Congenital heart disease

The Ongoing Relationship Between Offspring Congenital Heart Disease and Preeclampsia Across Pregnancies

JACC AdvPublished Retrospective cohort study

Main finding · Offspring CHD with preeclampsia in the same pregnancyResult — go to the resultAdjusted odds ratio 1.38 99% CI 1.29–1.49

Study context

Population
Singleton pregnancies (23–42 weeks) delivered in California 2000–2012, excluding pre-existing diabetes and identified fetal chromosomal anomalies
Exposure
Association between preeclampsia and offspring congenital heart disease (CHD), within and across pregnancies
Outcome
Association between offspring CHD and preeclampsia (adjusted OR)
Methodological detailspopulation-based, multivariable logistic regression
  • Population-based
  • Multivariable logistic regression

Main finding

As reported in the abstract

Offspring CHD with preeclampsia in the same pregnancy

Adjusted odds ratio

1.38

99% CI 1.29–1.49

Preeclampsia
aOR 1.38 (99% CI 1.29–1.49)

Observational data: associations, not effects.

Further findings

Fetal CHD in subsequent pregnancy after preeclampsia in index pregnancy

aOR (99% CI)
Preeclampsia in index pregnancy1.39 (1.20–1.61)

Preeclampsia in subsequent pregnancy after offspring CHD in index pregnancy

aOR (99% CI)
Offspring CHD in index pregnancy1.39 (1.15–1.68)

All 3 analyses stratified by delivery <34 and ≥34 weeks (subgroup)

Results remained significant in both strata

Original publication

The Ongoing Relationship Between Offspring Congenital Heart Disease and Preeclampsia Across Pregnancies. JACC Adv. Published 1 June 2024. doi:10.1016/j.jacadv.2024.101009

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