Common carotid artery intima-media thickness increases throughout the pregnancy cycle: a prospective cohort study.

Abstract:

BACKGROUND:High parity is associated with greater cardiovascular disease (CVD) among mid-life and older women. Prospective studies of arterial change throughout pregnancy are needed to provide insight into potential mechanisms. This study assessed vascular adaptation across pregnancy in healthy first-time pregnant women. METHODS:The Maternal Vascular Adaptation to Healthy Pregnancy Study (Pittsburgh, PA, 2010-2015) assessed 37 primigravid women each trimester, 6-8 weeks after delivery and 1-5 years postpartum, with B-mode ultrasound imaging of common carotid artery (CCA) intima-media thickness (IMT) and inter-adventitial diameter (IAD) to assess associations with physical and cardiometabolic measures. RESULTS:Thirty-seven women (age 28.2 ± 4.5 years, pre-pregnant BMI 24.4 ± 3.2 kg/m2) experienced uncomplicated pregnancies. After adjustment for age and pre-pregnancy BMI, mean (SE) IAD (mm) increased each trimester, from 6.38 (0.08) in the 1st trimester to 6.92 (0.09) in the 3rd trimester, and then returned to 1st trimester levels postpartum (6.35 [0.07], P <  0.001). In contrast, mean (SE) CCA IMT (mm) increased from the 2nd trimester (i.e., 0.546 [0.01]) onward, and remained higher at an average of 2.7 years postpartum (0.581 [0.02], P = 0.03). Weight partially explained changes in IAD. CONCLUSIONS:In uncomplicated first pregnancies, IAD increased and returned to 1st trimester levels postpartum. In contrast, CCA IMT remained increased 2 years postpartum. Maternal weight explained vascular changes better than did metabolic changes. Increased postpartum CCA IMT may persist and contribute to long-term CVD risk.

authors

Niemczyk NA,Bertolet M,Catov JM,Desai M,McClure CK,Roberts JM,Sekikawa A,Tepper PG,Barinas-Mitchell EJ

doi

10.1186/s12884-018-1841-y

subject

Has Abstract

pub_date

2018-05-31 00:00:00

pages

195

issue

1

issn

1471-2393

pii

10.1186/s12884-018-1841-y

journal_volume

18

pub_type

杂志文章
  • Maternal age and the risk of adverse pregnancy outcomes: a retrospective cohort study.

    abstract:BACKGROUND:The increased potential for negative pregnancy outcomes in both extremes of reproductive age is a well-debated argument. The aim of this study was to analyze the prevalence and the outcome of pregnancies conceived at extreme maternal ages. METHODS:This retrospective study considered all single consecutive p...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2400-x

    authors: Londero AP,Rossetti E,Pittini C,Cagnacci A,Driul L

    更新日期:2019-07-23 00:00:00

  • Long-term follow-up and pregnancy after complete sacrectomy with lumbopelvic reconstruction: case report and literature review.

    abstract:BACKGROUND:Sacrectomy remains a technically complex procedure for resection of malignant pelvic neoplasia. Commonly, postoperative complications include permanent neurological deficits. Only a few studies have reported the long-term functional outcomes of patients who had undergone sacrectomy. CASE PRESENTATION:We pre...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-015-0735-5

    authors: Barsan VV,Briceño V,Gandhi M,Jea A

    更新日期:2016-01-04 00:00:00

  • "Keeping family matters behind closed doors": healthcare providers' perceptions and experiences of identifying and managing domestic violence during and after pregnancy.

    abstract:BACKGROUND:Violence against women is an international public health concern and a violation of women's rights. Domestic violence can first occur, and increase in frequency and severity, during and after pregnancy. Healthcare providers have the potential to identify and support women who experience domestic violence. We...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1520-4

    authors: McCauley M,Head J,Lambert J,Zafar S,van den Broek N

    更新日期:2017-09-22 00:00:00

  • "Is it realistic?" the portrayal of pregnancy and childbirth in the media.

    abstract:BACKGROUND:Considerable debate surrounds the influence media have on first-time pregnant women. Much of the academic literature discusses the influence of (reality) television, which often portrays birth as risky, dramatic and painful and there is evidence that this has a negative effect on childbirth in society, throu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-016-0827-x

    authors: Luce A,Cash M,Hundley V,Cheyne H,van Teijlingen E,Angell C

    更新日期:2016-02-29 00:00:00

  • eRegistries: Electronic registries for maternal and child health.

