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Disruption of the Mouse Blood-Brain Barrier by Small Extracellular Vesicles from Hypoxic Human Placentas
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Published on: January 26, 2024

First trimester bleeding and maternal cardiovascular morbidity.

Jacob A Lykke1, Jens Langhoff-Roos

  • 1Department of Obstetrics and Gynecology, Roskilde Hospital, Roskilde, Denmark. dr.lykke@dadlnet.dk

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|July 7, 2012
PubMed
Summary

First trimester bleeding without miscarriage is linked to pre-pregnancy cardiovascular disease and increases the risk of later maternal ischemic heart disease. This study highlights cardiovascular risks associated with early pregnancy bleeding.

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07:34

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Published on: May 5, 2018

Area of Science:

  • Obstetrics and Gynecology
  • Cardiology
  • Epidemiology

Background:

  • First trimester bleeding without miscarriage is a known risk factor for adverse pregnancy outcomes like preterm delivery.
  • Previous research suggests a link between first trimester miscarriage and subsequent maternal ischemic heart disease.
  • The association between first trimester bleeding without miscarriage and maternal cardiovascular disease (CVD) requires further investigation.

Purpose of the Study:

  • To investigate the relationship between maternal cardiovascular disease (CVD) before and after first trimester bleeding without miscarriage.
  • To assess the impact of pre-pregnancy CVD on the occurrence of first trimester bleeding without miscarriage.
  • To determine if first trimester bleeding without miscarriage is associated with an increased risk of subsequent maternal CVD.

Main Methods:

  • A retrospective cohort study utilizing Danish national registry data from 1978-2007, including 796,915 women.
  • Exposures included pre-pregnancy cardiovascular disease, first trimester vaginal bleeding without miscarriage, and subsequent maternal cardiovascular disease.
  • Logistic regression and Cox proportional hazard models were used, adjusting for potential confounders such as preterm delivery and hypertensive disorders.

Main Results:

  • Women with pre-pregnancy cardiovascular disease had a 2.2-fold increased risk of first trimester bleeding without miscarriage.
  • First trimester bleeding without miscarriage was associated with a 1.6-fold increased risk of subsequent maternal ischemic heart disease, even after adjusting for other adverse pregnancy outcomes.

Conclusions:

  • First trimester bleeding without miscarriage is significantly associated with pre-existing maternal cardiovascular disease.
  • This early pregnancy complication is also linked to an elevated risk of developing cardiovascular morbidity later in life.