Evidence map›Paper›PMID 30681774›Full record

SynthesisCongenital heart disease2019

Safety of contraceptive use among women with congenital heart disease: A systematic review.

Ginnie Abarbanell, Naomi K Tepper, Sherry L Farr

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Congenital heart disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Pregnancy Considerations in Tetralogy of Fallot.CJC pediatric and congenital heart disease · 2023
    Review
  7. Review
  8. Article
  9. Reproductive Health of Women with Congenital Heart Defects.Journal of women's health (2002) · 2023
    Review
  10. Article
  11. Review
  12. Article
  13. Creating a Multidisciplinary Pregnancy Heart Team.Current treatment options in cardiovascular medicine · 2020
    Review
  14. Article
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

3 authors at 2 institutions in 1 country.

Ginnie AbarbanellDepartment of Pediatrics, Division of Pediatric Cardiology, Washington University School of Medicine/St. Louis Children's Hospital, St. Louis, Missouri.ORCID https://orcid.org/0000-0001-6182-2663
Naomi K TepperDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sherry L FarrDivision of Congenital and Developmental Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USSt. Louis Children's Hospital · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveWomen with congenital heart disease (CHD) are at increased risk of pregnancy complications and need information on safe, effective contraceptive methods to avoid unintended pregnancy. This systematic review examines evidence regarding safety of contraceptive use among women with CHD.

methodsThe PubMed database was searched for any peer-reviewed articles published through April 2018 that included safety outcomes associated with reversible contraceptive methods among women with CHD.

resultsFive articles met inclusion criteria: three studies comparing contraceptive users to nonusers and two noncomparative studies. Sample sizes ranged from 65 to 505 women with CHD. Two studies found a higher percent of thromboembolic complications among women with Fontan palliation or transposition of the great arteries using oral contraceptives. One study, among women with Fontan palliation, found no increased risk of thromboembolic complications between contraceptive users (not separated by type) and nonusers. Two studies found no endocarditis among intrauterine device users.

conclusionsThere is a paucity of data regarding the safety of contraceptive methods among women with CHD. Limited evidence suggests an increased incidence of thromboembolic complications with use of oral contraceptives. Further studies are needed to evaluate contraceptive safety and quantify risk in this growing population. There is also limited data regarding the safety of contraceptive methods among women with CHD. Further information is needed to assist practitioners counseling women with CHD on safety of contraceptive methods.

Indexed as

Pregnancy, UnplannedAdolescentAdultContraceptionContraceptives, OralFemaleHeart Defects, CongenitalHumansIncidencePregnancyRisk AssessmentRisk FactorsThromboembolismTreatment OutcomeYoung AdultContraceptives, Oralcongenital heart diseasecontraceptionsystematic review

Identifiers

PMID30681774
PMCPMC6719294
OpenAlexW2315902120

What OpenQuestion holds

Textmetadata
LicenceTDM
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.