Cardio-oncology & other

Association between adverse birth outcomes and long-term risk of premature cardiovascular disease and mortality in a contemporary population-based cohort of 502,383 pregnant women

Am Heart JPublished Retrospective cohort study

Corrected 23 Oct 2026: The values shown beside the hazard ratios were the share of mothers with each birth outcome, not the outcome's rate; removed.

Authors' conclusion

Adverse birth outcomes of stillbirth and preterm birth, and to a lesser degree term births that result in LBW or HBW, are markers of increased risk of premature CVD and death in the mother.

Study context

Population
Pregnant women in Alberta, Canada, 2005–2023
Participants
502,383 women
Exposure
Adverse birth outcomes vs normal birth weight
Outcome
Composite of:
  • CVD-related hospitalization
  • CVD-related ED visit
  • Death
Follow-up
Median 3612 days (∼10 years)
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Each group vs NBWAdjusted hazard ratio (95% CI)
Stillbirth
1.63(1.33–1.99)
PTB
1.45(1.36–1.55)
LBW
1.22(1.06–1.41)
HBW
1.13(1.03–1.23)

Observational data: associations, not effects.

Further findings

Other predictors of CVD or death

Pre-existing DM, aHR
1.61 (1.47, 1.76) (95% CI)
Gestational hypertension, aHR
1.47 (1.38, 1.57) (95% CI)
Pre-existing hypertension, aHR
3.28 (2.66, 4.04) (95% CI)

Original publication

Association between adverse birth outcomes and long-term risk of premature cardiovascular disease and mortality in a contemporary population-based cohort of 502,383 pregnant women. Am Heart J. Published 16 December 2024. doi:10.1016/j.ahj.2024.12.002

Composed by AI from the published abstract and checked against it. How Briefs are made →

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