Evidence map›Paper›PMID 20977769›Full record

ArticleBMC women's health2010

Risk of placental abruption in relation to migraines and headaches.

Sixto E Sanchez, Michelle A Williams, Percy N Pacora, Cande V Ananth, Chungfang Qiu, Sheena K Aurora, Tanya K Sorensen

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 30% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Headache and pregnancy: a systematic review.The journal of headache and pain · 2017
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Acta medica Lituanic · 2021
    Article
  7. Article
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  15. Headaches during pregnancy.Current pain and headache reports · 2011
    Review
  16. Article
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

7 authors at 5 institutions in 2 countries.

Sixto E SanchezDepartment of Obstetrics and Gynecology, Hospital Nacional dos de Mayo, & Universidad San Martin de Porres, Lima, Peru.
Michelle A Williams
Percy N Pacora
Cande V Ananth
Chungfang Qiu
Sheena K Aurora
Tanya K Sorensen
Swedish Medical Center · USCancer Research And Biostatistics · USHospital Nacional Dos de Mayo · PENational University of San Marcos · PEPain and Headache Center · US

Funding

University of Washington MHIRT Training Program GrantT37MD001449 · NIMHD · UNIVERSITY OF WASHINGTON · PI WILLIAMS, MICHELLE A. · 2005 to 2018
$3.5M
A Prospective Cohort Study of Migraines, Platelet Activation, and PreeclampsiaR01HD055566 · NICHD · SWEDISH MEDICAL CENTER, FIRST HILL · PI WILLIAMS, MICHELLE A. · 2008 to 2012
$2.9M
Epidemiology of Abruptio Placentae in PeruR03TW007426 · FIC · SWEDISH MEDICAL CENTER, FIRST HILL · PI WILLIAMS, MICHELLE A. · 2006 to 2008
$92k
FIC NIH HHS R03-TW007426NICHD NIH HHS R01 HD055566NICHD NIH HHS R01-HD055566NIMHD NIH HHS T37-MD001449
6 · The paper itself

Abstract

backgroundMigraine, a common chronic-intermittent disorder of idiopathic origin characterized by severe debilitating headaches and autonomic nervous system dysfunction, and placental abruption, the premature separation of the placenta, share many common pathophysiological characteristics. Moreover, endothelial dysfunction, platelet activation, hypercoagulation, and inflammation are common to both disorders. We assessed risk of placental abruption in relation to maternal history of migraine before and during pregnancy in Peruvian women.

methodsCases were 375 women with pregnancies complicated by placental abruption, and controls were 368 women without an abruption. During in-person interviews conducted following delivery, women were asked if they had physician-diagnosed migraine, and they were asked questions that allowed headaches and migraine to be classified according to criteria established by the International Headache Society. Logistic regression procedures were used to calculate odds ratios (aOR) and 95% confidence intervals (CI) adjusted for confounders.

resultsOverall, a lifetime history of any headaches or migraine was associated with an increased odds of placental abruption (aOR = 1.60; 95% CI 1.16-2.20). A lifetime history of migraine was associated with a 2.14-fold increased odds of placental abruption (aOR = 2.14; 95% CI 1.22-3.75). The odds of placental abruption was 2.11 (95% CI 1.00-4.45) for migraineurs without aura; and 1.59 (95% 0.70-3.62) for migraineurs with aura. A lifetime history of tension-type headache was also increased with placental abruption (aOR = 1.61; 95% CI 1.01-2.57).

conclusionsThis study adds placental abruption to a growing list of pregnancy complications associated with maternal headache/migraine disorders. Nevertheless, prospective cohort studies are needed to more rigorously evaluate the extent to which migraines and/or its treatments are associated with the occurrence of placental abruption.

Indexed as

Abruptio PlacentaeAdultCase-Control StudiesFemaleHeadacheHumansInterviews as TopicLogistic ModelsMigraine DisordersPeruPregnancyPregnancy ComplicationsPrevalenceRisk FactorsYoung Adult

Identifiers

PMID20977769
PMCPMC2984417
OpenAlexW2074610458

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.