In Kingston, women who develop a pregnancy complication are referred to the Maternal Health Clinic (Kingston General Hospital, Kingston, ON, Canada) for postpartum cardiovascular health screening at 6 months postpartum as part of routine standard of care. Assessments and evaluations, including the calculation of a lifetime cardiovascular risk score conducted at the Maternal Health Clinic, have been previously described [29]. From this clinic, we recruited eligible study participants at the time of their 6-month postpartum visit (between 2011 and 2017). Women diagnosed with PE who had placenta pathology performed at delivery of the index pregnancy (PE diagnosis) were approached to participate in the study.
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