Evidence map›Paper›PMID 29980184›Full record

Observational studyBMC pregnancy and childbirth2018

Perinatal outcomes in intrahepatic cholestasis of pregnancy with monochorionic diamniotic twin pregnancy.

Youwen Mei, Yonghong Lin, Dan Luo, Lan Gao, Li He

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Clinical Management Guidelines for Intrahepatic Cholestasis of Pregnancy.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024
    Article
  7. Article
  8. Article
  9. Unfolding newer concepts in placental pathology of obstetric cholestasis-a cause for prematurity.International journal of physiology, pathophysiology and pharmacology · 2022
    Review
  10. Article
  11. Article
  12. Review
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

5 authors.

Youwen MeiDepartment of Obstetrics and Gynecology, Chengdu Women and Children's Central Hospital, Chengdu City, Sichuan Province, China.
Yonghong LinDepartment of Obstetrics and Gynecology, Chengdu Women and Children's Central Hospital, Chengdu City, Sichuan Province, China. 435980180@qq.com.
Dan LuoDepartment of Obstetrics and Gynecology, Chengdu Women and Children's Central Hospital, Chengdu City, Sichuan Province, China.
Lan GaoDepartment of Obstetrics and Gynecology, Chengdu Women and Children's Central Hospital, Chengdu City, Sichuan Province, China.
Li HeDepartment of Obstetrics and Gynecology, Chengdu Women and Children's Central Hospital, Chengdu City, Sichuan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary aim of the study is to investigate the perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP) with monochorionic diamniotic (MCDA) twin pregnancy.

methodsThis study is a retrospective observational study for women with ICP and MCDA twin pregnancy. Included cases were divided into mild ICP group (10-39 mmol/L) and severe ICP group (> = 40 mmol/L), whose perinatal outcomes were compared between this two groups and whose predictors of adverse perinatal outcomes were evaluated.

results37 cases and 21 cases are in mild and severe ICP group respectively, of which, the incidence of gestational diabetes mellitus (GDM) and iatrogenic preterm delivery in severe ICP group are higher than those in mild ICP group. Gestational age (GA) at diagnosis of ICP < 32 weeks is an independent risk factor for GA at delivery < 35 weeks and for composite adverse neonatal outcome. Total bile acids (TBA) > 40 mmol/l is an independent risk factor for meconium-stained amniotic fluid.

conclusionFor women with ICP and MCDA twin pregnancy, GA at diagnosis of ICP < 32 weeks and TBA > 40umol/L are associated with adverse perinatal outcomes.

Indexed as

Cholestasis, IntrahepaticInfant, Newborn, DiseasesPregnancy ComplicationsPregnancy, TwinPremature BirthAdultChinaFemaleGestational AgeHumansInfant, NewbornParturitionPregnancyPregnancy OutcomePrognosisRetrospective StudiesIntrahepatic cholestasis of pregnancyMonochorionic diamniotic twin pregnancyPerinatal outcomesTotal bile acids

Identifiers

PMID29980184
PMCPMC6035470

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.