Points in OB-CMI score, including preeclampsia with severe features or eclampsia, preeclampsia/gestational/chronic hypertension, congestive heart failure, pulmonary hypertension, ischemic heart disease/cardiac arrhythmia, congenital heart and/or valvular disease, placental abruption, autoimmune disease/lupus, HIV/AIDS, sickle cell disease/bleeding disorder/coagulopathy/anticoagulation, epilepsy/cerebrovascular accident/neuromuscular disorder, chronic kidney disease, asthma, diabetes requiring insulin, maternal age, substance use disorder, alcohol abuse, and BMI (18 risk factors). This evidence concerns the gene INS and congestive heart failure.