Evidence map›Paper›PMID 32578742›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina

Does Enoxaparin treatment have any effects on the placenta in women with unexplained histories of habitual abortion? A case control study.

Ayse Zehra Ozdemir, Bulent Ayas, Adem Kocaman, Mesut Önal, Gülnur Döğenci, İdris Koçak

Open access · diamondAbstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Ayse Zehra OzdemirMD. Assistant Professor, Department of Obstetrics and Gynecology, Ondokuz Mayıs Üniversitesi, Samsun, Turkey.ORCID http://orcid.org/0000-0003-4232-4794
Bulent AyasPhD. Associate Professor, Department of Histology and Embryology, Ondokuz Mayıs Üniversitesi, Samsun, Turkey.ORCID http://orcid.org/0000-0003-4411-2496
Adem KocamanMSc. Doctoral Student, Department of Histology and Embryology, Ondokuz Mayıs Üniversitesi, Samsun, Turkey.ORCID http://orcid.org/0000-0002-4457-9144
Mesut ÖnalMD. Assistant Professor, Department of Obstetrics and Gynecology, Ondokuz Mayıs Üniversitesi, Samsun, Turkey.ORCID http://orcid.org/0000-0003-1222-3386
Gülnur DöğenciMD. Doctoral Student, Department of Obstetrics and Gynecology, Ondokuz Mayıs Üniversitesi, Samsun, Turkey.ORCID http://orcid.org/0000-0002-2748-3191
İdris KoçakMD. Professor, Department of Obstetrics and Gynecology, Ondokuz Mayıs Üniversitesi, Samsun, Turkey.ORCID http://orcid.org/0000-0003-0179-9670
Ondokuz Mayıs University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is very common to offer low molecular weight heparin (LMWH) medications to women with unexplained habitual abortion, to increase the livebirth rate. Although no benefit from LMWH has been clearly demonstrated, examination of the effects of enoxaparin on placental structure is lacking.

objectiveTo assess placental structural changes in pregnancies treated with enoxaparin, compared with controls. DESIGN AND

settingCase-control study in an obstetrics and gynecology unit of a tertiary-level university hospital in Turkey.

methodsForty patients who had had term pregnancies and live births but also histories of habitual abortion were recruited for this study. Placentas were sampled using a systematic random sampling method. Tissue samples were obtained, embedded and sectioned for routine histological analyses. Hematoxylin and eosin staining was used. Surface area and length estimates from placental components were evaluated by using Image J. Cell proliferation and apoptosis were also assessed via immunohistochemistry.

resultsThere were no significant differences between the groups regarding maternal age, abortion rate, birth weight or gestational age. Comparison of the enoxaparin and control groups showed that there were no significant differences in terms of surface area and ratios of placental components. We found that Bcl-2 was generally expressed at high levels in the enoxaparin group, while there was no difference in terms of Ki-67 between the groups.

conclusionsThis study demonstrates that enoxaparin did not show any significant effect on the placental structure of cases that had histories of habitual abortion.

Indexed as

Abortion, HabitualAdultAnticoagulantsCase-Control StudiesEnoxaparinFemaleHeparin, Low-Molecular-WeightHumansPlacentaPregnancyTurkeyAnticoagulantsEnoxaparinHeparin, Low-Molecular-Weight

Identifiers

PMID32578742
PMCPMC9673827
OpenAlexW3037284424

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.