Evidence map›Paper›PMID 34063336›Full record

ArticleNutrients2021

Cause-Specific Stillbirth and Neonatal Death According to Prepregnancy Obesity and Early Gestational Weight Gain: A Study in the Danish National Birth Cohort.

Ellen Aagaard Nohr, Sanne Wolff, Helene Kirkegaard, Chunsen Wu, Anne-Marie Nybo Andersen, Jørn Olsen, Bodil Hammer Bech

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. 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

7 authors at 5 institutions in 1 country.

Ellen Aagaard NohrResearch Unit for Gynaecology and Obstetrics, Department of Clinical Research, University of Southern Denmark, 5000 Odense, Denmark.ORCID 0000-0001-7039-1105
Sanne WolffDepartment of Oncology, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID 0000-0002-5749-9290
Helene KirkegaardSteno Diabetes Center Aarhus, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID 0000-0001-6877-916X
Chunsen WuResearch Unit for Gynaecology and Obstetrics, Department of Clinical Research, University of Southern Denmark, 5000 Odense, Denmark.
Anne-Marie Nybo AndersenDepartment of Public Health, University of Copenhagen, 1014 Copenhagen, Denmark.
Jørn OlsenDepartment of Clinical Epidemiology, Aarhus University Hospital, 8200 Aarhus, Denmark.
Bodil Hammer BechDepartment of Public Health, Research Unit for Epidemiology, Aarhus University, 8000 Aarhus, Denmark.
Aarhus University Hospital · DKUniversity of Southern Denmark · DKAarhus University · DKSteno Diabetes Centers · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maternal obesity is associated with impaired fetal and neonatal survival, but underlying mechanisms are poorly understood. We examined how prepregnancy BMI and early gestational weight gain (GWG) were associated with cause-specific stillbirth and neonatal death. In 85,822 pregnancies in the Danish National Birth Cohort (1996-2002), we identified causes of death from medical records for 272 late stillbirths and 228 neonatal deaths. Prepregnancy BMI and early GWG derived from an early pregnancy interview and Cox regression were used to estimate associations with stillbirth or neonatal death as a combined outcome and nine specific cause-of-death categories. Compared to women with normal weight, risk of stillbirth or neonatal death was increased by 66% with overweight and 78% with obesity. Especially deaths due to placental dysfunction, umbilical cord complications, intrapartum events, and infections were increased in women with obesity. More stillbirths and neonatal deaths were observed in women with BMI < 25 and low GWG. Additionally, unexplained intrauterine death was increased with low GWG, while more early stillbirths were seen with both low and high GWG. In conclusion, causes of death that relate to vascular and metabolic disturbances were increased in women with obesity. Low early GWG in women of normal weight deserves more clinical attention.

Indexed as

Gestational Weight GainObesityPregnancy ComplicationsStillbirthAdultBody Mass IndexDenmarkFemaleHumansInfant, NewbornOverweightPerinatal DeathPlacentaPregnancyPregnancy OutcomeProspective Studiesbody mass indexfetal deathgestational weight gaingestational weight lossneonatal deathobesitypregnancystillbirth

Identifiers

PMID34063336
PMCPMC8156544
OpenAlexW3160534818

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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.