Evidence map›Paper›PMID 33052935›Full record

ArticlePloS one2020

Vitamin D and the risk of dystocia: A case-control study.

Christine Rohr Thomsen, Ioanna Milidou, Lone Hvidman, Mohammed Rohi Khalil, Lars Rejnmark, Niels Uldbjerg

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Higher PlasmaNutrients · 2024
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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

6 authors at 3 institutions in 1 country.

Christine Rohr ThomsenDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-5295-6923
Ioanna MilidouDepartment of Pediatrics, Hospitals of West Jutland, Herning, Denmark.ORCID 0000-0003-2640-7848
Lone HvidmanDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.
Mohammed Rohi KhalilDepartment of Obstetrics and Gynecology, Center Hospital Lillebaelt, Kolding, Denmark.
Lars RejnmarkDepartment of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-2152-4247
Niels UldbjergDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-6449-6426
Aarhus University Hospital · DKLillebaelt Hospital · DKRegional Hospital West Jutland · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDystocia is one of the most common causes of cesarean section in nulliparous women. Studies have described the presence of vitamin D receptors in the myometrium, but it is still unclear whether vitamin D affects the contractility of the smooth muscles. We therefore aimed to determine the association between the vitamin D serum level at labor and the risk of dystocia.

methodWe conducted a case-control study between January 2012 and June 2017. Cases were primiparous women, with spontaneous onset of labor, who gave birth by cesarean section due to dystocia. Controls were primiparous women with a spontaneous vaginal delivery. We included 60 women (30 cases and 30 controls) in the analysis. The differences between cases and controls were assessed using chi-squared test for categorical variables and two-sample t-test or unequal t-test for continuous variables, as appropriate, after evaluation of whether they followed the normal distributions.

resultsThe mean serum 25-hydroxyvitamin D concentrations were 53.1nmol/l (95%CI; 45.2 to 60.9) among cases and 69.9nmol/l (95%CI; 57.5 to 82.4) among controls (P = 0.02). The mean plasma parathyroid hormone levels were 2.25 pmol/l and 2.38, respectively (P = 0.57). Even though 78% of all women reported taking a minimum of 10μg/day of vitamin D throughout pregnancy, 43% had vitamin D insufficiency, defined as serum 25-hydroxyvitamin D levels below 50nmol/l.

conclusionsIn a Danish group of women having a cesarean section due to dystocia, we found decreased vitamin D levels.

Indexed as

AdultCase-Control StudiesCesarean SectionDenmarkDystociaFemaleHumansLabor OnsetMaternal AgeParathyroid HormonePregnancyVitamin DVitamin D Deficiency25-hydroxyvitamin DParathyroid HormoneVitamin D

Identifiers

PMID33052935
PMCPMC7556460
OpenAlexW3093397119

What OpenQuestion holds

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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.