Evidence map›Paper›PMID 21292636›Full record

ArticleHuman reproduction (Oxford, England)2011

The association of maternal factors with delayed implantation and the initial rise of urinary human chorionic gonadotrophin.

A M Z Jukic, C R Weinberg, D D Baird, A J Wilcox

Open access · bronzeAbstract read
In one paragraph

Article in Human reproduction (Oxford, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 31 citations in OpenAlex.

  1. The association of placental to fetal ratio with pregnancy duration.Acta obstetricia et gynecologica Scandinavica · 2025
    Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Analgesic use at ovulation and implantation and human fertility.American journal of obstetrics and gynecology · 2020
    Article
  7. Smoke, alcohol and drug addiction and female fertility.Reproductive biology and endocrinology : RB&E · 2020
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Embryonic diapause in humans: time to consider?Reproductive biology and endocrinology : RB&E · 2013
    Article
  14. 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

4 authors at 1 institution in 1 country.

A M Z JukicEpidemiology Branch, National Institute of Environmental Health Sciences, PO Box 12233, MD A3-05, Durham, NC 27709, USA. jukica@niehs.nih.gov
C R Weinberg
D D Baird
A J Wilcox
National Institute of Environmental Health Sciences · US

Funding

Epidemiologic Study Of Reproductive Outcomes And Environmental ExposuresZIAES044003 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WILCOX, ALLEN J · 2009 to 2020
$4.7M
Environmental Effects On FertilityZIAES049003 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI BAIRD, DONNA D. · 2009 to 2023
$3.3M
NIEHS Statistical Consulting ServiceZIAES045005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI PEDDADA, SHYAMAL · 2009 to 2011
$2.8M
Intramural NIH HHS
6 · The paper itself

Abstract

BACKGROUND Late implantation and the pattern of early rise in hCG have been associated with early pregnancy loss. We explored factors that might be predictive of these markers of poor embryonic health in spontaneously conceived pregnancies. METHODS Participants in the North Carolina Early Pregnancy Study collected daily first-morning urine specimens while attempting to conceive. Samples were assayed for estrogen and progesterone metabolites (to identify day of ovulation) and hCG (to detect conception). Data were available for 190 pregnancies, 48 of which ended in early loss (within 6 weeks of the last menstrual period). We used logistic regression to identify characteristics associated with late implantation (≥10 days post-ovulation). For pregnancies surviving at least 6 weeks (n= 142), we used linear mixed models to identify factors associated with variations in hCG rise in the first 7 days from detection. RESULTS Later implantation was associated with current maternal smoking [odds ratio (OR): 5.7; 95% confidence interval (CI): 1.1-30] and with oocytes that were likely to have been fertilized late in their post-ovulatory lifespan (OR: 5.1; CI: 1.9-16). Older women had a faster rise in hCG (P= 0.01), as did women who had relatively late menarche (P for trend = 0.02). Women exposed in utero to diethylstilbestrol showed an unusual pattern of slow initial hCG rise followed by a fast increase, a pattern significantly different from that of unexposed women (P= 0.002). CONCLUSIONS Although limited by small numbers and infrequent exposures, our analyses suggest that a woman's exposures both early in life and at the time of pregnancy may influence early development of the conceptus.

Indexed as

Embryo ImplantationAbortion, SpontaneousAdultChorionic GonadotropinDiethylstilbestrolFemaleFertilizationHumansNorth CarolinaOdds RatioOocytesPregnancyPregnancy RateSmokingTime FactorsChorionic GonadotropinDiethylstilbestrol

Identifiers

PMID21292636
PMCPMC3057753
OpenAlexW2146175942

What OpenQuestion holds

Textmetadata
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.