Evidence map›Paper›PMID 32409928›Full record

ArticleArchives of gynecology and obstetrics2020

Prenatal effects of maternal nutritional stress and mental health on the fetal movement profile.

N Reissland, A R Millard, R Wood, B Ustun, C McFaul, S Froggatt, J Einbeck

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2020. 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
2.9field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

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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 2 institutions in 2 countries.

N ReisslandDepartment of Psychology, Durham University, South Road, Durham, DH13LE, UK. n.n.reissland@durham.ac.uk.ORCID 0000-0003-4976-7117
A R MillardDepartment of Archaeology, Durham University, South Road, Durham, DH1 3LE, UK.ORCID 0000-0002-8290-7428
R WoodDepartment of Psychology, Durham University, South Road, Durham, DH13LE, UK.
B UstunDepartment of Psychology, Durham University, South Road, Durham, DH13LE, UK.
C McFaulChild Study Center, Yale Medical School, New Haven, CT, USA.
S FroggattDepartment of Psychology, Durham University, South Road, Durham, DH13LE, UK.
J EinbeckDepartment of Mathematical Sciences, Durham University, South Road, Durham, DH1 3LE, UK.ORCID 0000-0002-9457-2020
Durham University · GBYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrenatal sub-optimal nutrition and exposure to maternal stress, anxiety and depression in pregnancy have been linked to increased postnatal morbidity and mortality. Fetal growth is most vulnerable to maternal dietary deficiencies, such as those evident in hyperemesis gravidarum (HG), early in pregnancy. The purpose of this pilot study was to examine the effects of HG on fetal movement profiles as a measure of fetal healthy development in the 3rd trimester of pregnancy, and to assess whether nutritional stress on the mother can be evaluated using isotopic analysis of hair.

methodWe analyzed fetal movement profiles using 4D ultrasound scans at 32- and 36-weeks' gestation. Fetuses of women (N = 6) diagnosed with HG, having lost more than 10% of their body weight in the first trimester of pregnancy were compared to a healthy group (N = 6), controlling for stress, depression and anxiety. We tested carbon and nitrogen isotope ratios in maternal hair as a measure of both diet and nutritional changes due to catabolism of body proteins and fats.

resultsHG and catabolism were significantly correlated (p = 0.02). Furthermore, at 32-weeks' gestation movement profiles of fetuses of mothers with HG differed significantly from the movement profiles of fetuses of healthy mothers. Fetuses of mothers suffering from HG showed a significantly increased ratio of fine-grained movements at 32 weeks (p = 0.008); however, there were no significant differences detectable at 36-weeks' gestation.

conclusionThe effect of HG on fetal development as expressed by variations in fetal movement profiles in this pilot study suggest that prenatal effects of HG can be measured using movement profiles. Isotope analysis of hair can supplement this with information on nutritional imbalances early in pregnancy.

Indexed as

Fetal Growth RetardationStress, PsychologicalAdultAnxietyDietFemaleFetal DevelopmentFetal MovementFour-Dimensional Computed TomographyGestational AgeHumansHyperemesis GravidarumMental HealthMothersPilot ProjectsPregnancy4D ultrasound scansCatabolismFetal movement profileHyperemesis gravidarumMaternal stress

Identifiers

PMID32409928
PMCPMC7266842
OpenAlexW3021864985

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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.