Evidence map›Paper›PMID 33630403›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2022

Cardiac output and peripheral vascular resistance during normotensive and hypertensive pregnancy - a systematic review and meta-analysis.

E G Mulder, S de Haas, Z Mohseni, N Schartmann, F Abo Hasson, F Alsadah, Smj van Kuijk, J van Drongelen, Mea Spaanderman, C Ghossein-Doha

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. The pathophysiology of pre-eclampsia.Nature reviews. Nephrology · 2026
    Review
  6. Article
  7. Article
  8. Liver Conditions Specific to Pregnancy: Optimizing Management and Outcomes.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Review
  9. Observational
  10. Review
  11. ISUOG Consensus Statement on maternal hemodynamic assessment in hypertensive disorders of pregnancy and fetal growth restriction.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Assessment of target organ damage in hypertensive pregnancy.European journal of preventive cardiology · 2024
    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

10 authors at 2 institutions in 1 country.

E G Mulder *Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0003-2689-8528
S de Haas *Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Z MohseniDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
N SchartmannDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
F Abo HassonDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
F AlsadahDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Smj van KuijkDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, Maastricht, The Netherlands.
J van DrongelenDepartment of Obstetrics and Gynaecology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Mea SpaandermanDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
C Ghossein-DohaDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Maastricht University Medical Centre · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn-depth insight into haemodynamic changes during normotensive pregnancy may help identify women at risk for gestational hypertensive complications.

objectivesTo determine the magnitude of changes in cardiac output and its determinants stroke volume and heart rate, and total peripheral vascular resistance during singleton normotensive and hypertensive pregnancies. SEARCH STRATEGY: PubMed (NCBI) and Embase (Ovid) databases were searched from their inception up to November 2019. SELECTION CRITERIA: Studies reporting original measurements of haemodynamic parameters during pregnancy together with a non-pregnant reference measurement. Studies including women using antihypertensive medication were excluded. DATA COLLECTION AND ANALYSIS: Pooled mean differences between pregnant and non-pregnant women, and absolute values of haemodynamic parameters were calculated for predefined gestational intervals using a random-effects model in normotensive and hypertensive pregnancy. Meta-regression analysis was used to analyse group differences in adjustments and absolute values during pregnancy. MAIN

resultsIn normotensive pregnancies, cardiac output increased from the first weeks on, reaching its highest level early in the third trimester (mean difference, 1.41 l·min

conclusionsHemodynamic changes in women who eventually develop hypertensive complications are substantially different. Serial monitoring and plotting against developed normograms can identify women at risk and may allow timely intervention. TWEETABLE ABSTRACT: Monitoring haemodynamic changes in pregnancy helps identify women at risk for hypertensive complications.

Indexed as

Hypertension, Pregnancy-InducedPre-EclampsiaBlood PressureCardiac OutputFemaleHumansPregnancyPregnancy Trimester, ThirdVascular ResistanceCardiovascular diseasegestational hypertensionpre-eclampsiapregnancy

Identifiers

PMID33630403
PMCPMC9291763
OpenAlexW3129581383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.