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July 1, 2001Epidemiology

Increased Risks of Circulatory Diseases in Late Pregnancy and Puerperium

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Why the study?

Does late pregnancy and puerperium increase the risk of circulatory diseases compared to nonpregnant and early pregnant states?

Population

654,957 women who had 1,003,489 deliveries from 1987 through September 1995 in a nationwide Swedish cohort

Comparison

Late pregnancy and puerperium vs Unexposed (nonpregnant and early pregnant) women

Design

Cohort

Follow-up

From 1987 through September 1995

Authors

HRHelena Salonen RosUppsala University Hospital
Paul Lichtenstein
Paul LichtensteinBroad Institute
RBRino BelloccoKarolinska Institutet

Discussion

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Implication

Heightens peripartum VTE vigilance; leaves open prospective prevention trials.

Structured PICO

Does late pregnancy and puerperium increase the risk of circulatory diseases compared to nonpregnant and early pregnant states?

P
Population
654,957 women who had 1,003,489 deliveries from 1987 through September 1995 in a nationwide Swedish cohort
I
Intervention
Late pregnancy (third trimester) and puerperium (around delivery and up to 6 weeks postpartum)
C
Comparator
Unexposed (nonpregnant and early pregnant) women
O
Outcome
Incidence of circulatory diseases (venous thrombosis, pulmonary embolism, subarachnoid hemorrhage, intracerebral hemorrhage, cerebral infarction, and myocardial infarction)hard clinical

The risk of circulatory diseases, including venous thrombosis and pulmonary embolism, is dramatically increased around the time of delivery and remains elevated during the first 6 weeks postpartum.

Cite This Study

Ros et al. (2001) studied this question.

synapsesocial.com/papers/6a7bd59a0449e558d7c2a97chttps://doi.org/10.1097/00001648-200107000-00016

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk Factors for Pregnancy Associated Venous Thromboembolism1997 · 434 citations
  2. 2Maternal adaptation to pregnancy1995 · 81 citations
  3. 3The Stroke Data Bank: design, methods, and baseline characteristics.1988 · 951 citations
  4. 4The postpartum period: the key to maternal mortality1996 · 312 citations
  5. 5Cardiac output during labour.1987 · 265 citations