Journal of women's health最新文献

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Cancer-Related Morbidity Among Patients Conceiving Through Oocyte Donation: A Healthcare Registry Cohort Study. 通过卵母细胞捐献受孕的患者中与癌症相关的发病率:医疗保健登记队列研究》。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-12-01 Epub Date: 2024-08-23 DOI: 10.1089/jwh.2024.0248
Anat Hershko Klement, Aula Asali, Hila Shalev Ram, Einat Haikin-Herzberger, Roi Shlezinger, Amir Wiser, Netanella Miller
{"title":"Cancer-Related Morbidity Among Patients Conceiving Through Oocyte Donation: A Healthcare Registry Cohort Study.","authors":"Anat Hershko Klement, Aula Asali, Hila Shalev Ram, Einat Haikin-Herzberger, Roi Shlezinger, Amir Wiser, Netanella Miller","doi":"10.1089/jwh.2024.0248","DOIUrl":"10.1089/jwh.2024.0248","url":null,"abstract":"<p><p><b><i>Background:</i></b> Ovarian aging, often leads to increased use of a donor oocyte, which is associated with greater risk for age-related diseases. <b><i>Objective</i></b>: To evaluate the association between women conceiving through oocyte donation (OD) and future cancer-related morbidity, as compared with women conceiving through IVF (<i>in vitro</i> fertilization) with autologous oocytes (AO), spontaneous conceptions (SC), and nulliparas. <b><i>Methods:</i></b> This retrospective, cohort study was based on the electronic health records of a very large health maintenance organization. The cohort included mothers who delivered before age 45, during 2000-2019. The index date for surveillance was the delivery date of the relevant pregnancy. Each woman from the OD group was matched to a woman the same age at delivery and with the same number of children. Cancer diagnosis was the main outcome. <b><i>Results:</i></b> Matching: 664 OD cases to 664 AO, 700 OD cases to 700 SC, and 700 OD cases to 700 nulliparas. Mean follow-up times were 8.9 ± 3.8 OD, 10 ± 4.1 AO, and 6.4 ± 4.1 years SC. Cancer-related morbidity rates were comparable between OD and the other groups, but compared with nulliparas, a trend was noted (1.6% and 3.1%, respectively, <i>p</i> = 0.07). Survival analysis curves were not significantly different, although a trend was shown in the curve comparing to nulliparity (<i>p</i> = 0.07). In a Cox regression model corrected for BMI, smoking and hormone replacement therapy exposure, cancer in the OD group did not differ compared to the other groups. <b><i>Conclusion:</i></b> Women conceiving through OD do not have increased risk for cancer-related morbidity in the decade following delivery.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"1730-1734"},"PeriodicalIF":3.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socioeconomic, Demographic, and Clinical Factors Associated with Postpartum Readmission. 与产后再入院相关的社会经济、人口和临床因素。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-28 DOI: 10.1089/jwh.2024.0040
Sumithra Jeganathan, Rachel Solmonovich, Alejandro Alvarez, Moti Gulersen, Kiesha Benn, Burton Rochelson, Matthew J Blitz
{"title":"Socioeconomic, Demographic, and Clinical Factors Associated with Postpartum Readmission.","authors":"Sumithra Jeganathan, Rachel Solmonovich, Alejandro Alvarez, Moti Gulersen, Kiesha Benn, Burton Rochelson, Matthew J Blitz","doi":"10.1089/jwh.2024.0040","DOIUrl":"https://doi.org/10.1089/jwh.2024.0040","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To determine if socioeconomic, demographic, and clinical characteristics are associated with postpartum readmission. <b><i>Methods:</i></b> A retrospective cohort study evaluating all pregnant patients that delivered at seven hospitals within a large academic health system in New York between January 1, 2018 and March 1, 2020. Demographic information, medical comorbidities, and characteristics of antepartum, intrapartum, and postpartum care were compared between patients who were readmitted within 6 weeks postpartum and those who were not. Postpartum patients who presented to the emergency department but remained less than 23 hours were excluded. Patient ZIP codes were linked to data from the United States Census Bureau's American Community Survey and used as a proxy for neighborhood socioeconomic status. Mixed effects logistic regression was used to evaluate factors associated with an increased risk of postpartum readmission while adjusting for potential confounders. <b><i>Results:</i></b> A total of 57,507 delivery hospitalizations