ArticleGenetics in medicine : official journal of the American College of Medical Genetics2016
Cesarean delivery is not associated with decreased at-birth fracture rates in osteogenesis imperfecta.
Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 52 citations in OpenAlex.
- Perinatal outcomes in 35 children with cartilage hair hypoplasia.Orphanet journal of rare diseases · 2026Article
- Height prediction of individuals with osteogenesis imperfecta by machine learning.Orphanet journal of rare diseases · 2024Article
- Molecular analysis of 31 cases with fetal skeletal dysplasia.Journal of perinatal medicine · 2024Article
- Ventriculosubgaleal shunt placement for hydrocephalus in osteogenesis imperfecta with novel compound heterozygous CRTAP variants.Human genome variation · 2024Article
- Emerging Landscape of Osteogenesis Imperfecta Pathogenesis and Therapeutic Approaches.ACS pharmacology & translational science · 2024Review
- Monochorionic twin pregnancy in a patient with type III osteogenesis imperfecta: a multidisciplinary challenge.BMJ case reports · 2023Article
- A Sporadic Case ofGenes · 2023Review
- Classification of osteogenesis imperfecta: Importance for prophylaxis and genetic counseling.World journal of clinical cases · 2023Review
- The patient clinical journey and socioeconomic impact of osteogenesis imperfecta: a systematic scoping review.Orphanet journal of rare diseases · 2023Article
- Osteogenesis Imperfecta: Multidisciplinary and Goal-Centered Care.AJP reports · 2022Article
- Osteogenesis Imperfecta: Multidisciplinary and Goal-Centered Care.AJP reports · 2022Article
- Comprehensive pain management strategy for infants with moderate to severe osteogenesis imperfecta in the perinatal period.Paediatric & neonatal pain · 2021Review
- Pregnancy in women with osteogenesis imperfecta: pregnancy characteristics, maternal, and neonatal outcomes.American journal of obstetrics & gynecology MFM · 2021Article
- Current Overview of Osteogenesis Imperfecta.Medicina (Kaunas, Lithuania) · 2021Review
- Prenatal diagnosis of fetal skeletal dysplasia using 3-dimensional computed tomography: a prospective study.BMC musculoskeletal disorders · 2020Article
- Hearing loss in individuals with osteogenesis imperfecta in North America: Results from a multicenter study.American journal of medical genetics. Part A · 2020Article
- Pamidronate Administration During Pregnancy and Lactation Induces Temporal Preservation of Maternal Bone Mass in a Mouse Model of Osteogenesis Imperfecta.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019Article
- Mobility in osteogenesis imperfecta: a multicenter North American study.Genetics in medicine : official journal of the American College of Medical Genetics · 2019Article
- Article
- Current and Emerging Therapeutic Options for the Management of Rare Skeletal Diseases.Paediatric drugs · 2019Review
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Authors and funding
20 authors at 10 institutions in 2 countries.
Funding
Abstract
purposeOsteogenesis imperfecta (OI) predisposes to recurrent fractures. Patients with the moderate to severe forms of OI present with antenatal fractures, and the mode of delivery that would be safest for the fetus is not known.
methodsWe conducted systematic analyses of the largest cohort of individuals with OI (n = 540) enrolled to date in the OI Linked Clinical Research Centers. Self-reported at-birth fracture rates were compared among individuals with OI types I, III, and IV. Multivariate analyses utilizing backward-elimination logistic regression model building were performed to assess the effect of multiple covariates, including method of delivery, on fracture-related outcomes.
resultsWhen accounting for other covariates, at-birth fracture rates did not differ based on whether delivery was by vaginal route or by cesarean delivery (CD). Increased birth weight conferred higher risk for fractures irrespective of the delivery method. In utero fracture, maternal history of OI, and breech presentation were strong predictors for choosing CD.
conclusionOur study, the largest to analyze the effect of various factors on at-birth fracture rates in OI, shows that CD is not associated with decreased fracture rate. With the limitation that the fracture data were self-reported in this cohort, these results suggest that CD should be performed only for other maternal or fetal indications, not for the sole purpose of fracture prevention in OI.Genet Med 18 6, 570-576.
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