an increased risk of future cardiovascular disease events”
From Association between the reproductive health of young women and cardiovascular disease in later life: umbrella review (2020) · cites this paper as [119]
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References 14 · Cited by 31
- Authors
- Erez Azulay, C., Pariente, G., Shoham-Vardi, I., Kessous, R., Sergienko, R., & Sheiner, E.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Corresponding author
- Sheiner, Eyal
- Venue
- The Journal of Maternal-Fetal & Neonatal Medicine
- Publisher
- Informa UK Limited
- Published
- 2014-10-29
- Volume
- 28
- Issue
- 15
- Pages
- 1762-1765
- ISSN
- 1476-4954 (ISSN-L)
- 1476-7058
- OpenAlex
- W2131820850
- Cited by
- 31
- References
- 14
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 4 · 2015: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Maternal-Fetal & Neonatal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Rheumatology › Folate and B Vitamins Research
- Keywords
- anemia in pregnancy, cardiovascular disease, cardiovascular morbidity, cardiovascular mortality, cardiovascular hospitalization, long-term risk, pregnancy complications
- MeSH terms
- Adult, Anemia, Cardiovascular Diseases, Female, Humans, Infant, Newborn, Mothers, Pregnancy, Pregnancy Complications, Hematologic, Pregnancy Outcome, Retrospective Studies, Risk Factors, Young Adult
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