Evidence map›Paper›PMID 19067400›Full record

ArticleBirth defects research. Part A, Clinical and molecular teratology2009

Maternal vasoactive exposures, amniotic bands, and terminal transverse limb defects.

Martha M Werler, Jaclyn L F Bosco, Stuart K Shapira, National Birth Defects Prevention Study

Open access · greenAbstract read
In one paragraph

Article in Birth defects research. Part A, Clinical and molecular teratology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Review
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  8. Article
  9. Symmetrical terminal transverse limb deficiencies.Indian journal of pediatrics · 2015
    Article
  10. Article
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  12. Article
  13. Vasoactive exposures during pregnancy and risk of microtia.Birth defects research. Part A, Clinical and molecular teratology · 2013
    Article
  14. Article
  15. Is maternal parity an independent risk factor for birth defects?Birth defects research. Part A, Clinical and molecular teratology · 2012
    Article
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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 2 institutions in 1 country.

Martha M WerlerSlone Epidemiology Center at Boston University, Boston, Massachusetts 02215, USA. mwerler@ slone.bu.edu
Jaclyn L F Bosco
Stuart K Shapira
National Birth Defects Prevention Study
Boston University · USCenters for Disease Control and Prevention · US

Funding

Maternal Vasoactive Exposures and Risk of ClubfootR01HD051804 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WERLER, MARTHA M. · 2006 to 2010
$2.8M
NICHD NIH HHS R01 HD051804NICHD NIH HHS R01-HD051804
6 · The paper itself

Abstract

backgroundLimb reduction deficiencies that are accompanied by amniotic bands (AB-Ls) and terminal transverse limb deficiencies (TLDs) have each been attributed to vascular disruption; for the former, however, it is not clear if amniotic bands are the primary cause of or are secondary to vascular disruption. If amniotic bands are secondary to vascular disruption, then a shared pathogenesis for each case group might be exhibited by similar risk factors.

methodsWe evaluated maternal age, education, race/ethnicity, parity, pregnancy wantedness, and vasoactive exposures among 139 AB-L and 373 TLD cases, using interview data collected from mothers in 10 states by the National Birth Defects Prevention Study. Vasoactive exposures included maternal cigarette smoking and use of decongestants, nonsteroid anti-inflammatory drugs, and antihypertensive drugs in the periconceptional period.

resultsIncreased risk estimates were observed for Black mothers (OR 2.5; 95% CI: 1.5-4.1) and nulliparous mothers (2.1; 1.4-3.0) in relation to AB-L, while neither was associated with TLD. Hispanic women (1.4; 1.0-1.9) and those not wanting the pregnancy (1.5; 1.1-2.1) had increased risks of TLD, but not AB-L. Maternal cigarette smoking and aspirin use each increased the risk of AB-L, but not TLD; while decongestants and possibly antihypertensive medications increased the risk of TLD, but not AB-L.

conclusionsThe lack of consistent findings for the two case groups suggests that AB-L and TLD may be distinct entities. The inconsistencies also suggest that these vasoactive exposures may not be markers for vascular disruption or that vascular disruption may not play a major role in the pathogenesis of these two types of limb deficiencies.

Indexed as

Antihypertensive AgentsAnti-Inflammatory Agents, Non-SteroidalMaternal ExposureNasal DecongestantsAdultAmniotic Band SyndromeCase-Control StudiesFemaleHumansInfant, NewbornInterviews as TopicLimb Deformities, CongenitalPregnancyPregnancy Complications, CardiovascularRisk FactorsSmokingAntihypertensive AgentsAnti-Inflammatory Agents, Non-SteroidalNasal Decongestants

Identifiers

PMID19067400
PMCPMC2741326
OpenAlexW2015784829

What OpenQuestion holds

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Registered trials

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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.