Evidence map›Paper›PMID 21691170›Full record

ArticleObstetrics and gynecology2011

Amniotic fluid eicosanoids in preterm and term births: effects of risk factors for spontaneous preterm labor.

Ramkumar Menon, Stephen J Fortunato, Ginger L Milne, Lina Brou, Claudine Carnevale, Stephanie C Sanchez, Leah Hubbard, Martha Lappas, Cayce Owens Drobek, Robert N Taylor

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
3.6field-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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  11. Preterm labor is characterized by a high abundance of amniotic fluid prostaglandins in patients with intra-amniotic infection or sterile intra-amniotic inflammation.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021
    Article
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  18. Oxidative Stress and Preterm Birth: An Integrative Review.Biological research for nursing · 2018
    Review
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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

10 authors at 1 institution in 1 country.

Ramkumar MenonFrom the Departments of Epidemiology and Biostatistics, Rollins School of Public Health, and the Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia; The Perinatal Research Center, Nashville, Tennessee; the Division of Clinical Pharmacology, Eicosanoid Core Laboratory, Vanderbilt University, Nashville, Tennessee; and the Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia.
Stephen J Fortunato
Ginger L Milne
Lina Brou
Claudine Carnevale
Stephanie C Sanchez
Leah Hubbard
Martha Lappas
Cayce Owens Drobek
Robert N Taylor
Vanderbilt University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008
6 · The paper itself

Abstract

objectiveTo evaluate amniotic fluid arachidonic acid metabolites using enzymatic and nonenzymatic (lipid peroxidation) pathways in spontaneous preterm birth and term births, and to estimate whether prostanoid concentrations correlate with risk factors (race, cigarette smoking, and microbial invasion of amniotic cavity) associated with preterm birth.

methodsIn a case-control study, amniotic fluid was collected at the time of labor or during cesarean delivery. Amniotic fluid samples were subjected to gas chromatography, negative ion chemical ionization, and mass spectrometry for prostaglandin (PG) E2, PGF2α, and PGD2 and for 6-keto-PGF1α (thromboxane 2 and F2-isoprostane). Primary analysis examined differences between prostanoid concentrations in preterm birth (n=133) compared with term births (n=189). Secondary stratified analyses (by race, cigarette smoking, and microbial invasion of amniotic cavity) compared eicosanoid concentrations in three epidemiological risk factors.

resultsAmniotic fluid F2-isoprostane, PGE2, and PGD2 were significantly higher at term than in preterm birth, whereas PGF2α was higher in preterm birth 6-keto-PGF1α and thromboxane 2 concentrations were not different. Data stratified by race (African American or white) showed no significant disparity among prostanoid concentrations. Regardless of gestational age status, F2-isoprostane was threefold higher in smokers, and other eicosanoids were also higher in smokers compared with nonsmokers. Preterm birth with microbial invasion of amniotic cavity had significantly higher F2-isoprostane compared with preterm birth without microbial invasion of amniotic cavity.

conclusionMost amniotic fluid eicosanoid concentrations (F2-isoprostane, PGE2, and PGD2), are higher at term than in preterm births. The only amniotic fluid eicosanoid that is not higher at term is PGF2α.

Indexed as

Amniotic FluidApgar ScoreArachidonic AcidCase-Control StudiesCross-Sectional StudiesDinoprostDinoprostoneF2-IsoprostanesFemaleHumansLipid PeroxidationMass SpectrometryObstetric Labor, PrematureOxidative StressPregnancyProstaglandin D2Arachidonic AcidDinoprostDinoprostoneF2-IsoprostanesProstaglandin D2

Identifiers

PMID21691170
PMCPMC3286836
OpenAlexW1990137364

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.