Continuation of the nuMoM2b Heart Health Study

The Continuation of nuMoM2b Heart Health Study (nuMoM2b-HHS2) will include prospectively collected longitudinal data on CVD risk factors and early clinical manifestations of CVD, the study's primary outcomes of interest. Measures completed during semiannual follow-ups will include 1) self-reported interval medical history, including medications and substance use; 2) interval pregnancy and postpartum history; 3) interval CVD events, conditions, and diagnostic and therapeutic procedures including CVD death, myocardial infarction (MI), stroke, transient ischemic attack (TIA), pulmonary embolism (PE), deep vein thrombosis (DVT), peripheral vascular disease, kidney disease, hypertension, diabetes, hyperlipidemia, and associated hospitalizations and procedures.

During a study visit in years 3-7, the participant's blood pressure, pulse rate, weight, height, and body measurements will be recorded. During the visit, a fasting blood draw and clean-catch urine specimen will be collected. Aliquots of whole blood, plasma, serum, and urine will be stored at the biorepository; these will be analyzed for CVD measures of lipids, triglycerides, and glucose, among others. Measures of behavioral risk factors, including nutrition, physical activity, and stress will also be completed.

Ancillary studies will expand data collection during the follow-up contacts and in-person visit, and add to the planned contact schedule, to permit the effective targeting of knowledge gaps required to optimize predictive and preventative strategies. Some ancillary studies will only rely on extant data, while others will require de novo data collection during the planned follow-up contacts and/or study visits (or participation in additional study visits).

Inclusion criteria

for nuMoM2b-HHS2 interval contact (telephone interview or web-based self-administered survey):

• Completed one or more interval contacts during the nuMoM2b Heart Health Study.
• Able to speak or read in English or Spanish.

Exclusion criteria

for nuMoM2b-HHS2 interval contact (telephone interview or web-based self-administered survey):

• Withdrawal from study.

Inclusion criteria

for nuMoM2b-HHS2 study visit:

• Completed one or more interval contacts during the nuMoM2b Heart Health Study.
• At least 18 years of age.
• Self-report of at least 3 months postpartum from any subsequent pregnancy.
• Provision of signed informed consent for the HHS2 study visit.
• Able to speak or read English or Spanish.

Exclusion criteria

for nuMoM2b-HHS2 study visit:

• Current pregnancy.
• Withdrawal from study.