    abstract:BACKGROUND:The Global Roadmap for Health Measurement and Accountability sees integrated systems for health information as key to obtaining seamless, sustainable, and secure information exchanges at all levels of health systems. The Global Strategy for Women's, Children's and Adolescent's Health aims to achieve a contin...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0801-7

    authors: Frøen JF,Myhre SL,Frost MJ,Chou D,Mehl G,Say L,Cheng S,Fjeldheim I,Friberg IK,French S,Jani JV,Kaye J,Lewis J,Lunde A,Mørkrid K,Nankabirwa V,Nyanchoka L,Stone H,Venkateswaran M,Wojcieszek AM,Temmerman M,Flenady

    更新日期:2016-01-19 00:00:00

  • Prenatal diagnosis of Wolf-Hirschhorn syndrome (4p-) in association with congenital hypospadias and foot deformity.

    abstract::BACKGROUND: Wolf-Hirschhorn syndrome is caused by distal deletion of the short arm of chromosome 4 (4p-). We report a case in which intrauterine growth restriction, hypospadias and foot deformity were detected by prenatal ultrasound examination at 29 weeks of gestation. CASE PRESENTATION: A 31-year-old gravida 2 partu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-3-1

    authors: Aslan H,Karaca N,Basaran S,Ermis H,Ceylan Y

    更新日期:2003-01-24 00:00:00

  • Predictors of mothers' postpartum body dissatisfaction based on demographic and fertility factors.

    abstract:BACKGROUND:There are fundamental and rapid changes in body shape during pregnancy, some of which persist for an extended time after delivery and may cause dissatisfaction with body shape. Therefore, we conducted this study to determine predictors of body dissatisfaction at six months postpartum based on demographic and...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03501-x

    authors: Tavakoli M,Hasanpoor-Azghady SB,Farahani LA

    更新日期:2021-01-05 00:00:00

  • The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study.

    abstract:BACKGROUND:Depression during pregnancy has far-reaching adverse consequences on mothers, children and the whole family. The magnitude and determinants of prenatal depressive symptoms in low-resource countries are not well established. This study aims to describe the prevalence of prenatal depressive symptoms and whethe...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-2009-5

    authors: Woldetensay YK,Belachew T,Biesalski HK,Ghosh S,Lacruz ME,Scherbaum V,Kantelhardt EJ

    更新日期:2018-09-15 00:00:00

  • Magnitude of screening for gestational diabetes mellitus in an urban setting in Tanzania; a cross-sectional analytic study.

    abstract:BACKGROUND:Medical screening detects risk factors for disease or presence of disease in otherwise well persons in order to intervene early and reduce morbidity and mortality. During antenatal care (ANC) it is important to detect conditions that complicate pregnancy, like gestational diabetes mellitus (GDM). Despite int...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03115-3

    authors: Mukuve A,Noorani M,Sendagire I,Mgonja M

    更新日期:2020-07-23 00:00:00

  • Clinician-centred interventions to increase vaginal birth after caesarean section (VBAC): a systematic review.

    abstract:BACKGROUND:The number of caesarean sections (CS) is increasing globally, and repeat CS after a previous CS is a significant contributor to the overall CS rate. Vaginal birth after caesarean (VBAC) can be seen as a real and viable option for most women with previous CS. To achieve success, however, women need the suppor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-015-0441-3

    authors: Lundgren I,Smith V,Nilsson C,Vehvilainen-Julkunen K,Nicoletti J,Devane D,Bernloehr A,van Limbeek E,Lalor J,Begley C

    更新日期:2015-02-05 00:00:00

  • Sources of information on Gestational Diabetes Mellitus, satisfaction with diagnostic process and information provision.

    abstract:BACKGROUND:This study aimed to investigate the percentage of the needs and expectations of pregnant women with Gestational Diabetes Mellitus (GDM) about the best sources of information on GDM, their satisfaction with the diagnostic process and information provision. METHODS:Questionnaires were completed by 116 pregnan...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1067-9

    authors: Sayakhot P,Carolan-Olah M

    更新日期:2016-09-29 00:00:00

  • Why do women assume a supine position when giving birth? The perceptions and experiences of postnatal mothers and nurse-midwives in Tanzania.

    abstract:BACKGROUND:Before the advent of Western medicine in Tanzania, women gave birth in an upright position either by sitting, squatting or kneeling. Birthing women would hold ropes or trees as a way of gaining strength and stability in order to push the baby with sufficient force. Despite the evidence supporting the upright...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-2726-4

    authors: Mselle LT,Eustace L

    更新日期:2020-01-13 00:00:00

  • Prevalence, related factors and maternal outcomes of primary postpartum haemorrhage in governmental hospitals in Kabul-Afghanistan.

    abstract:BACKGROUND:To determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul Afghanistan. METHODS:An observational study was designed to determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul-Afghanistan. The ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03123-3

    authors: Shahbazi Sighaldeh S,Nazari A,Maasoumi R,Kazemnejad A,Mazari Z

    更新日期:2020-07-28 00:00:00

  • Impact of history of myomectomy on preterm birth risk in women with a leiomyomatous uterus: a propensity score analysis.

