Category: Medical/Surgical/Diseases/Complications
Poster Session II
Of our sample of 187 women with confirmed cardiovascular disease, the mean age was 31.4 (±5.6) years, pregravid BMI was 29.6 kg/m2 (±7.5), and 13.9% experienced SMM. Approximately 59.9% identified as White, 13.9% Black/African American, and 1.0% Hispanic. Those who experienced SMM were more likely to be older (33.5 vs. 31.1, p=0.04), identify as Black/African American (42.3% vs. 9.4%, p=0.001), have a history of chronic hypertension (32.0% vs. 13.1%, p=0.02), and a history of a prior cardiac event (28.0% vs. 8.9%, p=0.005). In adjusted logistic regression, Black/African American race was associated with 4.3 times the odds of SMM as compared to White.
Conclusion:
SMM is common among women with cardiovascular disease in pregnancy, and racial disparities exist in this population as highlighted by the high incidence of SMM in Black women compared to White women. Among these women, those with chronic hypertension, older age, and prior cardiac events should be monitored more closely to help prevent SMM.
Gianna L. Wilkie, MD
Fellow
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Angel Essa, BS
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Alexandra Bennett, BS
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Micaela Tobin, BS
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Ariba Memon, BS
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Marie McGourty, BS
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Philip Cook, MD
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States
Lara Kovell, MD
University of Massachusetts Chan Medical School
Worcester, Massachusetts, United States