Evidence map›Paper›PMID 33629490›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2021

Association of haemoglobin levels in the first trimester and at 26-30 weeks with fetal and neonatal outcomes: a secondary analysis of the Global Network for Women's and Children's Health's ASPIRIN Trial.

S Jessani, S Saleem, M K Hoffman, S S Goudar, R J Derman, J L Moore, A Garces, L Figueroa, N F Krebs, J Okitawutshu and 16 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05590260 (Prevention of Iron Deficiency Anemia Post-delivery), which is not on this map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT05590260 phase3completednot on this mapstarted 2023, after this paper: background citation

Prevention of Iron Deficiency Anemia Post-delivery (PRIORITY Trial): A Randomized Controlled Trial of the Global Network for Women's and Children's Health Research

TypeinterventionalSponsorNICHD Global Network for Women's and Children's HealthRan2023 to 2025Enrolled4,857ConditionsPostpartum AnemiaArmsFerric carboxymaltose (FCM) and folic acid tablets, Oral iron tablets and folic acid tablets
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. The impact of low-dose aspirin on hemoglobin levels in pregnancy: A secondary analysis of a randomized controlled trial for prevention of hypertensive disorders of pregnancy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Low-dose aspirin and anaemia risk in pregnancy: A scoping review with emphasis on low- and middle-income contexts.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Article
  11. Article
  12. Article
  13. Review
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

26 authors at 17 institutions in 7 countries.

S JessaniDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.ORCID 0000-0003-3025-2025
S SaleemDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.ORCID 0000-0002-6797-8631
M K HoffmanDepartment of Obstetrics and Gynecology, Christiana Care, Newark, DE, USA.
S S GoudarKLE Academy of Higher Education and Research Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.
R J DermanThomas Jefferson University, Philadelphia, PA, USA.
J L MooreRTI International, Research Triangle Park, Durham, NC, USA.
A GarcesInstituto de Nutrición de Centroamérica y Panamá, Guatemala City, Guatemala.
L FigueroaInstituto de Nutrición de Centroamérica y Panamá, Guatemala City, Guatemala.
N F KrebsUniversity of Colorado School of Medicine, Denver, CO, USA.
J OkitawutshuKinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
A TshefuKinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
C L BoseUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
M MwenechanyaUniversity Teaching Hospital, Lusaka, Zambia.
E ChombaUniversity Teaching Hospital, Lusaka, Zambia.
W A CarloUniversity of Alabama at Birmingham, Birmingham, AL, USA.
P K DasLata Medical Research Foundation, Nagpur, India.
A PatelLata Medical Research Foundation, Nagpur, India.ORCID 0000-0002-2558-7421
P L HibberdBoston University School of Public Health, Boston, MA, USA.
F EsamaiDepartment of Child Health and Paediatrics, Moi University School of Medicine, Eldoret, Kenya.
E A LiechtySchool of Medicine, Indiana University, Indianapolis, IN, USA.
S BucherSchool of Medicine, Indiana University, Indianapolis, IN, USA.
T L NolenRTI International, Research Triangle Park, Durham, NC, USA.
M Koso-ThomasEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
M MiodovnikEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
E M McClureRTI International, Research Triangle Park, Durham, NC, USA.ORCID 0000-0001-8659-5444
R L GoldenbergDepartment of Obstetrics and Gynecology, Columbia University, New York, NY, USA.
RTI International · USAga Khan University · PKIndiana University Indianapolis · USInstitute of Nutrition of Central America and Panama · GTLata Medical Research Foundation · INMinistry of Public Health · CDNational Institutes of Health · USUniversity Teaching Hospital · ZMBoston University · USChristiana Care Health System · USColumbia University · USJawaharlal Nehru Medical College · INMoi University · KEThomas Jefferson University · USUniversity of Alabama at Birmingham · USUniversity of Colorado Denver · USUniversity of North Carolina at Chapel Hill · US

Funding

Global Network for Women's and Children's Health Research Data Coordinating CenterU24HD092094 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI Elizabeth M McClure · 2017 to 2026
$17.8M
The University of North Carolina-Kinshasa School of Public Health Research Partnership in the Democratic Republic of Congo; a Model for Improving Women'sand Children's Health Through ResearchUG1HD076465 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MELISSA SCHWEIKHART BAUSERMAN · 2018 to 2026
$5.6M
Boston University/Lata Medical Research Foundation Global Network for Women's Children's Health Research UnitUG1HD078439 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Patricia L Hibberd · 2018 to 2026
$5.5M
TJU-JNMC Global Network for Women's & Children's Health Research UnitUG1HD076457 · NICHD · THOMAS JEFFERSON UNIVERSITY · PI RICHARD J DERMAN · 2018 to 2026
$5.5M
Nutrition-specific interventions to improve long-term maternal-child health outcomesUG1HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Edwin Jose Asturias, NANCY F KREBS · 2018 to 2026
$5.4M
A Strategy to Reduce Stunting of Growth in Early Infancy: a Global Network StudyU10HD076465 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOSE, CARL · 2013 to 2017
$2.9M
NICHD NIH HHS U10 HD076465NICHD NIH HHS U24 HD092094NICHD NIH HHS UG1 HD076457NICHD NIH HHS UG1 HD076465NICHD NIH HHS UG1 HD076474NICHD NIH HHS UG1 HD078439
6 · The paper itself

Abstract

objectiveLimited data are available from low- and middle-income countries (LMICs) on the relationship of haemoglobin levels to adverse outcomes at different times during pregnancy. We evaluated the association of haemoglobin levels in nulliparous women at two times in pregnancy with pregnancy outcomes.

designASPIRIN Trial data were used to study the association between haemoglobin levels measured at 6

settingObstetric care facilities in Pakistan, India, Kenya, Zambia, The Democratic Republic of the Congo and Guatemala. POPULATION: A total of 11 976 pregnant women.

methodsGeneralised linear models were used to obtain adjusted relative risks and 95% CI for adverse outcomes.

main outcome measuresPreterm birth, stillbirth, neonatal death, small for gestational age (SGA) and birthweight <2500 g.

resultsThe mean haemoglobin levels at 6

conclusionsBoth lower and some higher haemoglobin concentrations are associated with adverse fetal and neonatal outcomes at 6 TWEETABLE ABSTRACT: Both lower and some higher haemoglobin concentrations were associated with adverse fetal and neonatal outcomes at 6-13 weeks and 26-30 weeks of gestation.

Indexed as

Infant, Small for Gestational AgePerinatal DeathAdultDeveloping CountriesErythrocyte IndicesFemaleGestational AgeHemoglobinsHumansPregnancyPregnancy Trimester, FirstPremature BirthRisk FactorsStillbirthHemoglobinsHaemoglobin levelslow- and middle-income countriespregnancy outcomes

Identifiers

PMID33629490
PMCPMC8286300
OpenAlexW3132340601

What OpenQuestion holds

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Registered trials

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.