Evidence map›Paper›PMID 30269686›Full record

ArticleBMC pregnancy and childbirth2018

Opium use during pregnancy and infant size at birth: a cohort study.

Siavash Maghsoudlou, Sven Cnattingius, Scott Montgomery, Mohsen Aarabi, Shahriar Semnani, Anna-Karin Wikström, Shahram Bahmanyar

Open access · goldAbstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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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

7 authors at 4 institutions in 4 countries.

Siavash MaghsoudlouClinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Solna, Sweden. siavashmaghsoudlou@hotmail.com.ORCID http://orcid.org/0000-0002-7721-9583
Sven CnattingiusClinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Solna, Sweden.
Scott MontgomeryClinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Solna, Sweden.
Mohsen AarabiFaculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Shahriar SemnaniFaculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
Anna-Karin WikströmClinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Solna, Sweden.
Shahram BahmanyarClinical Epidemiology Unit & Centre for Pharmacoepidemiology, Department of Medicine, Karolinska Institute, Solna, Sweden.
Karolinska Institutet · SEGolestan University · IRMazandaran University of Medical Sciences · IRÖrebro University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reported positive association between opiatic drug use during pregnancy and adverse pregnancy outcomes might be confounded by other factors related to high-risk behaviors, including the use of other harmful substances. In rural areas of Iran, opium use during pregnancy is relatively common among women who otherwise do not have a hazardous lifestyle, which reduces the risk of residual confounding and increasing the possibility to identify its effects. We aimed to examine the association of antenatal exposure to opium with risks of small for gestational age, short birth length, and small head circumference at birth.

methodIn this cohort study in the rural area of the Golestan province, Iran, we randomly selected 920 women who were exposed to opium during pregnancy and 920 unexposed women during 2008-2010. Log-binomial regression was used to estimate risk ratios (RR) and 95% confidence intervals (CI) for the associations between prenatal exposure to opium and risks of small for gestational age, short birth length, and small head circumference at birth.

resultsCompared with non-use of opium and tobacco during pregnancy, using opium only and dual use of opium and tobacco were associated with increased risks of small for gestational age at births (RR = 1.71; 95% CI 1.34-2.18 and RR = 1.62; 95% CI 1.13-2.30, respectively). Compared with non-use of opium and tobacco, exposure to only opium or dual use of opium and tobacco were also associated with more than doubled increased risks of short birth length, and small head circumference in term infants.

conclusionMaternal opium use during pregnancy is associated with increased risks of giving birth to a small for gestational age infant, as well as a term infant with short birth length or small head circumference.

Indexed as

Birth WeightInfant, Small for Gestational AgeMaternal BehaviorAdultCohort StudiesComorbidityFemaleHumansInfant, NewbornIranOpium DependencePregnancyPregnancy OutcomePremature BirthPrenatal Exposure Delayed EffectsRisk-TakingBirth sizeIranOpiumPregnancySmall for gestational age

Identifiers

PMID30269686
PMCPMC6166275
OpenAlexW2891564118

What OpenQuestion holds

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LicenceCC BY
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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.