Evidence map›Paper›PMID 34404925›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Homelessness in pregnancy: perinatal outcomes.

Brad S St Martin, Ariana M Spiegel, Lillian Sie, Stephanie A Leonard, Dominika Seidman, Anna I Girsen, Gary M Shaw, Yasser Y El-Sayed

Open access · greenAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 30 citations in OpenAlex.

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  6. Prenatal homelessness, food insecurity, and unemployment and adverse infant outcomes in a California cohort, 2007-2020.Journal of perinatology : official journal of the California Perinatal Association · 2025
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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

8 authors at 4 institutions in 1 country.

Brad S St Martin *Department of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA. brad.stmartin@aya.yale.edu.ORCID http://orcid.org/0000-0001-7773-9098
Ariana M Spiegel *Department of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-1073-7113
Lillian SieCalifornia Perinatal Quality Care Collaborative, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-0069-5028
Stephanie A LeonardDepartment of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA.
Dominika SeidmanDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Anna I GirsenDepartment of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-6631-4243
Gary M ShawDepartment of Pediatrics,, Stanford University, Stanford, CA, USA.
Yasser Y El-SayedDepartment of Obstetrics & Gynecology, Stanford University, Stanford, CA, USA.
Stanford University · USMarch of Dimes · USStanford Medicine · USUniversity of California, San Francisco · US

Funding

WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
NICHD NIH HHS K12 HD001262
6 · The paper itself

Abstract

objectiveInvestigate the association between maternal homelessness at the time of delivery and perinatal outcomes, with a focus on neonatal health outcomes. STUDY

designPopulation-based cohort using California's statewide database included 1,520,253 women with linked birth and maternal discharge data, 2008-2012. Multivariable analysis assessed homelessness at time of delivery on perinatal outcomes, preterm delivery, and neonatal intensive care unit admission.

resultA total of 672 women (0.05%) were homeless at the time of delivery. Homelessness was associated with premature delivery at multiple gestational age cutoffs (34w0d-36w6d; 32w0d-33w6d; 28w0d-31w6d; <28w0d) (range of aORs:1.62-2.19), and neonatal intensive care unit admission (aOR = 1.66, 95% CI:1.31-2.09). Among term infants, homelessness remained associated with increased odds of neonatal intensive care unit admission (aOR = 1.84, 95% CI:1.34-2.53), low birthweight (aOR = 1.99, 95% CI:1.36-2.90), neonatal abstinence syndrome (aOR = 2.13, 95% CI:1.35-2.53), hypoxic-ischemic encephalopathy (aOR = 14.38, 95% CI:3.90-53.01), and necrotizing enterocolitis (aOR = 14.94, 95% CI:2.68-83.20).

conclusionHomelessness in pregnancy was associated with adverse perinatal outcomes including increased odds of preterm delivery across all gestational ages, and increased risk of neonatal intensive care unit admission and low birth weight independent of preterm delivery.

Indexed as

Ill-Housed PersonsNeonatal Abstinence SyndromePremature BirthFemaleGestational AgeHumansInfantInfant, Low Birth WeightInfant, NewbornPregnancyPregnancy OutcomeRetrospective Studies

Identifiers

PMID34404925
PMCPMC9507167
OpenAlexW3195053715

What OpenQuestion holds

Textmetadata
LicenceTDM
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.