were evaluated, and 1,481 (2.5%) patients were readmitted. Black race (aOR: 1.56, 95% CI: 1.30-1.86, <i>p</i> < 0.001) and public health insurance (aOR: 1.19, 95% CI: 1.05-1.35, <i>p</i> = 0.007) were associated with an increased likelihood of postpartum readmission. Chronic hypertension (aOR: 2.83, 95% CI: 2.33-3.44, <i>p</i> < 0.001), body mass index >25 kg/m<sup>2</sup> (aOR: 1.22, 95% CI: 1.05-1.42, <i>p</i> = 0.01), gestational weight gain >40 lb (aOR: 1.19, 95% CI: 1.01-1.40, <i>p</i> = 0.04), and administration of blood products (aOR: 2.18, 95% CI: 1.68-2.82, <i>p</i> < 0.001) were associated with an increased odd of readmission. Neighborhood characteristics were not associated with postpartum readmission. <b><i>Conclusion:</i></b> Efforts to reduce postpartum readmissions should focus on high-risk populations. Specific sociodemographic and clinical characteristics are associated with this complication.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonuse of Contraception at Conception Due to Partner Objection and Pregnancy-Related Health Care Utilization, Postpartum Health, and Infant Birth Outcomes. 因伴侣反对而在受孕时不使用避孕药具与妊娠相关的医疗保健使用、产后健康和婴儿出生结果。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-27 DOI: 10.1089/jwh.2024.0535
Denise V D'Angelo, Jennifer M Bombard, Kathleen C Basile, Rosalyn D Lee, Yanet Ruvalcaba, Heather Clayton, Cheryl L Robbins
{"title":"Nonuse of Contraception at Conception Due to Partner Objection and Pregnancy-Related Health Care Utilization, Postpartum Health, and Infant Birth Outcomes.","authors":"Denise V D'Angelo, Jennifer M Bombard, Kathleen C Basile, Rosalyn D Lee, Yanet Ruvalcaba, Heather Clayton, Cheryl L Robbins","doi":"10.1089/jwh.2024.0535","DOIUrl":"https://doi.org/10.1089/jwh.2024.0535","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Reproductive coercion has been associated with adverse reproductive health experiences. This study examined the relationship between nonuse of contraception due to partner objection, one aspect of reproductive coercion, and selected pregnancy-related outcomes. <b><i>Methods:</i></b> We used 2016-2020 data from the Pregnancy Risk Assessment Monitoring System in 22 jurisdictions to assess the prevalence of nonuse of contraception due to a partner objection by select characteristics among individuals with a recent live birth who reported an unintended pregnancy. We calculated adjusted prevalence ratios (aPRs) to understand associations with health care utilization, postpartum behaviors and experiences, postpartum contraceptive use, and infant birth outcomes. <b><i>Results:</i></b> Among people with a recent live birth in the study jurisdictions (<i>n</i> = 29,071), approximately 5% reported nonuse of contraception due to a partner objection and unintended pregnancy. This experience was associated with lower prevalence of attending a health care visit before pregnancy (aPR 0.8, 95% confidence interval [CI] 0.7-0.9), first trimester prenatal care, and attending a postpartum checkup (aPR 0.7, 95% CI 0.6-0.9 for both). Higher prevalence was observed for postpartum depressive symptoms (aPR 1.3, 95% CI 1.1-1.6) and partner objecting to using birth control postpartum (aPR 2.8, 95% CI 2.1-3.9). <b><i>Conclusions:</i></b> Nonuse of contraception due to a partner objection at conception was associated with poor mental health and lower health care utilization around the time of pregnancy. Prevention efforts may include strategies that ensure provider screening for intimate partner violence, and evidence-based approaches that teach about healthy relationships, enhance self-efficacy, and address underlying drivers of violence.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-Management Interventions for Black Women at Risk for Cardiovascular Disease: A Systematic Literature Review. 针对有心血管疾病风险的黑人女性的自我管理干预:系统文献综述。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-18 DOI: 10.1089/jwh.2024.0600
Emma Church, Erika Kelley, Taylor Maniglia, Rhea Kohli, Martha Sajatovic, Jennifer B Levin
