Evidence map›Paper›PMID 27400915›Full record

ArticleMaternal and child health journal2016

Risk of Preeclampsia in Pregnancies After Assisted Reproductive Technology and Ovarian Stimulation.

Angela S Martin, Michael Monsour, Jennifer F Kawwass, Sheree L Boulet, Dmitry M Kissin, Denise J Jamieson

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Association betweenFrontiers in endocrinology · 2026
    Observational
  2. Article
  3. The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: A pragmatic guide for first-trimester screening and prevention.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2019
    Article
  4. 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

6 authors at 2 institutions in 1 country.

Angela S MartinDepartment of Gynecology and Obstetrics, Emory University, 69 Jesse Hill Jr. Drive, SE, 4th Floor, Glenn Building, Atlanta, GA, 30303, USA. amatlac@emory.edu.
Michael MonsourDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, 30341, USA.
Jennifer F KawwassDepartment of Gynecology and Obstetrics, Emory University, 69 Jesse Hill Jr. Drive, SE, 4th Floor, Glenn Building, Atlanta, GA, 30303, USA.
Sheree L BouletDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, 30341, USA.
Dmitry M KissinDepartment of Gynecology and Obstetrics, Emory University, 69 Jesse Hill Jr. Drive, SE, 4th Floor, Glenn Building, Atlanta, GA, 30303, USA.
Denise J JamiesonDepartment of Gynecology and Obstetrics, Emory University, 69 Jesse Hill Jr. Drive, SE, 4th Floor, Glenn Building, Atlanta, GA, 30303, USA.
National Center for Chronic Disease Prevention and Health Promotion · USEmory University · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Objective To compare the risk of preeclampsia among spontaneously conceived pregnancies to those after hyperestrogenic ovarian stimulation (hyperestrogenic OS) with and without assisted reproductive technology (ART), and stimulation with non-hyperestrogenic aromatase inhibitor stimulation (non-hyperestrogenic OS). Methods Live-born singleton deliveries among women 20-49 years were identified in the 2004-2012 Truven Health MarketScan Commercial Claims and Encounters Databases using ICD-9 and CPT codes. Maternal characteristics were compared using Chi squared and Fisher exact tests. We performed multilevel multivariable logistic regression, controlling for maternal age, parity, comorbid conditions, and region of delivery, and calculated adjusted odds ratios (aOR) and 95 % confidence intervals for mild and severe preeclampsia. Results 1,014,526 spontaneously conceived, 6881 hyperestrogenic OS with ART, 27,516 hyperestrogenic OS without ART, and 2117 non-hyperestrogenic OS pregnancies were identified. The adjusted odds of developing preeclampsia were increased for deliveries after hyperestrogenic OS with ART (mild preeclampsia aOR 1.42, 1.24-1.62; severe preeclampsia aOR 1.83, 1.59-2.11) and without ART (mild preeclampsia aOR 1.32, 1.24-1.42; severe preeclampsia aOR 1.53, 1.41-1.66). Adjusted odds of preeclampsia were similar between spontaneously conceived and non-hyperestrogenic OS pregnancies. Conclusions for Practice Risk of preeclampsia after ART may in part be related to supraphysiologic estrogen associated with hyperestrogenic OS.

Indexed as

Ovulation InductionPre-EclampsiaPregnancy OutcomeReproductive Techniques, AssistedAdultFemaleHumansInternational Classification of DiseasesLive BirthLogistic ModelsMaternal AgeMothersPregnancyPregnancy, High-RiskRisk FactorsAromatase inhibitorsAssisted reproductive technologyIn vitro fertilizationOvarian stimulationPreeclampsia

Identifiers

PMID27400915
PMCPMC11057002
OpenAlexW2466554505

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.