Evidence map›Paper›PMID 33235954›Full record

ArticleBMJ nutrition, prevention & health2019

Parity and the use of folic acid supplementation during pregnancy.

Sarah Sharman Moser, Maayan Rabinovitch, Ran Rotem, Gideon Koren, Varda Shalev, Gabriel Chodick

Open access · goldAbstract read
In one paragraph

Article in BMJ nutrition, prevention & health, 2019. 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
0.7field-weighted citation impact, top 28% 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, 14 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

6 authors at 2 institutions in 2 countries.

Sarah Sharman Moser *Maccabi Institute for Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel.
Maayan Rabinovitch *Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ran RotemMaccabi Institute for Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel.
Gideon KorenMaccabi Institute for Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel.
Varda ShalevMaccabi Institute for Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel.
Gabriel ChodickMaccabi Institute for Research and Innovation, Maccabi Healthcare Services, Tel Aviv, Israel.
Maccabi Institute for Health Services Research · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFolic acid (FA) supplementation has long been recommended before and during pregnancy to reduce the risk of neural tube defects. Factors influencing adherence to FA supplementation have been extensively evaluated, but little is known on the effect of parity. This study comes to examine the association between parity and maternal use of FA prior to and during pregnancy.

methodsIn this retrospective population-based study, we identified mothers (N=228 555) of all children (N=578 204) born between the years 2000 and 2016 among members of a large health provider in Israel. Data on FA supplementation purchases were obtained from centralised medical databases.

resultsThe median (IQR) total dose of FA purchased 12 months prior to child birth among previously nulliparous women (120 mg, 48-240) was significantly (p<0.001) higher than the dose purchased by women with one (90 mg (39-202)) and two prior births (84 mg (36-182)). The dose was even lower in women for three or more prior births (75 mg (36-165)). Despite the overall increasing secular trend in FA purchases during the study period, the negative relationship with parity remained.

conclusionsAdherence to FA supplementation is negatively associated with parity. Women with increasing parity may be at higher risk for pregnancy complications associated with low FA levels. The results of this study may inform the design of interventions to specifically increase adherence to FA supplementations among multiparous women.

Indexed as

folic acidparitypopulation studypregnancy supplementation

Identifiers

PMID33235954
PMCPMC7664500
OpenAlexW2947583249

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.