Evidence map›Paper›PMID 29797075›Full record

ArticleArchives of gynecology and obstetrics2018

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma.

Nasrin Fazel, Michael Kundi, Erika Jensen-Jarolim, Isabella Pali-Schöll, Asghar Kazemzadeh, Mojtaba Fattahi Abdizadeh, Habibollah Esmaily, Roya Akbarzadeh, Raheleh Ahmadi

Erratum issuedAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Maternal asthma in relation to infant size and body composition.The journal of allergy and clinical immunology. Global · 2023
    Article
  7. Review
  8. Asthma in pregnancy.Allergy and asthma proceedings · 2023
    Review
  9. Article
  10. Article
  11. Pregnancy Outcomes among Women with Intermittent Asthma: A Retrospective Cohort Study.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Nasrin FazelCenter for Public Health, Medical University Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.ORCID 0000-0002-6625-1748
Michael KundiCenter for Public Health, Medical University Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria. michael.kundi@meduniwien.ac.at.
Erika Jensen-JarolimInstitute for Pathophysiology and Allergy Research, Medical University Vienna, Vienna, Austria.
Isabella Pali-SchöllInstitute for Pathophysiology and Allergy Research, Medical University Vienna, Vienna, Austria.
Asghar KazemzadehDepartment of Internal Medicine, University of Medical Sciences, Sabzevar, Iran.
Mojtaba Fattahi AbdizadehDepartment of Microbiology, University of Medical Sciences, Sabzevar, Iran.
Habibollah EsmailyDepartment of Biostatistics and Epidemiology, Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Roya AkbarzadehParamedicine College, University of Medical Sciences, Sabzevar, Iran.
Raheleh AhmadiDepartment of Obstetrics and Gynecology, Mobini Hospital, University of Medical Sciences, Sabzevar, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is the most common potentially serious medical complication in pregnancy. The purpose of this study was to determine the association between maternal asthma and a spectrum of adverse neonatal and maternal outcomes.

methodsEvents during pregnancy and birth outcome were evaluated in 34 asthmatic as well as 1569 non-asthmatic pregnant women who were enrolled in a prospective cohort study undertaken at the antenatal clinics of Mobini Hospital in Iran. The women were interviewed and classified according to clinical severity and asthma control as per GINA guidelines. Information on asthma symptoms was collected by a questionnaire as well as by spirometry and physical examination. All subjects were followed until delivery, and postpartum charts were reviewed to assess neonatal and maternal outcomes. Eosinophil cells counts were obtained and total IgE was measured by ELISA. Results were assessed by multivariate logistic regression adjusting for maternal age and parity, and for birth outcomes, for gestational diabetes, and hypertension/pre-eclampsia.

resultsThe well-known relationship between family history of asthma and asthma in pregnancy was again supported (p < 0.001). Women with asthma had more bleeding events 3 weeks or more before delivery (OR 3.30, 95% CI 1.41-7.26), more often placenta problems (OR 6.86, 95% CI 1.42-33.02), and gestational diabetes mellitus (OR 3.82, 95% CI 1.06-13.75). No significant differences between asthmatic and non-asthmatic mothers regarding duration of gestation, birthweight, low Apgar scores, or neonatal respiratory difficulties were found. Total IgE antibody levels and eosinophil counts did not differ by asthma control and severity.

conclusionsAsthma in pregnancy poses some risk for pregnancy complications and adverse perinatal outcomes. Managing asthma effectively throughout pregnancy could benefit women and their babies and help to reduce the health burden associated with asthma during pregnancy.

Indexed as

AdultAsthmaCohort StudiesFemaleHumansPregnancyPregnancy ComplicationsPregnancy OutcomeProspective StudiesAsthmaBirth outcomePregnancyPregnancy complication

Identifiers

PMID29797075
PMCPMC6060764

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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.