Evidence map›Paper›PMID 27063600›Full record

ArticleFertility and sterility2016

Impact of fertility treatment on severe maternal morbidity.

Erica T Wang, John A Ozimek, Naomi Greene, Lauren Ramos, Nina Vyas, Sarah J Kilpatrick, Margareta D Pisarska

Abstract readComparative Study
In one paragraph

Article in Fertility and sterility, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Severe Maternal Morbidity in Twins.American journal of perinatology · 2023
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Maternal and neonatal outcomes associated with infertility.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2019
    Article
  7. Article
  8. Genetics and Epigenetics of Infertility and Treatments on Outcomes.The Journal of clinical endocrinology and metabolism · 2019
    Review
  9. Article
  10. Infertility treatment and risk of severe maternal morbidity: a propensity score-matched cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Review
  16. 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

7 authors.

Erica T WangCedars-Sinai Medical Center, Los Angeles, California. Electronic address: erica.wang@cshs.org.
John A OzimekCedars-Sinai Medical Center, Los Angeles, California.
Naomi GreeneCedars-Sinai Medical Center, Los Angeles, California.
Lauren RamosCedars-Sinai Medical Center, Los Angeles, California.
Nina VyasUCLA David Geffen School of Medicine, Los Angeles, California.
Sarah J KilpatrickCedars-Sinai Medical Center, Los Angeles, California.
Margareta D PisarskaCedars-Sinai Medical Center, Los Angeles, California.

Funding

Effects of fetal sex on the first trimester transcriptomeR01HD074368 · NICHD · CEDARS-SINAI MEDICAL CENTER · PI PISARSKA, MARGARETA · 2013 to 2018
$3.4M
NICHD NIH HHS R01 HD074368
6 · The paper itself

Abstract

objectiveTo determine if fertility treatment is associated with increased risk of severe maternal morbidity (SMM) compared with spontaneous pregnancies.

designRetrospective cohort study.

settingAcademic medical center. PATIENT(S): In 2012, 6,543 women delivered live births >20 weeks gestation at our center. Women were categorized based on mode of conception: in vitro fertilization (IVF), non-IVF fertility treatment (NIFT), or spontaneous pregnancies. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): The main outcome was presence of true SMM, such as eclampsia, respiratory failure, and peripartum hysterectomy. Deliveries were screened with the use of: 1) International Classification of Diseases 9 codes; 2) prolonged postpartum stay; 3) maternal intensive care unit admissions, and 4) blood transfusion. The charts of women meeting the screening criteria were reviewed to identify true SMM based on a previously validated method, recognizing that medical record review is the criterion standard. RESULT(S): Of the 6,543 deliveries, 246 (3.8%) were IVF conceptions and 109 (1.7%) NIFT conceptions. Sixty-nine cases of true SMM were identified (1.1%). In multivariate analyses, any fertility treatment (IVF + NIFT) was associated with increased risk of SMM compared with spontaneous conceptions. In a subset analysis of singletons only, the association between any fertility treatment (IVF + NIFT) and SMM was not statistically significant. CONCLUSION(S): Overall, fertility treatment increased risk for SMM events. Given the limited sample size, the negative finding with singleton gestations is inconclusive. Larger multicenter studies with accurate documentation of fertility treatment and SMM cases are needed to further clarify the risk associated with singletons.

Indexed as

Academic Medical CentersAdultFemaleFertilityFertilization in VitroHumansInfertilityLive BirthLogistic ModelsMedical RecordsMultivariate AnalysisPregnancyPregnancy ComplicationsPregnancy RateReproductive Techniques, AssistedRetrospective StudiesFertilityinfertilityin vitro fertilizationsevere maternal morbidity

Identifiers

PMID27063600
PMCPMC4975660

What OpenQuestion holds

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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.