Evidence map›Paper›PMID 30670515›Full record

ArticleBMJ open2019

Fecundability among Danish women with a history of miscarriage: a prospective cohort study.

Cathrine Wildenschild, Anders H Riis, Vera Ehrenstein, Elizabeth E Hatch, Lauren A Wise, Kenneth J Rothman, Henrik T Sørensen, Ellen M Mikkelsen

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

8 authors.

Cathrine WildenschildDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.ORCID 0000-0003-0571-1795
Anders H RiisDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.ORCID 0000-0002-6684-4068
Vera EhrensteinDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Elizabeth E HatchDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
Lauren A WiseDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
Kenneth J RothmanDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
Henrik T SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Ellen M MikkelsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.

Funding

An internet based prospective study of time to pregnancyR01HD060680 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HATCH, ELIZABETH E · 2010 to 2014
$2.6M
NICHD NIH HHS R01 HD060680
6 · The paper itself

Abstract

objectiveTo examine the association between history of miscarriage and fecundability (the cycle-specific probability of conception).

designNationwide prospective cohort study using web-based questionnaires.

settingDenmark, 2007-2012.

participants977 women attempting to conceive, not using fertility treatment, and with a reproductive history of only miscarriage or only live birth. EXPOSURE AND OUTCOME MEASURES: Information on previous pregnancy outcomes, including miscarriage, came from self-report or from relevant registries. Participants were followed for up to 12 months or until they reported a pregnancy, stopped trying to conceive or started fertility treatment, whichever came first. We used Kaplan-Meier methods to estimate cumulative probabilities of conception for women whose reproductive history included only miscarriage or only live birth. Using proportional probabilities regression modelling, we computed fecundability ratios (FR) with 95% CI comparing women with a history of only miscarriage with women with a history of only live birth.

resultsAfter adjustment for potential confounders, the cumulative probabilities of conception within 12 cycles of follow-up were 85% (95% CI 81% to 89%) for women with a history of 1 miscarriage, 85% (95% CI 73% to 92%) for women with a history of ≥2 miscarriages and 88% (95% CI 87% to 89%) for women whose reproductive history included only live birth. Adjusted FRs were 0.87 (95% CI 0.71 to 1.07) and 0.65 (95% CI 0.36 to 1.17) for women with a history of 1 and ≥2 miscarriages, respectively.

conclusionsOur results indicate that women with a history of miscarriage may have slightly reduced fecundability compared with women with a history of only live birth. The reduction in fecundability was greater for women with repeated miscarriages, although the estimates were imprecise. Despite a potential delay in conception, women with previous miscarriage may have similar probability of pregnancy by 12 cycles of attempts to women with proven fertility.

Indexed as

Abortion, SpontaneousFertilityTime-to-PregnancyAdultCohort StudiesDenmarkFemaleHumansKaplan-Meier EstimatePregnancyProbabilityProspective StudiesYoung Adultepidemiologyfecundabilitymiscarriagetime-to-pregnancyTTP

Identifiers

PMID30670515
PMCPMC6347866

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