Evidence map›Paper›PMID 33884191›Full record

ArticleJournal of global health2021

Prevalence and perinatal outcomes of non-communicable diseases in pregnancy in a regional hospital in Haiti: A prospective cohort study.

Isabelle Malhamé, Rodney Destiné, Widmise Jacquecilien, Bidjinie H Coriolan, Wacquinn St-Loth, Marie Claudy Excellent, Benjaminel Scaide, Remy Wong, Sarah Meltzer, Eddy Jean-Baptiste and 3 more

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In one paragraph

Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

13 authors.

Isabelle MalhaméDepartment of Medicine, McGill University Health Centre, Montreal, Canada.
Rodney DestinéDepartment of Medicine, Saint-Nicolas Hospital, Saint-Marc, Haiti.
Widmise JacquecilienDepartment of Medicine, Saint-Nicolas Hospital, Saint-Marc, Haiti.
Bidjinie H CoriolanDepartment of Medicine, McGill University Health Centre, Montreal, Canada.
Wacquinn St-LothDepartment of Obstetrics and Gynecology, Saint-Nicolas Hospital, Saint-Marc, Haiti.
Marie Claudy ExcellentDepartment of Paediatrics, Saint-Nicolas Hospital, Saint-Marc, Haiti.
Benjaminel ScaideDepartment of Medicine, Saint-Nicolas Hospital, Saint-Marc, Haiti.
Remy WongDepartment of Medicine, McGill University Health Centre, Montreal, Canada.
Sarah MeltzerDepartment of Medicine, McGill University Health Centre, Montreal, Canada.
Eddy Jean-BaptisteFondation Haïtienne de Diabète et de Maladies Cardiovasculaires, Port-au-Prince, Haiti.
Louise PiloteDepartment of Medicine, McGill University Health Centre, Montreal, Canada.
Julia E von OettingenDepartment of Paediatrics, McGill University Health Centre, Montreal, Canada.
Kerling IsraelDepartment of Medicine, Saint-Nicolas Hospital, Saint-Marc, Haiti.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of non-communicable diseases (NCDs) is rising in low and middle-income countries (LMIC). We aimed to report on the prevalence of NCDs in pregnancy and their associated perinatal outcomes in a regional hospital in Haiti.

methodsWe conducted the "Diabète et hYpertension Artéerielle et leurs issues MAternelles et Néonatales" (DYAMAN) prospective cohort study in a regional hospital in Haiti. Pregnant women presenting to care at 24-28 weeks were screened and treated for diabetes (DM) and hypertensive disorders of pregnancy (HDP) using setting-adapted protocols. Prevalence of NCDs and associated maternal-neonatal outcomes were described.

results715 women were included, of which 51 (7.1%) had DM, 90 (12.6%) had HDP, and 30 (4.2%) had both DM and HDP (DM/HDP). Of 422 (59%) women delivered in hospital, 58 (13.7%) had preeclampsia, including 5 (8.6%) with eclampsia. Preterm birth <32 weeks was more common in the HDP than the control, DM, and DM/HDP groups. More low birth weight babies (n = 20, 25.6%) were born to the HDP group than to the control (n = 20, 7.1%), DM (n = 1, 2.7%), and DM/HDP (n = 3, 12%) groups (

conclusionsNCDs in pregnancy led to adverse maternal and perinatal outcomes. This study will help to prepare future refinements aimed at optimizing the management of NCDs in pregnancy in LMIC. Research is required to understand barriers to patient attendance at antenatal follow-up, treatment escalation for hyperglycemia, and in-hospital delivery.

Indexed as

Noncommunicable DiseasesPremature BirthFemaleHaitiHospitalsHumansInfant, NewbornPregnancyPregnancy OutcomePrevalenceProspective Studies

Identifiers

PMID33884191
PMCPMC8053393

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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.