Evidence map›Paper›PMID 22727258›Full record

ArticleBMC pregnancy and childbirth2012

Gaps in the evidence for prevention and treatment of maternal anaemia: a review of systematic reviews.

Jacqui A Parker, Filipa Barroso, Simon J Stanworth, Helen Spiby, Sally Hopewell, Carolyn J Doree, Mary J Renfrew, Shubha Allard

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Treatment for women with postpartum iron deficiency anaemia.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Treatment for women with postpartum iron deficiency anaemia.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  5. Integrated care programmes for adults with chronic conditions: a meta-review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014
    Pooled it
  6. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2012
    Pooled it
  7. Trial
  8. Oral Iron Supplementation in Pregnancy: Current Recommendations and Evidence-Based Medicine.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
    Review
  9. Review
  10. Article
  11. Review
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

8 authors.

Jacqui A ParkerDepartment of Obstetric Anaesthesia, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9BQ, UK. jacquismail@gmail.com
Filipa Barroso
Simon J Stanworth
Helen Spiby
Sally Hopewell
Carolyn J Doree
Mary J Renfrew
Shubha Allard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnaemia, in particular due to iron deficiency, is common in pregnancy with associated negative outcomes for mother and infant. However, there is evidence of significant variation in management. The objectives of this review of systematic reviews were to analyse and summarise the evidence base, identify gaps in the evidence and develop a research agenda for this important component of maternity care.

methodsMultiple databases were searched, including MEDLINE, EMBASE and The Cochrane Library. All systematic reviews relating to interventions to prevent and treat anaemia in the antenatal and postnatal period were eligible. Two reviewers independently assessed data inclusion, extraction and quality of methodology.

results27 reviews were included, all reporting on the prevention and treatment of anaemia in the antenatal (n = 24) and postnatal periods (n = 3). Using AMSTAR as the assessment tool for methodological quality, only 12 of the 27 were rated as high quality reviews. The greatest number of reviews covered antenatal nutritional supplementation for the prevention of anaemia (n = 19). Iron supplementation was the most extensively researched, but with ongoing uncertainty about optimal dose and regimen. Few identified reviews addressed anaemia management post-partum or correlations between laboratory and clinical outcomes, and no reviews reported on clinical symptoms of anaemia.

conclusionsThe review highlights evidence gaps including the management of anaemia in the postnatal period, screening for anaemia, and optimal interventions for treatment. Research priorities include developing standardised approaches to reporting of laboratory outcomes, and information on clinical outcomes relevant to the experiences of pregnant women.

Indexed as

Systematic Reviews as TopicAnemiaAnemia, Iron-DeficiencyEvidence-Based MedicineFemaleHumansIronPostpartum PeriodPregnancyPregnancy Complications, HematologicTrace ElementsIronTrace Elements

Identifiers

PMID22727258
PMCPMC3475131

What OpenQuestion holds

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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.