Evidence map›Paper›PMID 26450602›Full record

SynthesisBMC pregnancy and childbirth2015

Association between maternal HIV infection and low birth weight and prematurity: a meta-analysis of cohort studies.

Peng-Lei Xiao, Yi-Biao Zhou, Yue Chen, Mei-Xia Yang, Xiu-Xia Song, Yan Shi, Qing-Wu Jiang

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 4 pooled it
4.9field-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.

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

98 citing papers in PubMed, 4 syntheses or guidelines pooled it, 201 citations in OpenAlex.

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  3. Adverse pregnancy and neonatal outcomes associated withSexually transmitted infections · 2021
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  6. Pregnancy Outcomes of Women Conceiving on Antiretroviral Therapy (ART) Compared to Those Commenced on ART During Pregnancy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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38 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

7 authors at 2 institutions in 2 countries.

Peng-Lei XiaoFudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. xiaopl90@163.com.
Yi-Biao ZhouFudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. ybzhou@fudan.edu.cn.
Yue ChenSchool of Epidemiology, Public Health and Preventive Medicine, Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8 M5, Canada. yue.chen@uottawa.ca.
Mei-Xia YangXuhui Center for Disease Prevention and Control, 50 Yongchuan Road, Xuhui District, Shanghai, 200032, China. 1057339623@qq.com.
Xiu-Xia SongFudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. xxsong@fudan.edu.cn.
Yan ShiFudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. 13211020008@fudan.edu.cn.
Qing-Wu JiangFudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. jiangqw@fudan.edu.cn.
Fudan University · CNUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the association between maternal human immunodeficiency virus (HIV) infection and low birth weight (LBW)/prematurity (PTD), we conducted a meta-analysis of cohort studies of HIV infected and uninfected women.

methodsSeveral English and Chinese databases were searched (updated to May 2015) to find the studies reporting infant outcomes associated with exposure to maternal HIV infection during pregnancy. Relevant articles were manually selected based on several inclusion and exclusion criteria.

resultsFifty-two cohort studies including 15,538 (for LBW) and 200,896 (for PTD) HIV infected women met the inclusion criteria. There was significant heterogeneity among studies for maternal HIV infection associated with LBW/PTD (I(2) = 71.7%, P < 0.05, and I(2) = 51.8%, P < 0.05 for LBW and PTD, respectively). The meta-analysis demonstrated that the maternal HIV infection was significantly associated with both LBW (pooled odds ratio (OR): 1.73, 95% confidence interval (CI): 1.64, 1.82, P < 0.001) and PTD (pooled OR: 1.56, 95% CI: 1.49, 1.63, P < 0.001). No significant difference in the relationship between maternal HIV infection and adverse pregnancy outcomes was detected among the groups of different study periods. HIV infected women were at slightly higher risk of LBW in developing countries compared with women in developed countries (OR: 2.12 (95% CI: 1.81, 2.48) vs. 1.75 (95% CI: 1.44, 2.12)). Antiretroviral drugs usage did not significantly change the associations of maternal HIV exposure with LBW and PTD.

conclusionsHIV infected women were at higher risk of having a low birth weight infant or a preterm delivery infant compared with uninfected women. Such associations did not change significantly over time or were not significantly affected by the usage of antiretroviral drugs.

Indexed as

Birth WeightChinaDeveloped CountriesDeveloping CountriesEnglandFemaleHIV InfectionsHumansInfant, Low Birth WeightPregnancyPregnancy Complications, InfectiousPremature Birth

Identifiers

PMID26450602
PMCPMC4599647
OpenAlexW1872757211

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.