Evidence map›Paper›PMID 19444822›Full record

ArticleUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2009

Can prenatal ultrasound detect the effects of in-utero alcohol exposure? A pilot study.

M Kfir, L Yevtushok, S Onishchenko, W Wertelecki, L Bakhireva, C D Chambers, K L Jones, A D Hull

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.8field-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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
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  11. Fetal alcohol-spectrum disorders: identifying at-risk mothers.International journal of women's health · 2016
    Review
  12. Article
  13. Fetal alcohol spectrum disorders and neuroimmune changes.International review of neurobiology · 2014
    Review
  14. Article
  15. Review
  16. Focus on: magnetic resonance-based studies of fetal alcohol spectrum disorders in animal models.Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism · 2011
    Review
  17. Magnetic resonance microscopy-based analyses of the brains of normal and ethanol-exposed fetal mice.Birth defects research. Part A, Clinical and molecular teratology · 2010
    Article
  18. Article
  19. 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

8 authors at 4 institutions in 2 countries.

M KfirDepartment of Reproductive Medicine, University of California San Diego, La Jolla, CA 92103-8433, USA.
L Yevtushok
S Onishchenko
W Wertelecki
L Bakhireva
C D Chambers
K L Jones
A D Hull
University of California, San Diego · USRivne State University of Humanities · UAUniversity of New Mexico · USUniversity of South Alabama · US

Funding

Cross-Cultural Assessment of FASDU24AA014811 · NIAAA · SAN DIEGO STATE UNIVERSITY · PI EDWARD P RILEY · 2003 to 2026
$13.1M
Influence of nutrition on growth and neurodevelopment in children with FASDR01AA021551 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHAMBERS, CHRISTINA, KEEN, CARL L. · 2012 to 2016
$953k
NIAAA NIH HHS 5 U24 AA014811NIAAA NIH HHS R01 AA021551NIAAA NIH HHS U24 AA014811
6 · The paper itself

Abstract

objectivesThe aim of this pilot study was to explore possible ultrasound parameters for the early detection of alcohol-mediated fetal somatic and central nervous system (CNS) maldevelopment. Maternal alcohol ingestion during pregnancy may lead to fetal alcohol spectrum disorders (FASD), which encompass a broad range of structural abnormalities including growth impairment, specific craniofacial features and CNS abnormalities. Early detection of fetuses at risk of FASD would support earlier interventions.

methodsWe performed a longitudinal prospective pilot study from 2004 to 2006 at two sites in Ukraine. A sample of pregnant women who reported consuming moderate-to-heavy amounts of alcohol participated in a comprehensive maternal interview, and received ultrasound evaluation of fetal growth and specific fetal brain measurements during the second and third trimesters. These measurements were compared with those collected from a group of pregnant women who consumed little-to-no alcohol during pregnancy, and who were recruited and followed in the same manner.

resultsFrom 6745 screened women, 84 moderate-to-heavy alcohol users and 82 comparison women were identified and ultrasound examinations performed. After controlling for maternal smoking, alcohol-exposed fetuses had shorter mean femur length, caval-calvarial distance and frontothalamic measurements in the second trimester (P < 0.05), and alcohol-exposed fetuses also had shorter frontothalamic distance measurements in the third trimester relative to comparison fetuses (P < 0.05). In addition, after controlling for maternal smoking, both mean orbital diameter and biparietal diameter measurements were significantly smaller on average in the alcohol-exposed group in the third trimester relative to comparison fetuses (P < 0.05).

conclusionsSignificant differences in selected somatic and brain measurements were noted between alcohol-exposed and comparison fetuses, suggesting these markers may be further explored for clinical utility in prenatal identification of affected children. Further study correlating these findings with alcohol-related physical features of the newborn and subsequent comparisons of neuro-developmental outcomes will help define potential uses of prenatal ultrasound for intervention and prevention of FASD.

Indexed as

Abnormalities, Drug-InducedAdultEpidemiologic MethodsFemaleFetal Alcohol Spectrum DisordersFetal DevelopmentHumansMaternal-Fetal ExchangePilot ProjectsPregnancyPregnancy Trimester, SecondPrenatal CarePrenatal Exposure Delayed EffectsUkraineUltrasonography, Prenatal

Identifiers

PMID19444822
PMCPMC3746738
OpenAlexW2084673373

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.