Haas DM, Parker CB, Marsh DJ, et al. - Using a prospective observational cohort—Nulliparous Pregnancy Outcomes Study Monitoring Mothers-to-be Heart Health Study—researchers investigated the link between outcomes in first pregnancies and subsequent cardiovascular health. Overall 4,484 women were observed over a period of 2 to 7 years (mean 3.2 years) following their first pregnancy. A prospective investigation was made for adverse pregnancy outcomes (hypertensive disorders of pregnancy, small-for-gestational-age birth, preterm birth, and stillbirth) in 1,017 of the women (22.7%) during this pregnancy. Controls were women without adverse pregnancy outcomes. Incident hypertension (HTN) was considered as the primary outcome. The overall incidence of HTN was estimated to be 5.4%. Findings revealed the development of HTN 2 to 7 years after the first pregnancy in participants who suffered many pregnancy complications (any hypertensive disorders of pregnancy, preeclampsia, and preterm birth) in their first pregnancy. The risk of HTN was highest in women who had an indicated preterm birth and hypertensive disorders of pregnancy. The inclusion of a detailed pregnancy history in preventive care for women was recommended to assist in counseling regarding HTN risk.