Evidence map›Paper›PMID 32427864›Full record

ArticleScientific reports2020

Histopathological lesions and exposure to Plasmodium falciparum infections in the placenta increases the risk of preeclampsia among pregnant women.

Dorotheah Obiri, Isaac Joe Erskine, Daniel Oduro, Kwadwo Asamoah Kusi, Jones Amponsah, Ben Adu Gyan, Kwame Adu-Bonsaffoh, Michael Fokuo Ofori

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  3. The Relationship between Placental Malaria and Preeclampsia in Blantyre, Malawi.The American journal of tropical medicine and hygiene · 2025
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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 at 3 institutions in 2 countries.

Dorotheah ObiriWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), Department of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Legon, P.O. Box LG54, Accra, Ghana. dorotheahobiri@gmail.com.
Isaac Joe ErskineDepartment of Pathology, Korle-Bu Teaching Hospital, Accra, Ghana.
Daniel OduroImmunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, P.O. Box LG581, Accra, Ghana.
Kwadwo Asamoah KusiWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), Department of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Legon, P.O. Box LG54, Accra, Ghana.
Jones AmponsahImmunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, P.O. Box LG581, Accra, Ghana.
Ben Adu GyanImmunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, P.O. Box LG581, Accra, Ghana.
Kwame Adu-BonsaffohDepartment of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana.
Michael Fokuo OforiWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), Department of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Legon, P.O. Box LG54, Accra, Ghana. mofori@noguchi.ug.edu.gh.
University of Ghana · GHCornell University · USKorle Bu Teaching Hospital · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preeclampsia (PE) is a placental disorder with different phenotypic presentations. In malaria-endemic regions, high incidence of PE is reported, with debilitating foeto-maternal effects, particularly among primigravid women. However, the relationship between placental pathology and Plasmodium falciparum infection in the placenta with PE is underexplored. Placentas from 134 pregnant women were examined after delivery for pathological lesions and placental malaria (PM). They comprised of 69 women without PE (non-PE group) and 65 women diagnosed with PE (PE group). The presence of placental pathology increased the risk of PE, with particular reference to syncytial knots. Placental malaria was 64 (48.1%) and 21 (15.8%) respectively for active and past infections and these proportions were significantly higher in the PE group compared to the non-PE group. Further multivariate analyses showed placental pathology (adjusted (aOR) 3.0, 95% CI = 1.2-7.5), active PM (aOR 6.7, 95% CI = 2.3-19.1), past PM (aOR 12.4, 95% CI = 3.0-51.0) and primigravidity (aOR 6.6, 95% CI 2.4-18.2) to be associated with PE. Our findings suggest that placental histological changes and PM are independent risk factors for PE particularly in primigravida. These findings might improve the management of PE in malaria-endemic regions.

Indexed as

AdultCase-Control StudiesFemaleGravidityHumansMalaria, FalciparumMaternal AgePlacentaPlacenta DiseasesPlasmodium falciparumPre-EclampsiaPregnancyPregnancy Complications, InfectiousRisk FactorsYoung Adult

Identifiers

PMID32427864
PMCPMC7237676
OpenAlexW3027309346

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.