    abstract:BACKGROUND:To evaluate if women with a history of myomectomy have a modified preterm birth risk compared to women with myomas during pregnancy. METHODS:Retrospective cohort study including all women with a history of myomectomy (operated group) or uterine myomas during pregnancy (unoperated group) who delivered in a t...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03413-w

    authors: Rault E,Delorme P,Goffinet F,Girault A

    更新日期:2020-11-23 00:00:00

  • A multicenter survey on toxoplasmosis knowledge among pregnant women in Poland (the TOWER study).

    abstract:BACKGROUND:The seroprevalence of Toxoplasma gondii ranges widely in different areas of the world and different populations. Although toxoplasmosis is typically benign and asymptomatic, it induces major complications in immunocompromised individuals and during pregnancy. Prevention of maternal primary infection constitu...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12884-018-2031-7

    authors: Smereka J,Szarpak L,Ruetzler K,Schacham Y,Smereka A,Dabrowski M,Terpilowska M,Terpilowski L,Adam I

    更新日期:2018-10-03 00:00:00

  • Feasibility and acceptability of a midwife-led intervention programme called 'Eat Well Keep Active' to encourage a healthy lifestyle in pregnancy.

    abstract:BACKGROUND:Eating a diet that is high in fat and sugar and having a sedentary lifestyle during pregnancy is understood to increase the risk of excessive gestational weight gain and obesity following the birth of the baby. However, there are no clinical guidelines in the UK on what is considered to be appropriate gestat...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-12-27

    authors: Warren L,Rance J,Hunter B

    更新日期:2012-04-11 00:00:00

  • Study of thyroid function in pregnancy, its feto-maternal outcome; a prospective observational study.

    abstract:BACKGROUND:Pregnancy is a stress test of maternal thyroid function. The prevalence of thyroid dysfunction in pregnant women is high. Subclinical hypothyroidism occurs in 10% of all pregnancies. Effects of hypothyroidism in pregnancy are anemia, low birth weight and mental retardation in neonate. This study is aimed to ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03448-z

    authors: Mahadik K,Choudhary P,Roy PK

    更新日期:2020-12-10 00:00:00

  • Barriers to and strategies for addressing the availability, accessibility, acceptability and quality of the sexual, reproductive, maternal, newborn and adolescent health workforce: addressing the post-2015 agenda.

    abstract:BACKGROUND:In a post-2015 development agenda, achieving Universal Health Coverage (UHC) for women and newborns will require a fit-for-purpose and fit-to-practice sexual, reproductive, maternal, adolescent and newborn health (SRMNAH) workforce. The aim of this paper is to explore barriers, challenges and solutions to th...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-1686-4

    authors: Homer CSE,Castro Lopes S,Nove A,Michel-Schuldt M,McConville F,Moyo NT,Bokosi M,Ten Hoope-Bender P

    更新日期:2018-02-20 00:00:00

  • Long-term changes in glucose metabolism after gestational diabetes: a double cohort study.

    abstract:BACKGROUND:Gestational diabetes (GDM) has been associated with an elevated risk of type 2 diabetes in women after the pregnancy. Recognition of the factors differentiating the women at highest risk of progression to overt disease from those who remain normoglycemic after gestational diabetes is of key importance for ta...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-296

    authors: Huopio H,Hakkarainen H,Pääkkönen M,Kuulasmaa T,Voutilainen R,Heinonen S,Cederberg H

    更新日期:2014-08-30 00:00:00

  • Factors associated with preterm birth at Wachemo University Nigist Eleni Mohammed memorial hospital, southern Ethiopia: case-control study.

    abstract:BACKGROUND:Preterm birth is defined as the birth of a baby before 37 completed weeks of gestation. Worldwide, prematurity is the second foremost cause of death in children under the age of 5 years. Preterm birth also gives rise to short and long term complications. Therefore, the primary aim of this study was to identi...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03503-9

    authors: Gejo NG,W\/Mariam MT,Kebede BA,Abdo RA,Anshebo AA,Halil HM,Woldu BF,Katiso NA

    更新日期:2021-01-07 00:00:00

  • Factors influencing the quality of life of pregnant women: a systematic review.

    abstract:BACKGROUND:Pregnancy is a period of transition with important physical and emotional changes. Even in uncomplicated pregnancies, these changes can affect the quality of life (QOL) of pregnant women, affecting both maternal and infant health. The objectives of this study were to describe the quality of life during uncom...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-2087-4

    authors: Lagadec N,Steinecker M,Kapassi A,Magnier AM,Chastang J,Robert S,Gaouaou N,Ibanez G

    更新日期:2018-11-23 00:00:00

  • 4th stage transvaginal omental herniation during VBAC complicated by shoulder dystocia: a unique presentation of uterine rupture.

