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email article Women who had hypertensive disorders of pregnancy were at higher risk of dying before reaching age 70 whether or not they developed chronic hypertension, a retrospective study showed. Among nearly 90,000 women who were pregnant from 1989 to 2009, gestational hypertension or pre-eclampsia was linked to a higher likelihood of premature death (adjusted HR 1.31, 95% CI 1.18-1.46), according to Jorge Chavarro, MD, ScD, of Harvard T.H. Chan School of Public Health in Boston, and colleagues. The uptick in premature deaths was driven by differences in mortality due to: Cardiovascular disease (CVD; HR 2.26, 95% CI 1.67-3.07) Infectious diseases (HR 2.77, 95% CI 1.38-5.54) Respiratory diseases (HR 2.26, 95% CI 1.29-3.98) ....
email article Developing type 1 diabetes (T1D) in childhood was significantly associated with a shorter opportunity for childbearing, a new study showed. Women diagnosed with T1D in childhood had an average 2.5 fewer reproductive years compared with their nondiabetic counterparts (95% CI -3.6 to -1.5, P 0.0001), reported Tina Costacou, PhD, of the University of Pittsburgh, and colleagues. Shortening of the reproductive window occurred on both sides, the researchers wrote in Menopause, the journal of the North American Menopause Society (NAMS). Specifically, women with T1D were an average 0.5 years older at the time of menarche and tended to be younger at the time of natural menopause onset, by 2 years on average. This was following adjustment for age, race, BMI, smoking status, hypertension, HDL cholesterol levels, history of oral contraceptives, and number of pregnancies. ....
WASHINGTON For Jennie Jacoby, JD, healthcare bias is a two-generation problem in her family. My story started with my mother, who is a Black woman, Jacoby said in a phone interview, adding that her father is white and Jewish. When my mom was pregnant with me 32 years ago, she had access to really great care, but unfortunately due to some implicit bias and medical racism, she had preeclampsia and the doctors completely missed it they assumed she was just an overweight black woman, which is really a dangerous assumption to make; that, on top of doctors being distracted by the fact that my parents were in an interracial marriage, really caused harm to her pregnancy. She almost lost her life and I was born at 3 lbs. 12 oz. ....
Francisco Garcia, MD, MPH, director of the Pima County Health Department in Tucson, Arizona, told the Times the federal government s lack of coordinated eligibility rules has created this Hunger Games scenario where people are out there doing everything they can to get to the front of as many lines as they possibly can. For instance, Chanel Maronge, who lives in Baton Rouge, Louisiana, saw on a Facebook group that she could grab a vaccine appointment across the border in Mississippi. The 37-year-old school librarian has hypertension, which made her eligible for the vaccine in Mississippi but not in her home state. Similarly, her 69-year-old mother was just a year shy of eligibility in Louisiana, but made the cutoff in Mississippi. ....