Evidence map›Paper›PMID 34453454›Full record

ArticleBirth (Berkeley, Calif.)2022

Meal patterning and the onset of spontaneous labor.

Alison K Nulty, Marit L Bovbjerg, Amy H Herring, Anna Maria Siega-Riz, John M Thorp, Kelly R Evenson

Abstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Alison K NultyDepartment of Anthropology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-5191-1336
Marit L BovbjergEpidemiology Program, Oregon State University, Corvallis, Oregon, USA.ORCID 0000-0003-2139-0549
Amy H HerringDepartment of Statistical Science, Duke University, Durham, North Carolina, USA.ORCID 0000-0003-1552-8871
Anna Maria Siega-RizDepartment of Nutrition, School of Public Health and Health Services, University of Massachusetts, Amherst, Massachusetts, USA.ORCID 0000-0002-1303-4248
John M ThorpDepartment of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-4598-0271
Kelly R EvensonDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-3720-5830

Funding

Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARGOLIS, DAVID · 1985 to 2008
$38.5M
EPIDEMIOLOGY OF EXERTION, STRESS, AND PRETERM DELIVERYR01HD037584 · NICHD · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SAVITZ, DAVID A · 2000 to 2004
$3.1M
Pregnancy Related Weight Gain: A Link to ObesityR01DK061981 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SIEGA-RIZ, ANNA MARIA · 2002 to 2006
$2.2M
Understanding Change in Physical Activity PostpartumR01CA109804 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVENSON, KELLY R. · 2004 to 2009
$1.4M
NCI NIH HHS R01 CA109804NCRR NIH HHS M01 RR000046NICHD NIH HHS R01 HD037584NIDDK NIH HHS R01 DK061981
6 · The paper itself

Abstract

backgroundThere is a lack of consensus in the literature about the association between meal patterning during pregnancy and birth outcomes. This study examined whether maternal meal patterning in the week before birth was associated with an increased likelihood of imminent spontaneous labor.

methodsData came from 607 participants in the third phase of the Pregnancy, Infection, and Nutrition Study (PIN3). Data were collected through an interviewer-administered questionnaire after birth, before hospital discharge. Questions included the typical number of meals and snacks consumed daily, during both the week before labor onset and the 24-hour period before labor onset. A self-matched, case-crossover study design examined the association between skipping one or more meals and the likelihood of spontaneous labor onset within the subsequent 24 hours.

resultsAmong women who experienced spontaneous labor, 87.0% reported routinely eating three daily meals (breakfast, lunch, and dinner) during the week before their labor began, but only 71.2% reported eating three meals during the 24-hour period before their labor began. Compared with the week before their labor, the odds of imminent spontaneous labor were 5.43 times as high (95% CI: 3.41-8.65) within 24 hours of skipping 1 or more meals. The association between skipping 1 or more meals and the onset of spontaneous labor remained elevated for both pregnant individuals who birthed early (37-<39 weeks) and full-term (≥39 weeks).

conclusionsSkipping meals later in pregnancy was associated with an increased likelihood of imminent spontaneous labor, though we are unable to rule out reverse causality.

Indexed as

Feeding BehaviorMealsBreakfastCross-Over StudiesFamilyFemaleHumansMalePregnancycase-crossovermaternal dietmeal patterningpregnancyspontaneous labor

Identifiers

PMID34453454
PMCPMC8810608

What OpenQuestion holds

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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.