Evidence map›Paper›PMID 25227158›Full record

ArticleAmerican journal of reproductive immunology (New York, N.Y. : 1989)2015

Immune changes and dysphoric moods across the postpartum.

Maureen E Groer, Cecilia Jevitt, Ming Ji

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of reproductive immunology (New York, N.Y. : 1989), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 21% 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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  17. Associations between Parity, History of Breastfeeding, and T-cell Profile of Ovarian Tumors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
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  20. Pregnancy-induced oxidative stress and inflammation are not associated with impaired maternal neuronal activity or memory function.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
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 1 country.

Maureen E GroerCollege of Nursing, University of South Florida, Tampa, FL, USA.
Cecilia Jevitt
Ming Ji
University of South Florida · USYale University · US

Funding

Influence of Lactation on Postpartum Stress and ImmunityR01NR005000 · NINR · UNIVERSITY OF TENNESSEE KNOXVILLE · PI GROER, MAUREEN EDITH · 2001 to 2010
$2.3M
NINR NIH HHS R01 NR005000NINR NIH HHS R01 NR05000
6 · The paper itself

Abstract

problemLittle is known about postpartum immune recovery and relationships of common dysphoric moods, stress, immunology, and endocrinology. METHOD OF STUDY: Healthy women (n = 72) were followed for six postpartum months with immune and hormone measures and dysphoric moods and stress scales. A panel of cytokines produced in mitogen-stimulated whole blood assays were measured at each time, along with plasma levels of hsC-reactive protein (hsCRP), Interleukin-6 (IL-6), and a panel of hormones.

resultsCellular immunity, measured by production of Interferon-gamma (IFNγ) and (Interleukin-2 (IL-2) from stimulated whole blood culture, was low in the early postpartum with changes by 3 months. Tumor necrosis factor alpha (TNFα) showed a similar pattern. Plasma levels of CRP and Interleukin-6 (IL-6) showed higher levels in the early postpartum. Mood disturbance scores dropped across the postpartum with a change in slope at 3 months. No significant relationships were found between immune, endocrine, and psychosocial measures.

conclusionReturn to normal cellular immune function may take 3-4 months in the postpartum. Some aspects of early immunology (hsCRP and IL-6) probably reflect the latter stage of pregnancy, the stress of birth and the inflammation associated with involution. Dysphoric moods are higher in the early postpartum but are not related to immune factors or hormones.

Indexed as

AdultBreast FeedingCells, CulturedC-Reactive ProteinCytokinesDepression, PostpartumFemaleHumansInterferon-gamma Release TestsInterleukin-6Killer Cells, NaturalLymphocyte ActivationMood DisordersPostpartum PeriodPregnancyPsychologyC-Reactive ProteinCytokinesIL6 protein, humanInterleukin-6Tumor Necrosis Factor-alphaC-reactive proteincytokinesimmunitymoodspostpartum

Identifiers

PMID25227158
PMCPMC4323631
OpenAlexW2161905087

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.