    abstract:BACKGROUND:Uterine rupture is a common complication in women attempting their first virginal birth after caesarean section (VBAC) but the risk diminishes with subsequent VBACs. It occurs in rates of 0.5-9% and is influenced by various factors. CASE PRESENTATION:A unique case of uterine rupture in a Kenyan woman of Afr...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-76

    authors: Mwenda AS

    更新日期:2013-03-23 00:00:00

  • Birth outcomes in a Swedish population of women reporting a history of violence including domestic violence during pregnancy: a longitudinal cohort study.

    abstract:BACKGROUND:Victimisation of women is encountered in all countries across the world, it damages the mental and physical health of women. During pregnancy and the postpartum period, women are at a greater risk of experiencing violence from an intimate partner. The aim of this study was to explore childbirth outcomes in a...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-02864-5

    authors: Finnbogadóttir H,Baird K,Thies-Lagergren L

    更新日期:2020-03-26 00:00:00

  • Why do some women choose to freebirth in the UK? An interpretative phenomenological study.

    abstract:BACKGROUND:Freebirthing or unassisted birth is the active choice made by a woman to birth without a trained professional present, even where there is access to maternity provision. This is a radical childbirth choice, which has potential morbidity and mortality risks for mother and baby. While a number of studies have ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0847-6

    authors: Feeley C,Thomson G

    更新日期:2016-03-21 00:00:00

  • Fetal heart rate monitoring of short term variation (STV): a methodological observational study.

    abstract:BACKGROUND:Cardiotocography (CTG) has high sensitivity, but less specificity in detection of fetal hypoxia. There is need for adjunctive methods easy to apply during labor. Low fetal heart rate short term variation (STV) is predictive for hypoxia during the antenatal period. The objectives of our study were to methodol...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-0845-8

    authors: Wretler S,Holzmann M,Graner S,Lindqvist P,Falck S,Nordström L

    更新日期:2016-03-16 00:00:00

  • DECIDE: a cluster randomized controlled trial to reduce non-medically indicated caesareans in Burkina Faso.

    abstract:BACKGROUND:Since 2006, Burkina Faso has subsidized the cost of caesarean sections to increase their accessibility. Caesareans are performed by obstetricians, general practitioners, and nurses trained in emergency surgery. While the national caesarean rate is still too low (only 2 % in 2010), 12 to 24 % of caesareans pe...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-016-1112-8

    authors: Kaboré C,Ridde V,Kouanda S,Queuille L,Somé PA,Agier I,Dumont A

    更新日期:2016-10-21 00:00:00

  • "Wrapping myself in cotton wool": Australian women's experience of being diagnosed with vasa praevia.

    abstract:BACKGROUND:Vasa praevia (VP) is an obstetric condition that is associated with significant perinatal mortality and morbidity. Although the incidence of VP is low, it is one of the few causes of perinatal death that can be potentially prevented through detection and appropriate care. The experience of women diagnosed wi...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-318

    authors: Javid N,Sullivan EA,Halliday LE,Duncombe G,Homer CS

    更新日期:2014-09-10 00:00:00

  • Retrospective analysis of the diagnostic yield of newborn drug testing.

    abstract:BACKGROUND:The objective of this study was to identify high-yield screening risk factors for detecting maternal non-medical drug use during pregnancy. METHODS:A four year retrospective analysis was conducted at an academic medical center. Detailed chart review of both the newborn and mother's medical record was perfor...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-250

    authors: Wood KE,Sinclair LL,Rysgaard CD,Strathmann FG,McMillin GA,Krasowski MD

    更新日期:2014-07-29 00:00:00

  • Triangulating data sources for further learning from and about the MDSR in Ethiopia: a cross-sectional review of facility based maternal death data from EmONC assessment and MDSR system.

    abstract:BACKGROUND:Triangulating findings from MDSR with other sources can better inform maternal health programs. A national Emergency Obstetric and Newborn Care (EmONC) assessment and the Maternal Death Surveillance and Response (MDSR) system provided data to determine the coverage of MDSR implementation in health facilities...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-020-02899-8

    authors: Hadush A,Dagnaw F,Getachew T,Bailey PE,Lawley R,Ruano AL

    更新日期:2020-04-09 00:00:00

  • Consensus on priorities in maternal education: results of Delphi and nominal group technique approaches.

    abstract:BACKGROUND:Maternal education is wide-ranging and covers many areas from pregnancy to the immediate postpartum period and childrearing. However, for it to be effective, more resources need to be assigned to key topics. The goal of this study was to identify and prioritize the most important issues in maternal education...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2382-8

    authors: Paz-Pascual C,Artieta-Pinedo I,Grandes G,ema.Q Group.

    更新日期:2019-07-24 00:00:00