Evidence map›Paper›PMID 31616571›Full record

ArticleSouthern African journal of HIV medicine2019

Birth outcomes following antiretroviral exposure during pregnancy: Initial results from a pregnancy exposure registry in South Africa.

Ushma C Mehta, Cari van Schalkwyk, Prineetha Naidoo, Arthi Ramkissoon, Otty Mhlongo, Niren R Maharaj, Niree Naidoo, Karen Fieggen, Michael F Urban, Shaun Krog and 4 more

Abstract read
In one paragraph

Article in Southern African journal of HIV medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Pregnant Women With Multidrug-Resistant/Rifampicin-Resistant Tuberculosis and the All-Oral 6-Month Regimen: Experiences From a Patient Series in South Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Observational
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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

14 authors.

Ushma C MehtaCentre for Infectious Disease Epidemiology and Research (CIDER), School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-0032-3171
Cari van SchalkwykSouth African Centre for Epidemiological Modelling and Analysis, Stellenbosch, South Africa.ORCID https://orcid.org/0000-0001-5154-1390
Prineetha NaidooMaternal and Adolescent Child Health Systems (MatCH), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-6025-5393
Arthi RamkissoonMaternal and Adolescent Child Health Systems (MatCH), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-4061-6320
Otty MhlongoKwaZulu-Natal Department of Health, Pietermaritzburg, South Africa.ORCID https://orcid.org/0000-0002-4263-8040
Niren R MaharajPrince Mshiyeni Memorial Hospital, Durban, South Africa.ORCID https://orcid.org/0000-0002-9210-9913
Niree NaidooPrince Mshiyeni Memorial Hospital, Durban, South Africa.ORCID https://orcid.org/0000-0003-3912-8258
Karen FieggenDivision of Human Genetics, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-2910-6306
Michael F UrbanDivision of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-9150-3620
Shaun KrogVP Health Systems, KwaZulu-Natal, Durban, South Africa.ORCID https://orcid.org/0000-0002-0985-9474
Alex WelteSouth African Centre for Epidemiological Modelling and Analysis, Stellenbosch, South Africa.ORCID https://orcid.org/0000-0001-7139-7509
Mukesh DhedaProgrammatic Pharmacovigilance Unit, National Department of Health, Pretoria, South Africa.ORCID https://orcid.org/0000-0002-9355-5405
Yogan PillayNational Department of Health, Pretoria, South Africa.ORCID https://orcid.org/0000-0003-3366-0892
Neil F MoranKwaZulu-Natal Department of Health, Pietermaritzburg, South Africa.ORCID https://orcid.org/0000-0002-6498-8762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2013, a pregnancy exposure registry and birth defects surveillance (PER/BDS) system was initiated in eThekwini District, KwaZulu-Natal (KZN), to assess the impact of antiretroviral treatment (ART) on birth outcomes.

objectivesAt the end of the first year, we assessed the risk of major congenital malformations (CM) and other adverse birth outcomes (ABOs) detected at birth, in children born to women exposed to ART during pregnancy.

methodData were collected from women who delivered at Prince Mshiyeni Memorial Hospital, Durban, from 07 October 2013 to 06 October 2014, using medicine exposure histories and birth outcomes from maternal interviews, clinical records and neonatal surface examination. Singleton births exposed to only one ART regimen were included in bivariable analysis for CM risk and multivariate risk analysis for ABO risk.

resultsData were collected from 10 417 women with 10 517 birth outcomes (4013 [38.5%] HIV-infected). Congenital malformations rates in births exposed to Efavirenz during the first trimester (T1) (RR 0.87 [95% CI 0.12-6.4;

conclusionNo association between T1 use of EFV-based ART regimens and CM was observed. Associations between T1 NVP-based ART regimen and CM need further investigation. HIV- and ART-exposed infants had more ABOs compared to HIV-unexposed infants.

Indexed as

antiretroviralsbirth defectbirth outcomescongenital malformationspharmacovigilancepregnancysafetysurveillance

Identifiers

PMID31616571
PMCPMC6779987

What OpenQuestion holds

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LicenceCC BY
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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.