Evidence map›Paper›PMID 33602799›Full record

ArticlePediatrics2021

Maternal Chronic Conditions and Risk of Cerebral Palsy in Offspring: A National Cohort Study.

Marianne S Strøm, Mette C Tollånes, Allen J Wilcox, Rolv Terje Lie, Ingeborg Forthun, Dag Moster

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% 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, 20 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Association of placental and umbilical cord characteristics with cerebral palsy: national cohort study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2023
    Article
  8. Somatic comorbidities of mental disorders in pregnancy.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  9. Review
  10. Neurodevelopmental outcomes of infants of diabetic mothers.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Marianne S StrømDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; marianne.strom@uib.no.
Mette C TollånesNorwegian Organization for Quality Improvement of Laboratory Examinations, Haraldsplass Deaconess Hospital, Bergen, Norway.
Allen J WilcoxEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina; and.
Rolv Terje LieDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Ingeborg ForthunDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Dag MosterDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Norwegian Institute of Public Health · NOHaraldsplass Diakonale Sykehus · NOHaukeland University Hospital · NONational Institutes of Health · USUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPrevious studies suggest that children of mothers with certain chronic conditions may be at increased risk of cerebral palsy (CP). We explored possible associations between 17 maternal chronic conditions and CP in offspring.

methodsWe conducted a prospective cohort study of Norwegian children born in 1990-2012 and surviving to 2 years of age. Information on maternal chronic conditions during pregnancy were extracted from the Medical Birth Registry of Norway (1990-2012). Information on chronic conditions in mothers and fathers recorded in the Norwegian Patient Registry (2008-2014) was available for a subset of children. CP diagnoses were extracted from the National Insurance Scheme (1990-2014) and the Norwegian Patient Registry (2008-2014). We estimated relative risks (RRs) and 95% confidence intervals (CIs) of CP in offspring of parents with chronic conditions compared with the general population using log binominal regression models.

resultsA total of 1 360 149 Norwegian children, including 3575 children with CP (2.6 per 1000 live births), fulfilled the inclusion criteria. The highest risk of CP was among offspring of mothers with type 2 diabetes (RR 3.2; 95% CI 1.8-5.4), lupus erythematosus (RR 2.7; 95% CI 0.9-8.3), type 1 diabetes (RR 2.2; 95% CI 1.4-3.4), and Crohn disease (RR 2.1; 95% CI 1.0-4.1) during pregnancy. No increased risks were seen for offspring of fathers with chronic conditions.

conclusionsSeveral maternal chronic conditions were associated with increased risk of CP in offspring. Maternal autoimmune disorders carried a particular risk.

Indexed as

Cerebral PalsyChronic DiseaseAdultCohort StudiesConfidence IntervalsCrohn DiseaseDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHepatitis, AutoimmuneHumansInfantLinear ModelsLupus Erythematosus, SystemicMaternal AgeMothers

Identifiers

PMID33602799
PMCPMC7919113
OpenAlexW3131178160

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.