Trial reportMaternal and child health journal2011
Understanding the association of biomedical, psychosocial and behavioral risks with adverse pregnancy outcomes among African-Americans in Washington, DC.
Trial report in Maternal and child health journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prenatal depression and adverse birth outcomes: an updated systematic review.Maternal and child health journal · 2015Pooled it
- Clinical interventions to reduce secondhand smoke exposure among pregnant women: a systematic review.Tobacco control · 2015Pooled it
- Obesity and mental disorders during pregnancy and postpartum: a systematic review and meta-analysis.Obstetrics and gynecology · 2014Pooled it
- Online decision aids for contraceptive choices in women with chronic conditions: A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- The impact of prenatal mental health on birth outcomes before and during the COVID-19 pandemic in Anhui, China.PloS one · 2024Article
- Interdisciplinary fetal-neonatal neurology training applies neural exposome perspectives to neurology principles and practice.Frontiers in neurology · 2023Review
- Effect of Preconception Care Intervention on Maternal Nutritional Status and Birth Outcome in a Low-Resource Setting: Proposal for a Nonrandomized Controlled Trial.JMIR research protocols · 2021Article
- Born in Brussels screening tool: the development of a screening tool measuring antenatal psychosocial vulnerability.BMC public health · 2021Article
- Article
- "The First Thousand Days" Define a Fetal/Neonatal Neurology Program.Frontiers in pediatrics · 2021Review
- Impact of nulliparity, hypertensive disorders of pregnancy, and gestational diabetes on vasomotor symptoms in midlife women.Menopause (New York, N.Y.) · 2020Article
- Intimate Partner Violence: A Risk Factor for Gestational Diabetes.International journal of environmental research and public health · 2020Review
- The association between symptoms of depression during pregnancy and low birth weight: a prospective study.BMC pregnancy and childbirth · 2020Article
- A Web-Based Decision Tool to Improve Contraceptive Counseling for Women With Chronic Medical Conditions: Protocol For a Mixed Methods Implementation Study.JMIR research protocols · 2018Article
- Psychosocial Factors Associated with Healthy and Unhealthy Interpregnancy Intervals.Health equity · 2018Article
- Current Reports on Perinatal Intimate Partner Violence.Current psychiatry reports · 2017Review
- Adult Cigarette Smokers at Highest Risk for Concurrent Alternative Tobacco Product Use Among a Racially/Ethnically and Socioeconomically Diverse Sample.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016Article
- Impact of maternal and paternal preconception health on birth outcomes using prospective couples' data in Add Health.Archives of gynecology and obstetrics · 2015Article
- Intimate partner violence during pregnancy: maternal and neonatal outcomes.Journal of women's health (2002) · 2015Article
- Intimate partner violence during pregnancy and adverse neonatal outcomes in low-income women.Journal of women's health (2002) · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
This study investigates the relationship between adverse pregnancy outcomes in high-risk African American women in Washington, DC and sociodemographic risk factors, behavioral risk factors, and the most common and interrelated medical conditions occurring during pregnancy: diabetes, hypertension, preeclampsia, and Body Mass Index (BMI). Data are from a randomized controlled trial conducted in 6 prenatal clinics. Women in their 1st or 2nd trimester were screened for behavioral risks (smoking, environmental tobacco smoke exposure, depression, and intimate partner violence) and demographic eligibility. 1,044 were eligible, interviewed and followed through their pregnancies. Classification and Regression Trees (CART) methodology was used to: (1) explore the relationship between medical and behavioral risks (reported at enrollment), sociodemographic factors and pregnancy outcomes; (2) identify the relative importance of various predictors of adverse pregnancy outcomes; and (3) characterize women at the highest risk of poor pregnancy outcomes. The strongest predictors of poor outcomes were prepregnancy BMI, preconceptional diabetes, employment status, intimate partner violence, and depression. In CART analysis, preeclampsia was the first splitter for low birthweight; preconceptional diabetes was the first splitter for preterm birth (PTB) and neonatal intensive care admission; BMI was the first splitter for very PTB, large for gestational age, Cesarean section and perinatal death; employment was the first splitter for miscarriage. Preconceptional factors strongly influence pregnancy outcomes. For many of these women, the high risks they brought into pregnancy were more likely to impact their pregnancy outcomes than events during pregnancy.
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