Evidence map›Paper›PMID 32752242›Full record

ArticleInternational journal of environmental research and public health2020

Does the Caesarean Section Impact on 11β HSD2 and Fetal Cortisol?

Aneta Słabuszewska-Jóżwiak, Marta Włodarczyk, Krzysztof Kilian, Zbigniew Rogulski, Michał Ciebiera, Jolanta Szymańska-Majchrzak, Kornelia Zaręba, Jacek Krzysztof Szymański, Dorota Raczkiewicz, Grażyna Nowicka and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. 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
2.6field-weighted citation impact, top 11% 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, 12 citations in OpenAlex.

  1. Pediatrics Consequences of Caesarean Section-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020
    Pooled it
  2. Article
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  4. Review
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  10. Daylight Saving Time and Spontaneous Deliveries: A Case-Control Study in Italy.International journal of environmental research and public health · 2020
    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

11 authors at 5 institutions in 1 country.

Aneta Słabuszewska-JóżwiakFirst Department of Obstetrics and Gynaecology, Centre of Postgraduate Medical Education, Żelazna 90 Street, 01-004 Warsaw, Poland.ORCID 0000-0001-7146-6295
Marta WłodarczykDepartment of Biochemistry and Pharmacogenomics, Faculty of Pharmacy, Medical University of Warsaw, Banacha 1 Street, 02-097 Warsaw, Poland.ORCID 0000-0003-1545-2547
Krzysztof KilianHeavy Ion Laboratory, University of Warsaw, Pasteura 5a Street, 02-093 Warsaw, Poland.ORCID 0000-0002-3812-3917
Zbigniew RogulskiRadiochemistry for Medicine and Industry, Biological and Chemical Research Centre, University of Warsaw, Banacha 1 Street, 02-097 Warsaw, Poland.
Michał CiebieraSecond Department of Obstetrics and Gynaecology, Centre of Postgraduate Medical Education, Cegłowska 80 Street, 01-809 Warsaw, Poland.ORCID 0000-0001-5780-5983
Jolanta Szymańska-MajchrzakChair and Department of Biochemistry, Medical University of Warsaw, Banacha 1 Street, 02-097 Warsaw, Poland.ORCID 0000-0001-7607-7643
Kornelia ZarębaFirst Department of Obstetrics and Gynaecology, Centre of Postgraduate Medical Education, Żelazna 90 Street, 01-004 Warsaw, Poland.ORCID 0000-0002-8262-4380
Jacek Krzysztof SzymańskiFirst Department of Obstetrics and Gynaecology, Centre of Postgraduate Medical Education, Żelazna 90 Street, 01-004 Warsaw, Poland.ORCID 0000-0002-1118-7013
Dorota RaczkiewiczInstitute of Statistics and Demography, Collegium of Economic Analysis, SGH Warsaw School of Economics, Madalińskiego 6/8 Street, 02-513 Warsaw, Poland.ORCID 0000-0003-3517-6711
Grażyna NowickaDepartment of Biochemistry and Pharmacogenomics, Faculty of Pharmacy, Medical University of Warsaw, Banacha 1 Street, 02-097 Warsaw, Poland.
Grzegorz JakielFirst Department of Obstetrics and Gynaecology, Centre of Postgraduate Medical Education, Żelazna 90 Street, 01-004 Warsaw, Poland.ORCID 0000-0002-6094-2273
Postgraduate School of Molecular Medicine · PLMedical University of Warsaw · PLUniversity of Warsaw · PLGrochowski Hospital · PLSGH Warsaw School of Economics · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComparison of the activity of 11beta-hydroxysteroid dehydrogenase type 2 in the placenta and the umbilical cord blood cortisol level between caesarean sections with or without uterine contraction and vaginal delivery groups. Cortisol is the main stress hormone responsible for the normal adaptation of the neonate to extrauterine life. The disorders resulting from a dysfunction of the 11β-HSD 2-cortisol system can explain the higher risk of developing diseases in children born by caesarean section.

methods111 healthy, pregnant women in singular pregnancy at term of delivery were included into the study. The study comprised 11β-HSD 2 in placental tissue from 49 pregnant women delivering by elective caesarean section and 46 pregnant women delivering by vagina. In 16 cases of the elective caesarean section, regular uterine contractions were declared. Cortisol level was estimated in umbilical cord blood directly after delivery.

resultsWe found no statistically significant differences in the activity of 11β-HSD 2 in placentas delivered via caesarean sections (29.61 on average in elective caesarean sections and 26.65 on average in intrapartum caesarean sections) compared to vaginal deliveries (31.94 on average,

conclusionsThe model of placental 11β-HSD 2 activity and umbilical cord blood cortisol concentration seems to be significant in conditions of stress associated with natural uterine contractions in labour.

Indexed as

11-beta-Hydroxysteroid Dehydrogenase Type 2Cesarean SectionHydrocortisoneLabor, ObstetricChildFemaleFetal BloodHumansInfant, NewbornPlacentaPregnancyStress, PhysiologicalUterine Contraction11-beta-Hydroxysteroid Dehydrogenase Type 2Hydrocortisone11β-HSD 2 activitycaesarean sectionplacentapregnancyumbilical cord blood cortisol

Identifiers

PMID32752242
PMCPMC7432821
OpenAlexW3046327710

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.