Evidence map›Paper›PMID 29907146›Full record

Observational studyBMC pregnancy and childbirth2018

Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?

Gabriela Cormick, Ana Pilar Betrán, Janetta Harbron, Tina Dannemann Purnat, Catherine Parker, David Hall, Armando H Seuc, James M Roberts, José M Belizán, G Justus Hofmeyr and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Screening and analysis of plasma differential lncRNA/mRNA in early pregnancy of preeclampsia.Malawi medical journal : the journal of Medical Association of Malawi · 2025
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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

11 authors.

Gabriela CormickInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Emilio Ravignani, 2024, Buenos Aires, Argentina. gabmick@yahoo.co.uk.
Ana Pilar BetránHRP - UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Janetta HarbronDivision of Human Nutrition, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Tina Dannemann PurnatWHO Regional Office for Europe, World Health Organization, Copenhagen, Denmark.
Catherine ParkerEffective Care Research Unit, University of the Witwatersrand, Johannesburg, South Africa.
David HallDepartment of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.
Armando H SeucEpidemiología y Microbiología La Habana, Instituto Nacional de Higiene, Havana, Cuba.
James M RobertsMagee-Womens Research Institute, Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, USA.
José M BelizánInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Emilio Ravignani, 2024, Buenos Aires, Argentina.
G Justus HofmeyrEffective Care Research Unit, University of the Witwatersrand, Johannesburg, South Africa.
Calcium and Pre-eclampsia Study Group

Funding

Centre for Intervention Science in Maternal and Child Health 223269World Health Organization 001
6 · The paper itself

Abstract

backgroundMaternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status and dietary intake during pregnancy in high-risk women from South Africa and Zimbabwe.

methodsThis is a prospective observational study, nested to the CAP trial. Anthropometric measurements before and during pregnancy and dietary intake using 24-h recall during pregnancy were assessed. The Intake Distribution Estimation software (PC-SIDE) was used to evaluate nutrient intake adequacy taking the Estimated Average Requirement (EAR) as a cut-off point.

resultsThree hundred twelve women who had pre-eclampsia in their last pregnancy and delivered in hospitals from South Africa and Zimbabwe were assessed. 73.7 and 60.2% women in South Africa and Zimbabwe, respectively started their pregnancy with BMI above normal (BMI ≥ 25) whereas the prevalence of underweight was virtually non-existent. The majority of women had inadequate intakes of micronutrients. Considering food and beverage intake only, none of the micronutrients measured achieved the estimated average requirement. Around 60% of pregnant women reported taking folic acid or iron supplements in South Africa, but almost none did so in Zimbabwe.

conclusionWe found a high prevalence of overweight and obesity and high micronutrient intake inadequacy in pregnant women who had the previous pregnancy complicated with pre-eclampsia. The obesity figures and micronutrient inadequacy are issues of concern that need to be addressed. Pregnant women have regular contacts with the health system; these opportunities could be used to improve diet and nutrition.

trial registrationPACTR201105000267371 . Registered 06 December 2010.

Indexed as

MicronutrientsNutritional StatusAdultBody Mass IndexDietDietary SupplementsFemaleFolic AcidGestational Weight GainHumansIronMaternal HealthObesityPre-EclampsiaPregnancyPregnancy, High-RiskFolic AcidIronMicronutrientsVitamin B ComplexBMINutrient intakeObesityPregnancySupplementWeight

Identifiers

PMID29907146
PMCPMC6003186

What OpenQuestion holds

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Registered trials

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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.