Evidence map›Paper›PMID 35583146›Full record

ArticleJournal of the American Heart Association2022

Temporal Trends in Adverse Pregnancy Outcomes in Birthing Individuals Aged 15 to 44 Years in the United States, 2007 to 2019.

Priya M Freaney, Katharine Harrington, Rebecca Molsberry, Amanda M Perak, Michael C Wang, William Grobman, Philip Greenland, Norrina B Allen, Simon Capewell, Martin O'Flaherty and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Guideline
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  4. Hypertensive disorders of pregnancy and women's health throughout the life course: an update review 2025-2026.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Priya M FreaneyDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0001-6466-2407
Katharine HarringtonDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Rebecca MolsberryDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Amanda M PerakDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Michael C WangDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0002-1042-8428
William GrobmanDepartment of Obstetrics and Gynecology Northwestern University Feinberg School of Medicine Chicago IL.
Philip GreenlandDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0002-6327-2439
Norrina B AllenDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Simon CapewellInstitute of Population Health University of Liverpool United Kingdom.
Martin O'FlahertyInstitute of Population Health University of Liverpool United Kingdom.
Donald M Lloyd-JonesDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0003-0847-6110
Sadiya S KhanDivision of Cardiology Department of Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0003-0643-1859
Northwestern University · USUniversity of Liverpool · GB

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)KL2TR001424 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2015 to 2023
$8.1M
The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BRADLEY, SARA · 2020 to 2024
$7.1M
PRegnancy OuTcomEs and subclinical Cardiovascular disease sTudy: (PROTECT)R01HL161514 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Sadiya Sana Khan · 2022 to 2026
$3.3M
A self-regulation approach to diabetes adherence into emerging adulthoodR01DK092939 · NIDDK · UNIVERSITY OF UTAH · PI BERG, CYNTHIA A, WIEBE, DEBORAH J · 2011 to 2015
$2.7M
NCATS NIH HHS KL2 TR001424NHLBI NIH HHS R01 HL161514NIA NIH HHS P30 AG059988NIDDK NIH HHS R01 DK092939
6 · The paper itself

Abstract

Background Adverse pregnancy outcomes (APOs) (hypertensive disorders of pregnancy [HDP], preterm delivery [PTD], or low birth weight [LBW]) are associated adverse maternal and offspring cardiovascular outcomes. Therefore, we sought to describe nationwide temporal trends in the burden of each APO (HDP, PTD, LBW) from 2007 to 2019 to inform strategies to optimize maternal and offspring health outcomes. Methods and Results We performed a serial cross-sectional analysis of APO subtypes (HDP, PTD, LBW) from 2007 to 2019. We included maternal data from all live births that occurred in the United States using the National Center for Health Statistics Natality Files. We quantified age-standardized and age-specific rates of APOs per 1000 live births and their respective mean annual percentage change. All analyses were stratified by self-report of maternal race and ethnicity. Among 51 685 525 live births included, 15% were to non-Hispanic Black individuals, 24% Hispanic individuals, and 6% Asian individuals. Between 2007 and 2019, age standardized HDP rates approximately doubled, from 38.4 (38.2-38.6) to 77.8 (77.5-78.1) per 1000 live births. A significant inflection point was observed in 2014, with an acceleration in the rate of increase of HDP from 2007 to 2014 (+4.1% per year [3.6-4.7]) to 2014 to 2019 (+9.1% per year [8.1-10.1]). Rates of PTD and LBW increased significantly when co-occurring in the same pregnancy with HDP. Absolute rates of APOs were higher in non-Hispanic Black individuals and in older age groups. However, similar relative increases were seen across all age,racial and ethnic groups. Conclusions In aggregate, APOs now complicate nearly 1 in 5 live births. Incidence of HDP has increased significantly between 2007 and 2019 and contributed to the reversal of favorable trends in PTD and LBW. Similar patterns were observed in all age groups, suggesting that increasing maternal age at pregnancy does not account for these trends. Black-White disparities persisted throughout the study period.

Indexed as

Pregnancy OutcomePremature BirthAgedBlack or African AmericanBlack PeopleCross-Sectional StudiesFemaleHispanic or LatinoHumansInfant, Low Birth WeightInfant, NewbornPregnancyUnited Statesadverse pregnancy outcomesmaternal morbidityracial disparities

Identifiers

PMID35583146
PMCPMC9238733
OpenAlexW4280609053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.