Evidence map›Paper›PMID 12206468›Full record

ReviewHuman reproduction update

Conception to ongoing pregnancy: the 'black box' of early pregnancy loss.

N S Macklon, J P M Geraedts, B C J M Fauser

3 registry-linked trialsOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Human reproduction update. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 277 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 4 pooled it
10.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01786252 phase4completednot on this map

The Effect of hCG on the Human Endometrium

TypeinterventionalSponsorMichigan State UniversityRan2013 to 2016Enrolled15ConditionsInfertility, SubfertilityArmshuman chorionic gonadotropin (hCG), Placebo Comparator (for hCG)
NCT03267771 phase4unknown statusnot on this map

Role of Serum Progesterone and Doppler Ultrasound in Prediction of Pregnancy Outcome in Women With Recurrent Unexplained Abortion

TypeinterventionalSponsorAssiut UniversityRan2017 to 2019Enrolled50ConditionsAbortion in First TrimesterArmsProgesterone Suppositories Vaginal, Dydrogesterone Oral Tablet, doppler ultrasound
NCT05656846 naunknown statusnot on this map

The Effect of Biweekly Follow up Along With at Home Ultrasound on the Anxiety of Pregnant Women Following Recurrent Pregnancy Loss.

TypeinterventionalSponsorWolfson Medical CenterRan2022 to 2025Enrolled50ConditionsRecurrent Pregnancy LossArmsPulseNmore ES™, Standard Ultrasound
3 · Its place in the literature

Who cites it

277 citing papers in PubMed, 4 syntheses or guidelines pooled it, 791 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Timed intercourse for couples trying to conceive.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
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  18. Morphogen Gradients as Drivers of Mosaicism During Early Human Development.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
  19. Review
  20. Article

217 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

N S MacklonCentre of Reproductive Medicine, Department of Obstetrics and Gynaecology, Erasmus Medical Centre, The Netherlands. macklon@gyna.azr.nl
J P M Geraedts
B C J M Fauser
Erasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Even when conditions are optimal, the maximum chance of a clinically recognized pregnancy occurring in a given menstrual cycle is 30-40%. Increasing evidence points to preclinical pregnancy loss rather than failure of conception as the principal cause for the relatively low fecundity observed in humans. While sensitive assays for hCG have provided a glimpse of the events occurring between implantation and the missed menstrual period, new cytogenetic techniques have further opened this 'black box', providing novel insights into the causes of early pregnancy wastage. In this article, the evidence and causes of preclinical or 'occult' pregnancy are reviewed, and the implications for the infertile patient are addressed.

Indexed as

Abortion, SpontaneousAneuploidyAnimalsEmbryo, MammalianEndometriumFemaleFertilizationFertilization in VitroGestational AgeHumansPregnancy

Identifiers

PMID12206468
OpenAlexW2111676688

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.