title: Other adverse pregnancy outcomes and future chronic disease.
abstract: Cardiovascular disease is the leading cause of morbidity and mortality in females worldwide. Pregnancy is associated with significant physiologic changes that may function as a natural stress test to detect women at future risk. It is established that women who have had a pregnancy complicated by gestational diabetes or a hypertensive disorder of pregnancy are at increased risk of cardiovascular disease later in life, and there is growing evidence that women who deliver infants preterm or growth-restricted infants have an elevated risk as well. Consideration should be given to including these outcomes as indicators of cardiovascular risk. Pregnancy represents a teachable moment when it would be ideal to identify women at risk. Improved integration of women's primary health care and an enhanced knowledge base on the part of clinicians will be necessary to fully incorporate these findings into the clinical care of women.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
authors.forename: Justin
authors.initials: J
authors.lastname: Bohrer
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI; Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI. Electronic address: ehrenthal@wisc.edu.
authors.forename: Deborah B
authors.initials: DB
authors.lastname: Ehrenthal
mesh_terms: D000328:Adult; D001724:Birth Weight; D002318:Cardiovascular Diseases / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D002908:Chronic Disease / Q000401:mortality / Q000517:prevention & control*; D005260:Female; D047109:Fetal Development; D005317:Fetal Growth Retardation / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D009765:Obesity / Q000150:complications / Q000401:mortality / Q000517:prevention & control*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D011256:Pregnancy Outcome; D037841:Pregnant People; D047928:Premature Birth; D011322:Primary Prevention / Q000458:organization & administration*; D018570:Risk Assessment; D014481:United States; D016387:Women's Health
keywords: adverse outcome; cardiovascular disease; chronic disease; intrauterine growth restriction; pregnancy; preterm birth