Evidence map›Paper›PMID 28857251›Full record

ArticleBirth (Berkeley, Calif.)2017

Hospital admission for hyperemesis gravidarum in women at increased risk of spontaneous preterm birth.

Ira Kleine, Ana Da Silva, Wafaa Ahmed, Frida Forya, Sara M Whitten, Anna L David, Catherine P James

Open access · hybridAbstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 84% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 at 3 institutions in 2 countries.

Ira KleineUCL Medical School, London, UK.
Ana Da SilvaFetal Medicine Unit, University College London Hospitals NHS Foundation Trust, London, UK.
Wafaa AhmedUCL Institute for Women's Health, London, UK.
Frida ForyaUCL Institute for Women's Health, London, UK.
Sara M WhittenUCL Medical School, London, UK.
Anna L DavidFetal Medicine Unit, University College London Hospitals NHS Foundation Trust, London, UK.
Catherine P JamesFetal Medicine Unit, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0001-8498-0007
University College London Hospitals NHS Foundation Trust · GBLondon Women's Clinic · GBUniversity College Hospital · GB

Funding

Department of HealthWellcome Trust WT097228MA
6 · The paper itself

Abstract

backgroundProgesterone administration prevents spontaneous preterm birth (sPTB) in women at increased risk. Progesterone concentration is lower in women with subsequent sPTB. Conversely, high concentrations of progesterone are implicated in the pathogenesis of hyperemesis gravidarum (HG). We hypothesized that women at increased risk of sPTB or spontaneous late miscarriage would be less likely to have a diagnosis of HG. To explore this hypothesis, we compared the incidence of HG in women at increased risk of sPTB and women with no identifiable risk factors.

methodsWomen at increased risk of sPTB were identified from a specialist Preterm Birth Clinic (PTBC) database where criteria for PTBC attendance are previous cervical surgery, previous sPTB <34 weeks, previous spontaneous late miscarriage, incidental sonographic cervical shortening, and uterine anomaly. Hospital antenatal booking and coding records for the same time period were examined to identify HG admissions. Women with multiple gestations, trophoblastic disease, or pre-existing abnormal thyroid function were excluded. The incidence of HG among PTBC (n=394) and non-PTBC attendees (n=4762) was calculated.

resultsThe incidence of HG was lower in women at increased risk of sPTB (1.52%, n=6) compared with women with no identifiable risk factor for sPTB (3.33%, n=159; P=.049).

conclusionHospital admission for HG is reduced in women with risk factors for sPTB compared with those without risk factors. Exploration of the pathogenesis of HG may improve understanding of the mechanisms underlying sPTB.

Indexed as

FemaleHospitalizationHumansHyperemesis GravidarumLondonPregnancyPregnancy ComplicationsPremature BirthRisk Factorsearly pregnancy admissionshyperemesis gravidarumpreterm birth

Identifiers

PMID28857251
PMCPMC5697573
OpenAlexW2753575137

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.