{"title":"Self-Management Interventions for Black Women at Risk for Cardiovascular Disease: A Systematic Literature Review.","authors":"Emma Church, Erika Kelley, Taylor Maniglia, Rhea Kohli, Martha Sajatovic, Jennifer B Levin","doi":"10.1089/jwh.2024.0600","DOIUrl":"10.1089/jwh.2024.0600","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) is the leading cause of death among Black women. When compared with their non-Hispanic White counterparts, Black women are about 50% more likely to have uncontrolled high blood pressure (BP). The disproportionate burden of CVD in Black women highlights the need for CVD prevention programs in this population. The present systematic literature review examined the updated literature on the efficacy of primary prevention self-management interventions for Black women with CVD risk factors. Searches were run on PubMed, Cochrane, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO databases based on the following inclusion criteria: papers published from September 22, 2018; English language; U.S. studies only; original research reports; prospective clinical trials; cardiovascular health promotion/self-management interventions that target at least two health practices for primary prevention; comorbid conditions without a cardiovascular event; at least one patient-level outcome; and Black women at least 18 years of age. Twelve papers met the inclusion criteria. Health practices targeted included physical activity, nutrition, weight loss, health knowledge, and BP control. Nine of the 12 papers reported statistically significant improvements on at least one CVD risk factor including weight loss, physical activity, BP control, waist circumference, and depression. Culturally tailored self-management interventions appear to be feasible with weak to moderately high evidence of efficacy for reducing CVD risk factors in Black women. Further research should focus on the influence that social determinants of health, including mental health, may have on self-management and CVD risk in this population.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oncofertility Research: A Review of the Literature. 肿瘤生育研究:文献综述。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-18 DOI: 10.1089/jwh.2024.0235
Andreea I Dinicu, Emily H Frisch, Hanna Kim, Camilla Yu, Lindsey Beffa, Elliott G Richards
{"title":"Oncofertility Research: A Review of the Literature.","authors":"Andreea I Dinicu, Emily H Frisch, Hanna Kim, Camilla Yu, Lindsey Beffa, Elliott G Richards","doi":"10.1089/jwh.2024.0235","DOIUrl":"https://doi.org/10.1089/jwh.2024.0235","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To examine publication trends pertaining to fertility-sparing management in patients of reproductive age with gynecological malignancies. <b><i>Methods:</i></b> Ovid MEDLINE was used to aggregate all publications on gynecological cancers and fertility between 1946 and 2022. Original research, reviews, case series/reports, and editorials were included. Publication information was extracted from Ovid MEDLINE. Individual authors' subspecialty credentials were individually reviewed and confirmed. Descriptive statistics were generated. <b><i>Results:</i></b> The initial query generated 2,057 publications. Of these, 1,057 (51.4%) publications met search criteria, with the first study being published in 1991 and with 16.6% published in the last 2 years. Only 34 (5.5%) studies were published with collaboration between reproductive endocrinology and infertility (REI) and gynecological oncology physicians in the United States. Gynecological oncologists comprised most senior authors (50.9%), followed by REI specialists (18.6%). Topics of the publications centered on fertility-sparing surgical management (43.1%), medical management of gynecological malignancies (11.3%), and oocyte/ovarian tissue preservation (6.0%). Most publications focused on ovarian malignancies (349, 33.3%), followed by cervical cancer (299, 28.5%), and uterine/endometrial cancer (258, 24.6%). While the number of publications regarding fertility-sparing management has increased over the last 30 years, the majority are retrospective studies and case reports/series. In the last 10 years, only five studies were randomized controlled trials. <b><i>Conclusions:</i></b> There is an urgent need for more prospective research in oncofertility. While fertility care in the setting of gynecological cancer is a collaborative effort between the specialties of gynecological oncology and REI, this partnership is not reflected in the authorship of current literature.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender Differences in "Making Weight" Behaviors Among U.S. Iraq and Afghan War Veterans: Implications for Future Health. 美国伊拉克和阿富汗战争退伍军人 "减肥 "行为的性别差异:对未来健康的影响》。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-08 DOI: 10.1089/jwh.2024.0246
