Evidence map›Paper›PMID 18177778›Full record

ReviewLancet (London, England)2008

Epidemiology and causes of preterm birth.

Robert L Goldenberg, Jennifer F Culhane, Jay D Iams, Roberto Romero

13 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Lancet (London, England), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 13 registered trials, which are not on this map. Cited by 3,186 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3,186citing papers in PubMed, 11 pooled it
155.8field-weighted citation impact, top 1% 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.

NCT01800825 phase4completednot on this mapstarted 2013, after this paper: background citation

Clindamycin to Reduce Preterm Birth in a Low Resource Setting: A Randomized Placebo-controlled Trial

TypeinterventionalSponsorChristiana Care Health ServicesRan2013 to 2016Enrolled1,726ConditionsPregnancy, Prematurity, Preterm Birth, Bacterial VaginosisArmsClindamycin, Placebo
NCT02022865 unknown statusnot on this mapstarted 2014, after this paper: background citation

Correlation Between Inflammatory Markers in Gingival Crevicular Fluid, Serum and Amniotic Fluids in Periodontal Pregnant Women

TypeobservationalSponsorHadassah Medical OrganizationRan2014 to 2015Enrolled200ConditionsPeriodontal Disease, Adverse Pregnancy Outcome
NCT02351583 withdrawnnot on this mapstarted 2015, after this paper: background citation

Microcirculatory and Tissue and Cerebral Oxygenation Differences Between Preeclampsia and Normal Pregnancy: An Observation Study

TypeobservationalSponsorUniversity of VirginiaRan2015 to 2017Enrolled0ConditionsPregnancy, EclampsiaArmsCytoCam, NIRS Artinis PortaLite with OxySoft softwear
NCT02409680 nacompletednot on this mapstarted 2016, after this paper: background citation

Aspirin Supplementation for Pregnancy Indicated Risk Reduction In Nulliparas (ASPIRIN)

TypeinterventionalSponsorNICHD Global Network for Women's and Children's HealthRan2016 to 2019Enrolled11,976ConditionsPremature BirthArmsLow dose aspirin, Placebo
NCT02738892 active not recruitingnot on this mapstarted 2015, after this paper: background citation

Preventing Preterm Birth in Zambia

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2015 to 2026Enrolled9,000ConditionsPregnancy, Stillbirth, Preterm Birth
NCT03504670 nacompletednot on this mapstarted 2018, after this paper: background citation

Preterm Induction of Labor Timing of Amniotomy: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2018 to 2021Enrolled86ConditionsPreterm Pregnancy, Labor InductionArmsEarly Amniotomy, Late Amniotomy
NCT03752021 completednot on this mapstarted 2019, after this paper: background citation

The Endocannabinoid System in Human Gestational Tissues in Labor

TypeobservationalSponsorWake Forest University Health SciencesRan2019 to 2019Enrolled20ConditionsLaborArmsMyometrial Sampling
NCT03865108 nacompletednot on this mapstarted 2017, after this paper: background citation

Quantifying the Mechanical Environment of Pregnancy Complicated With a Short Cervix With Ultrasound Imaging and Aspiration - Ancillary Study to the Trial of Pessary in Singleton Pregnancies Trial

TypeinterventionalSponsorColumbia UniversityRan2017 to 2021Enrolled36ConditionsPreterm BirthArmsUltrasound imaging, Cervical speculum examination
NCT04158401 completednot on this mapstarted 2020, after this paper: background citation

Cervical Stiffness Measurement in Cervical Insufficiency

TypeobservationalSponsorTufts Medical CenterRan2020 to 2022Enrolled136ConditionsPregnancy Related, Cervical Insufficiency, Preterm BirthArmsPregnolia
NCT05044143 completednot on this mapstarted 2021, after this paper: background citation

Serial Cervical Length Measurements After the 1st Episode of Threatened Preterm Labor to Improve Prediction of Spontaneous Preterm Delivery: Prospective Cohort Study

TypeobservationalSponsorUniversity of Modena and Reggio EmiliaRan2021 to 2024Enrolled303ConditionsPreterm Labor With Preterm DeliveryArmsMonitoring the length of the uterine cervix using transvaginal ultrasound
NCT05352503 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effects of Making Pregnant Women With Preterm Birth Threat Watch Nature Images With Virtual Reality Goggles on the Levels of Stress, Anxiety, Attachment, and Care Satisfaction

