Evidence map›Paper›PMID 31360030›Full record

ReviewJournal of clinical and experimental hepatology

Indian National Association for the Study of the Liver-Federation of Obstetric and Gynaecological Societies of India Position Statement on Management of Liver Diseases in Pregnancy.

Anil Arora, Ashish Kumar, Anil C Anand, Pankaj Puri, Radha K Dhiman, Subrat K Acharya, Kiran Aggarwal, Neelam Aggarwal, Rakesh Aggarwal, Yogesh K Chawla and 26 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Analysis of Causes of Hepatic Dysfunction in Obstetric Patients in India: A Systematic Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Review
  9. Review
  10. Observational
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

36 authors at 17 institutions in 1 country.

Anil AroraInstitute of Liver, Gastroenterology, and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Ashish KumarInstitute of Liver, Gastroenterology, and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Anil C AnandKalinga Institute of Medical Sciences, KIIT University, Bubaneswar, India.
Pankaj PuriInstitute of Liver, Gastroenterology, and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Radha K DhimanDepartment of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Subrat K AcharyaKalinga Institute of Medical Sciences, KIIT University, Bubaneswar, India.
Kiran AggarwalDepartment of Obstetrics and Gynecology, LHMC & Associated Hospitals, New Delhi, India.
Neelam AggarwalDepartment of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Rakesh AggarwalDepartment of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Yogesh K ChawlaKalinga Institute of Medical Sciences, KIIT University, Bubaneswar, India.
Vinod K DixitDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Ajay DusejaDepartment of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Chundamannil E EapenDepartment of Hepatology, Christian Medical College, Vellore, India.
Bhabadev GoswamiDepartment of Gastroenterology, Guwahati Medical College, Assam, India.
Kanwal GujralInstitute of Obstetrics and Gynecology, Sir Ganga Ram Hospital, New Delhi, India.
Anoop GuptaDelhi IVF and Fertility Research Centre, New Delhi, India.
Ankur JindalInstitute of Liver and Biliary Sciences, New Delhi, India.
Premashish KarDepartment of Gastroenterology and Hepatology, Max Super Speciality Hospital, Vaishali, Patparganj, New Delhi.
Krishna KumariMax Cure Suyosha Woman & Child Hospital, Hyderabad, India.
Kaushal MadanMax Smart Super Speciality Hospital, Saket, New Delhi, India.
Jaideep MalhotraRainbow Hospitals, Agra, India.
Narendra MalhotraRainbow Hospitals, Agra, India.
Gaurav PandeyDepartment of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Uma PandeyDept of Obstetrics & Gynecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Ratna D PuriInstitute of Liver, Gastroenterology, and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Ramesh R RaiDepartment of Gastroenterology, NIMS Medical College and Hospital, Jaipur, India.
Padaki N RaoDepartment of Hepatology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India.
Shiv K SarinInstitute of Liver and Biliary Sciences, New Delhi, India.
Aparna SharmaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Praveen SharmaInstitute of Liver, Gastroenterology, and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Koticherry T ShenoySree Gokulam Medical College and Research Foundation, Venjaramoodu, Thiruvananthapuram, India.
Karam R SinghRegional Institute of Medical Sciences (RIMS), Imphal, Manipur, India.
Shivaram P SinghDepartment of Gastroenterology, SCB Medical College, Cuttack, India.
Vanita SuriDepartment of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Nirupama TrehanpatiInstitute of Liver and Biliary Sciences, New Delhi, India.
Manav WadhawanBLK Super Speciality Hospital, New Delhi, India.
Sir Ganga Ram Hospital · INInstitute of Medical Sciences · INPost Graduate Institute of Medical Education and Research · INInstitute of Liver and Biliary Sciences · INMax Super Speciality Hospital · INRainbow Children's Hospital · INSanjay Gandhi Post Graduate Institute of Medical Sciences · INAll India Institute of Medical Sciences · INAsian Institute of Gastroenterology · INBLK Super Speciality Hospital · INChristian Medical College, Vellore · INESIC Hospital · INGauhati Medical College and Hospital · INNIMS University · INRegional Institute of Medical Sciences · INSree Gokulam Medical College and Research Foundation · INSriram Chandra Bhanja Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver diseases occurring during pregnancy can be serious and can progress rapidly, affecting outcomes for both the mother and fetus. They are a common cause of concern to an obstetrician and an important reason for referral to a hepatologist, gastroenterologist, or physician. Liver diseases during pregnancy can be divided into disorders unique to pregnancy, those coincidental with pregnancy, and preexisting liver diseases exacerbated by pregnancy. A rapid differential diagnosis between liver diseases related or unrelated to pregnancy is required so that specialist and urgent management of these conditions can be carried out. Specific Indian guidelines for the management of these patients are lacking. The Indian National Association for the Study of the Liver (INASL) in association with the Federation of Obstetric and Gynaecological Societies of India (FOGSI) had set up a taskforce for development of consensus guidelines for management of patients with liver diseases during pregnancy, relevant to India. For development of these guidelines, a two-day roundtable meeting was held on 26-27 May 2018 in New Delhi, to discuss, debate, and finalize the consensus statements. Only those statements that were unanimously approved by most members of the taskforce were accepted. The primary objective of this review is to present the consensus statements approved jointly by the INASL and FOGSI for diagnosing and managing pregnant women with liver diseases. This article provides an overview of liver diseases occurring in pregnancy, an update on the key mechanisms involved in its pathogenesis, and the recommended treatment options.

Indexed as

ABCB4, ATP-binding cassette subfamily B member 4acute fatty liver of pregnancyAFLP, Acute fatty liver of pregnancyALF, Acute liver failureALP, Alkaline phosphataseALT, Alanine transferaseART, Antiretroviral therapyAST, Aspartate aminotransferaseBCS, Budd-Chiari syndromeCT, Computerized tomographyDIC, Disseminated intravascular coagulationDNA, Deoxyribonucleic acidDPTA, Diethylenetriamine pentaacetic acidERCP, Endoscopic retrograde cholangiopancreatographyFDA, Food and Drug AdministrationFOGSI, Federation of Obstetric and Gynaecological Societies of IndiaGGT, Gamma-glutamyl transpeptidaseGI, GastrointestinalGRADE, Grading of Recommendations Assessment Development and EvaluationHBeAg, Hepatitis B envelope antigenHBIG, Hepatitis B immune globulinHBsAg, Hepatitis B surface antigenHBV, Hepatitis B virusHCV, Hepatitis C virusHELLP, Hemolysis, elevated liver enzymes, low platelet countHELLP syndromeHG, Hyperemesis gravidarumHIV, Human immunodeficiency virusHV, Hepatic veinhyperemesis gravidarumICP, Intrahepatic cholestasis of pregnancyINASL, Indian National Association for the Study of Liverintrahepatic cholestasis of pregnancyIVF, In vitro fertilizationLFT, Liver function testliver diseases in pregnancyMDR, Multidrug resistanceMRI, Magnetic resonance imagingMTCT, Mother-to-child transmissionNA, Nucleos(t)ide analogPegIFN, Pegylated interferonPIH, Pregnancy-induced hypertensionPT, Prothrombin timePUQE, Pregnancy-Unique Quantification of EmesisRNA, Ribonucleic acidTAF, Tenofovir alafenamideTDF, Tenofovir disoproxil fumarateTIPS, Transjugular intrahepatic portosystemic shuntUDCA, Ursodeoxycholic acidUGI, Upper gastrointestinalULN, Upper limit of normal

Identifiers

PMID31360030
PMCPMC6637074
OpenAlexW2921711367

What OpenQuestion holds

Textmetadata
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.