Evidence map›Paper›PMID 25124429›Full record

ReviewScience (New York, N.Y.)2014

Preterm labor: one syndrome, many causes.

Roberto Romero, Sudhansu K Dey, Susan J Fisher

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

Review in Science (New York, N.Y.), 2014. 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 1,058 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,058citing papers in PubMed, 5 pooled it
83.4field-weighted citation impact, top 1% 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.

NCT05632003 completednot on this mapstarted 2022, after this paper: background citation

Uterocervical Angle Versus Cervical Length in The Prediction Of Spontaneous Preterm Birth In Women With History Of Spontaneous Preterm Birth A Prospective Observational Study

TypeobservationalSponsorAin Shams Maternity HospitalRan2022 to 2022Enrolled77ConditionsPreterm Labor
NCT06664554 completednot on this mapstarted 2021, after this paper: background citation

Predictive Value of Maternal Blood Protein Signatures in Preterm Birth

TypeobservationalSponsorHBI Solutions Inc.Ran2021 to 2024Enrolled18,000ConditionsPreterm Birth
3 · Its place in the literature

Who cites it

1,058 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,949 citations in OpenAlex.

  1. Pooled it
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  7. Associations between Nugent-bacterial vaginosis and preterm birth and other adverse pregnancy outcomes in rural northwestern Bangladesh.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  14. Spontaneous Preterm Birth and Subsequent Cardiovascular Mortality: Linked Registry Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026
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998 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 2 countries.

Roberto RomeroPerinatology Research Branch, Program for Perinatal Research and Obstetrics, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, Bethesda, MD, Wayne State University/the Detroit Medical Center, Detroit, MI, USA. Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA. Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA. romeror@mail.nih.gov.
Sudhansu K DeyDivision of Reproductive Sciences, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Susan J FisherDepartment of Obstetrics, Gynecology and Reproductive Sciences, Department of Anatomy, and Center for Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
Cincinnati Children's Hospital Medical Center · USMichigan State University · US

Funding

The Role Of Subclinical Infection And Cytokines In Preterm ParturitionZIAHD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$254.4M
Project 4: Human Endometrial Programming for Successful ImplantationP50HD055764 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GIUDICE, LINDA C · 2014 to 2022
$16.4M
Trophoblast Differentiation in In Vivo and In Vitro Fertilized EmbryosU54HD055764 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GIUDICE, LINDA C · 2007 to 2013
$11.5M
Molecular signaling in uterine receptivity to implantationR01HD068524 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI Xiaofei Sun · 2011 to 2026
$5.3M
Endocannabinoid Signaling During Early PregnancyR37DA006668 · NIDA · VANDERBILT UNIVERSITY · PI DEY, SUDHANSU K · 2003 to 2012
$3.8M
Dissecting gene dysregulation at the maternal-fetal interface in preeclampsiaR37HD076253 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FISHER, SUSAN J. · 2013 to 2022
$3.4M
MARIJUANA EFFECTS ON EARLY PREGNANCYR01DA006668 · NIDA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI DEY, SUDHANSU K · 1990 to 2019
$2.1M
Intramural NIH HHS ZIA HD002400NICHD NIH HHS HD068524NICHD NIH HHS P50 HD055764NICHD NIH HHS R01 HD068524NICHD NIH HHS R37 HD076253NICHD NIH HHS U54 HD055764NIDA NIH HHS DA06668NIDA NIH HHS R01 DA006668NIDA NIH HHS R37 DA006668
6 · The paper itself

Abstract

Preterm birth is associated with 5 to 18% of pregnancies and is a leading cause of infant morbidity and mortality. Spontaneous preterm labor, a syndrome caused by multiple pathologic processes, leads to 70% of preterm births. The prevention and the treatment of preterm labor have been long-standing challenges. We summarize the current understanding of the mechanisms of disease implicated in this condition and review advances relevant to intra-amniotic infection, decidual senescence, and breakdown of maternal-fetal tolerance. The success of progestogen treatment to prevent preterm birth in a subset of patients at risk is a cause for optimism. Solving the mystery of preterm labor, which compromises the health of future generations, is a formidable scientific challenge worthy of investment.

Indexed as

DeciduaFemaleFetusHumansImmune ToleranceInfectionsInflammationObstetric Labor, PrematurePlacentaPregnancySyndromeVascular Diseases

Identifiers

PMID25124429
PMCPMC4191866
OpenAlexW2010101647

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.