Evidence map›Paper›PMID 22713503›Full record

ReviewSeminars in perinatology2012

Obesity and the risk and detection of fetal malformations.

Diana Racusin, Blair Stevens, Genevieve Campbell, Kjersti M Aagaard

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 4% 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.

NCT05527327 nacompletednot on this mapstarted 2022, after this paper: background citation

Pannus Retraction for Ultrasound Evaluation of the Obese Gravida: A Pilot Study

TypeinterventionalSponsorPrisma Health-UpstateRan2022 to 2022Enrolled20ConditionsObesity, Pregnancy Complications, Fetal Anomaly, PannusArmstraxi® Panniculus Retractor
NCT05764408 nacompletednot on this mapstarted 2023, after this paper: background citation

Pannus Assistance Needed for Obstetric Ultrasound Studies: A Randomized Controlled Trial

TypeinterventionalSponsorPrisma Health-UpstateRan2023 to 2023Enrolled150ConditionsObesity Complicating Childbirth, Fetal AnomalyArmstraxi® Panniculus Retractor
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Maternal obesity in Africa: a systematic review and meta-analysis.Journal of public health (Oxford, England) · 2016
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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

4 authors at 1 institution in 1 country.

Diana RacusinDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030, USA. aagaardt@bcm.tmc.edu
Blair Stevens
Genevieve Campbell
Kjersti M Aagaard
Baylor College of Medicine · US

Funding

Characterization of the Fetal Primate Epigenome and Metabolome Under In UteroDP2OD001500 · OD · BAYLOR COLLEGE OF MEDICINE · PI AAGAARD, KJERSTI MARIE · 2007 to 2011
$2.3M
Maternal Diet Modifies the Fetal Primate Epigenome and Circadian Gene ExpressionR01DK080558 · NIDDK · UNIVERSITY OF UTAH · PI LANE, ROBERT H · 2007 to 2010
$987k
NICHD NIH HHS L40 HD051105NIDDK NIH HHS R01 DK080558NIDDK NIH HHS R01DK080558NIH HHS DP2 OD001500NIH HHS NIH DP21DP2OD001500-01
6 · The paper itself

Abstract

The incidence of obesity in pregnancy has increased over the past 2 decades, with nearly 50% of U.S. women aged 15-49 years classified as overweight or obese. Obesity (independent of diabetes) among gravidae poses unique risks that extend toward the fetus, with several large population-based analyses demonstrating independent increased risks for fetal malformations including neural tube defects, cardiac anomalies, and orofacial clefts, as well as stillbirth and macrosomia. Unfortunately, several lines of evidence also suggest that the quality of the prenatal fetal anatomic survey and certain aspects of prenatal diagnostic screening programs are significantly limited. The net effect is that among obese gravidae, the increased risk of fetal anomalies is further offset by a concomitant diminished ability to sonographically detect such malformations in the prenatal interval. The purpose of this summary review is to systematically examine the evidence suggesting an increased risk of fetal malformations in obese gravidae, the contributing role of diabetes, and the limitations of prenatal diagnostic and sonographic screening among this at-risk population.

Indexed as

Diabetes, GestationalBody Mass IndexCleft PalateCongenital AbnormalitiesFemaleHeart Defects, CongenitalHumansNeural Tube DefectsObesityOverweightPregnancyRisk FactorsUltrasonography, Prenatal

Identifiers

PMID22713503
PMCPMC4005897
OpenAlexW1966051839

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.