Amanda Cary, Kirstie M Herb Neff, Eugenia Buta, Lindsay M Fenn, Christine N Ramsey, Jennifer L Snow, Sally G Haskell, Robin M Masheb
{"title":"Gender Differences in \"Making Weight\" Behaviors Among U.S. Iraq and Afghan War Veterans: Implications for Future Health.","authors":"Amanda Cary, Kirstie M Herb Neff, Eugenia Buta, Lindsay M Fenn, Christine N Ramsey, Jennifer L Snow, Sally G Haskell, Robin M Masheb","doi":"10.1089/jwh.2024.0246","DOIUrl":"https://doi.org/10.1089/jwh.2024.0246","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Failure to \"make weight\" carries significant consequences for military personnel including additional training burdens, stigma, possible demotion, or even separation from service. The aim of this study was to examine potential gender differences in, and investigate relationships between, military making weight behavior and obesity, eating pathology, and mental health later in life. <b><i>Method:</i></b> Iraq and Afghanistan war era Veterans (<i>N</i> = 1,126, 51.8% women) completed the Making Weight Inventory (MWI), a measure of making weight behaviors engaged in during military service, and validated measures of eating behavior and mental health. Analyses compared participants who engaged in at least one making weight behavior (MWI+) versus those who did not (MWI-). <b><i>Results:</i></b> Overall, 41% (<i>n</i> = 462) of the sample was categorized as MWI+. The most frequently endorsed making weight behavior was excessive exercise (35.7%). Among those who were MWI+, there was a significantly greater proportion of women (58.2% versus 47.3%, <i>p</i> < 0.001). The MWI+ group had higher rates of obesity (52.4% versus 26.2%) and had significantly higher levels of dietary restraint, emotional eating, food addiction, depression, anxiety, and posttraumatic stress disorder than the MWI- group (<i>p</i>'<i>s</i> < 0.001). <b><i>Conclusions:</i></b> Military making weight behavior was associated with female gender, higher weight, eating pathology, and mental health later in life. Collectively, these findings suggest these factors may place female service members at a disadvantage for career advancement and salary. Efforts to better understand and address extreme making weight efforts in military populations, particularly in female service members and Veterans, are warranted.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal Postpartum Readmission for Hypertension-Quality Metric or Call for Action? 产妇产后因高血压再次入院--质量标准还是行动呼吁?
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-07 DOI: 10.1089/jwh.2024.1005
Kimberly K Vesco, Jillian T Henderson
{"title":"Maternal Postpartum Readmission for Hypertension-Quality Metric or Call for Action?","authors":"Kimberly K Vesco, Jillian T Henderson","doi":"10.1089/jwh.2024.1005","DOIUrl":"10.1089/jwh.2024.1005","url":null,"abstract":"","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postpartum Acute Care Utilization in a Health Care System in the Southeastern United States. 美国东南部医疗保健系统的产后急症护理使用情况。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-07 DOI: 10.1089/jwh.2024.0756
Clara E Busse, Brian W Pence, Catherine J Vladutiu, Katherine Tumlinson, Christine Tucker, Alison M Stuebe
{"title":"Postpartum Acute Care Utilization in a Health Care System in the Southeastern United States.","authors":"Clara E Busse, Brian W Pence, Catherine J Vladutiu, Katherine Tumlinson, Christine Tucker, Alison M Stuebe","doi":"10.1089/jwh.2024.0756","DOIUrl":"10.1089/jwh.2024.0756","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Postpartum acute care utilization (PACU), including visits to an emergency department, obstetric triage, or urgent care (\"outpatient\"), and hospital readmissions, may indicate medical complications and signal unmet health needs. <b><i>Methods:</i></b> We estimated the incidence of PACU and examined patterns by sociodemographic factors, pregnancy and birth characteristics, time since discharge from the birth hospitalization, and medical indications. We constructed a retrospective cohort of people aged ≥18 years who delivered ≥1 liveborn infant >20 weeks of gestation from July 1, 2021, to December 31, 2022, using electronic health record data from a quaternary maternity hospital in the Southeastern United States PACU