TypeinterventionalSponsorSelcuk UniversityRan2022 to 2022Enrolled126ConditionsPsychological Stress, Anxiety, Prenatal Attachment, PleasureArmsWatching videos with nature images accompanied by nature sounds with virtual reality glasses
NCT07107477 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Prospective Randomized Controlled Trial to Evaluate if Tailored Antibiotic and Steroid Therapy Based on the Interleukin-6 (IL-6) Value in Amniotic Fluid Obtained by Amniocentesis in Patients With Premature Rupture of Membranes is Associated With Pregnancy Prolongation Compared to Standard Management.

TypeinterventionalSponsorThe Central and Eastern European Gynecologic Oncology GroupRan2025 to 2028Enrolled138ConditionsPreterm Premature Rupture of Membranes (PPROM)ArmsTailored antibiotic and steroid therapy based on the IL-6 value in amniotic fluid obtained by amniocentesis in patients with premature rupture of membranes, Antenatal steroids administration, Neuroprotection, antibiotic prophylaxis, Antibiotics administration
NCT07695467 completednot on this mapstarted 2021, after this paper: background citation

Analysis of Hippo-YAP Pathway Genes and Proteins and Related miRNA-195, miRNA-181c, miRNA-200a, and miRNA-375 Expression in Maternal Blood, Placental Tissue, and Myometrial Tissue From Women With Term and Preterm Cesarean Delivery

TypeobservationalSponsorCumhuriyet UniversityRan2021 to 2024Enrolled44ConditionsPreterm Birth, Pregnancy, Preterm LaborArmsLaboratory Biomarker Analysis
3 · Its place in the literature

Who cites it

3,186 citing papers in PubMed, 11 syntheses or guidelines pooled it, 7,691 citations in OpenAlex.

  1. Pooled it
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  4. Previable PROM in twins: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
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  12. Trial
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  16. Spontaneous Preterm Birth and Subsequent Cardiovascular Mortality: Linked Registry Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  17. Temperature and heat-load exposure effects on preterm births: Insights from a population-based study using distributed lag non-linear models.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
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3,126 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Robert L GoldenbergDepartment of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA 19102, USA. rgoldenb@drexelmed.edu
Jennifer F Culhane
Jay D Iams
Roberto Romero
Drexel University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USThe Ohio State University · US

Funding

The Role Of Subclinical Infection And Cytokines In Preterm ParturitionZIAHD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$254.4M
THE ROLE OF SUBCLINICAL INFECTION AND CYTOKINES IN PRETERM PARTURITIONZ01HD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 1992 to 2008
$8.2M
6 · The paper itself

Abstract

This paper is the first in a three-part series on preterm birth, which is the leading cause of perinatal morbidity and mortality in developed countries. Infants are born preterm at less than 37 weeks' gestational age after: (1) spontaneous labour with intact membranes, (2) preterm premature rupture of the membranes (PPROM), and (3) labour induction or caesarean delivery for maternal or fetal indications. The frequency of preterm births is about 12-13% in the USA and 5-9% in many other developed countries; however, the rate of preterm birth has increased in many locations, predominantly because of increasing indicated preterm births and preterm delivery of artificially conceived multiple pregnancies. Common reasons for indicated preterm births include pre-eclampsia or eclampsia, and intrauterine growth restriction. Births that follow spontaneous preterm labour and PPROM-together called spontaneous preterm births-are regarded as a syndrome resulting from multiple causes, including infection or inflammation, vascular disease, and uterine overdistension. Risk factors for spontaneous preterm births include a previous preterm birth, black race, periodontal disease, and low maternal body-mass index. A short cervical length and a raised cervical-vaginal fetal fibronectin concentration are the strongest predictors of spontaneous preterm birth.

Indexed as

Pre-EclampsiaPremature Rupture of Fetal MembranesBody Mass IndexFemaleHumansInfant, NewbornObstetric Labor, PrematurePregnancyPremature BirthRacial GroupsRisk Factors

Identifiers

PMID18177778
PMCPMC7134569
OpenAlexW1975755498

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 7 more above

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.