Evidence map›Paper›PMID 29609190›Full record

ArticleAmerican journal of perinatology2018

Stillbirth, Inflammatory Markers, and Obesity: Results from the Stillbirth Collaborative Research Network.

Margo S Harrison, Vanessa R Thorsten, Donald J Dudley, Corette B Parker, Matthew A Koch, Carol J R Hogue, Barbara J Stoll, Robert M Silver, Michael W Varner, M Halit Pinar and 7 more

Abstract read
In one paragraph

Article in American journal of perinatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Periconceptional biomarkers for maternal obesity: a systematic review.Reviews in endocrine & metabolic disorders · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Altered Offspring Immunity in Maternal Parasitic Infections.Journal of immunology (Baltimore, Md. : 1950) · 2022
    Review
  6. Review
  7. 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

17 authors at 11 institutions in 1 country.

Margo S HarrisonColumbia University Medical Center, New York, New York.
Vanessa R ThorstenRTI International, Research Triangle Park, North Carolina.
Donald J DudleyUniversity of Virginia, Charlottesville, Virginia.
Corette B ParkerRTI International, Research Triangle Park, North Carolina.
Matthew A KochRTI International, Research Triangle Park, North Carolina.
Carol J R HogueEmory University, Atlanta, Georgia.
Barbara J StollUniversity of Texas Health McGovern Medical School, Houston, Texas.
Robert M SilverUniversity of Utah Health Sciences Center, Salt Lake City, Utah.
Michael W VarnerUniversity of Utah Health Sciences Center, Salt Lake City, Utah.
M Halit PinarBrown University, Providence, Rhode Island.
Donald R CoustanBrown University, Providence, Rhode Island.
George R SaadeUniversity of Texas Medical Branch, Galveston, Texas.
Radek K BukowskiUniversity of Texas at Austin, Austin, Texas.
Deborah L ConwayUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas.
Marian WillingerEunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Uma M ReddyEunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Robert L GoldenbergColumbia University Medical Center, New York, New York.
RTI International · USBrown University · USColumbia University Irving Medical Center · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USUniversity of Utah · USEmory University · USThe University of Texas at Austin · USThe University of Texas Health Science Center at Houston · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas Medical Branch at Galveston · USUniversity of Virginia · US

Funding

UAB/AKU Global Network Research UnitU01HD040607 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GOLDENBERG, ROBERT L · 2001 to 2012
$8.5M
Stillbirth NetworkU01HD045954 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI PARKER, CORETTE BREEDEN · 2003 to 2009
$8.4M
Columbia University/Aga Khan University Global Network Research UnitU10HD078438 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOLDENBERG, ROBERT L · 2013 to 2017
$3.2M
Research on the Scope and Causes of Stillbirth in the USU10HD045944 · NICHD · UNIVERSITY OF UTAH · PI SILVER, ROBERT M. · 2003 to 2009
$2.7M
Research on the Scope and Causes of Stillbirth in the USU10HD045925 · NICHD · EMORY UNIVERSITY · PI HOGUE, CAROL · 2003 to 2009
$2.3M
RESEARCH ON SCOPE &CAUSES OF STILLBIRTH IN THE USU10HD045953 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI COUSTAN, DONALD R · 2003 to 2009
$2.3M
Scope and Causes of StillbirthU10HD045952 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SAADE, GEORGE R. · 2003 to 2009
$1.9M
NICHD NIH HHS HHSN275201400001CNICHD NIH HHS U01 HD040607NICHD NIH HHS U01 HD045954NICHD NIH HHS U10 HD045925NICHD NIH HHS U10 HD045944NICHD NIH HHS U10 HD045952NICHD NIH HHS U10 HD045953NICHD NIH HHS U10 HD078438
6 · The paper itself

Abstract

backgroundObesity is associated with increased risk of stillbirth, although the mechanisms are unknown. Obesity is also associated with inflammation. Serum ferritin, C-reactive protein, white blood cell count, and histologic chorioamnionitis are all markers of inflammation.

objectiveThis article determines if inflammatory markers are associated with stillbirth and body mass index (BMI). Additionally, we determined whether inflammatory markers help to explain the known relationship between obesity and stillbirth. STUDY

designWhite blood cell count was assessed at admission to labor and delivery, maternal serum for assessment of various biomarkers was collected after study enrollment, and histologic chorioamnionitis was based on placental histology. These markers were compared for stillbirths and live births overall and within categories of BMI using analysis of variance on logarithmic-transformed markers and logistic regression for dichotomous variables. The impact of inflammatory markers on the association of BMI categories with stillbirth status was assessed using crude and adjusted odds ratios (COR and AOR, respectively) from logistic regression models. The interaction of inflammatory markers and BMI categories on stillbirth status was also assessed through logistic regression. Additional logistic regression models were used to determine if the association of maternal serum ferritin with stillbirth is different for preterm versus term births. Analyses were weighted for the overall population from which this sample was derived.

resultsA total of 497 women with singleton stillbirths and 1,414 women with live births were studied with prepregnancy BMI (kg/m

conclusionMaternal serum ferritin levels, elevated white blood cell count, and histologic chorioamnionitis were positively and C-reactive protein levels negatively associated with stillbirth. Elevated BMIs, both overweight and obese, were associated with stillbirth when compared with women with normal BMI. None of the inflammatory markers fully accounted for the relationship between obesity and stillbirth. The association of maternal serum ferritin with stillbirth was stronger in preterm than term stillbirths.

Indexed as

AdultBiomarkersBody Mass IndexCase-Control StudiesChorioamnionitisC-Reactive ProteinFemaleFerritinsGestational AgeHumansInflammationLeukocyte CountLive BirthLogistic ModelsObesityPregnancyBiomarkersC-Reactive ProteinFerritins

Identifiers

PMID29609190
PMCPMC6436964
OpenAlexW2796379142

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.