data throughout the health care system were collected through March 31, 2023. We excluded people with a hospital stay >6 days (<i>n</i> = 29). <b><i>Results:</i></b> In this cohort of 6,041 birthing people, 11.3% had ≥1 outpatient encounters (range 0-6) and 3.2% had ≥1 hospital readmissions (range 0-4) within 12 weeks of discharge from the birth hospitalization. Median time to first outpatient PACU was 10 days post-discharge and 6 days for first hospital readmission. Among encounters for the top five medical indications, time to first postpartum acute care encounter varied by medical indication (log-rank test of equality over strata Chi-square = 69.93, degrees of freedom = 4, <i>p</i> < 0.0001). Complications specified during the puerperium (<i>n</i> = 234) and hypertension and hypertensive-related conditions complicating the puerperium (<i>n</i> = 87) were the two most frequent indications. <b><i>Conclusion:</i></b> These findings can inform efforts to direct health resources to improve postpartum health care and health outcomes.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Self-Management Interventions for Cardiovascular Disease Prevention: A Necessity for At-Risk Black Women. 优化自我管理干预,预防心血管疾病:高危黑人妇女的必要条件。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-06 DOI: 10.1089/jwh.2024.0976
Imo Ebong, Yeabsra Aleligne
{"title":"Optimizing Self-Management Interventions for Cardiovascular Disease Prevention: A Necessity for At-Risk Black Women.","authors":"Imo Ebong, Yeabsra Aleligne","doi":"10.1089/jwh.2024.0976","DOIUrl":"https://doi.org/10.1089/jwh.2024.0976","url":null,"abstract":"","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Migraine and its Association with Stroke in Pregnancy: A National Examination. 偏头痛及其与妊娠期中风的关系:全国调查。
IF 3 3区 医学
Journal of women's health Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI: 10.1089/jwh.2023.1136
Medha Reddy, Sima Vazquez, Bridget Nolan, Kevin Clare, Eric Feldstein, Chaitanya Medicherla, Gurmeen Kaur, Sara K Rostanski, Alexandra L Czap, Jin Li, Chirag D Gandhi, Fawaz Al-Mufti
{"title":"Migraine and its Association with Stroke in Pregnancy: A National Examination.","authors":"Medha Reddy, Sima Vazquez, Bridget Nolan, Kevin Clare, Eric Feldstein, Chaitanya Medicherla, Gurmeen Kaur, Sara K Rostanski, Alexandra L Czap, Jin Li, Chirag D Gandhi, Fawaz Al-Mufti","doi":"10.1089/jwh.2023.1136","DOIUrl":"10.1089/jwh.2023.1136","url":null,"abstract":"<p><p><b><i>Background:</i></b> Migraine prevalence has been estimated to be as high as 25% during reproductive years. Despite this, and the known significantly lower odds of acute stroke being correctly diagnosed among women versus men, little is known about the migraine-stroke connection in this vulnerable population. Our study seeks to provide a consolidated examination of cerebrovascular and obstetric complications of migraines in pregnant women and to evaluate the role of concurrent comorbidities. <b><i>Methods:</i></b> We utilized the 2016-2020 Healthcare Cost and Utilization Project's National Inpatient Sample with the International Classification of Diseases, 10th Revision diagnostic codes to compare pregnant patients with migraines with those without migraines. Multivariable logistic regression was used to examine the incidence of subtypes of stroke while controlling for confounding variables. <b><i>Results:</i></b> Overall, 19,825,525 pregnant patients were evaluated; 219,175 (1.1%) had a concomitant diagnosis of migraine. Pregnant patients with migraines were more likely to suffer ischemic (0.1% versus 0.0%) or hemorrhagic stroke (0.3% versus 0.1%). On multivariate analysis, acute ischemic stroke was most strongly associated with migraine with aura (odds ratio [OR], 23.26; 95% confidence interval [CI], 18.46-29.31), followed by migraine without aura (OR, 8.15; 95% CI, 4.79-13.88). <b><i>Conclusions:</i></b> Pregnant women with migraine are at a significantly increased risk for both ischemic and hemorrhagic stroke. Pregnant women with migraines should be cautioned that they may be at an increased risk of stroke, particularly if they are experiencing an aura, and encouraged to contact their medical providers to rule out neurological complications.</p>","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"1476-1481"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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