Evidence map›Paper›PMID 34806069›Full record

ArticleThe Lancet regional health. Europe2021

Pregnancy, delivery and neonatal complications in women with schizophrenia: a national population-based cohort study.

Cyprien Fabre, Vanessa Pauly, Karine Baumstarck, Damien Etchecopar-Etchart, Veronica Orleans, Pierre-Michel Llorca, Julie Blanc, Christophe Lancon, Pascal Auquier, Laurent Boyer and 1 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
6.3field-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

27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Cyprien FabreAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Vanessa PaulyAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Karine BaumstarckAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Damien Etchecopar-EtchartAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Veronica OrleansDepartment of Medical Information, Assistance Publique - Hôpitaux Marseille, Marseille, France.
Pierre-Michel LlorcaDepartment of Psychiatry, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Julie BlancAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Christophe LanconAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Pascal AuquierAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Laurent BoyerAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Guillaume FondAix-Marseille Univ., CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
Aix-Marseille Université · FRAssistance Publique Hôpitaux de Marseille · FRFondation FondaMental · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExisting studies evaluating the association between schizophrenia and complications associated with pregnancy, delivery and neonatal outcomes are based on data prior to 2014 and have reported heterogeneous results. The objective of our study was to determine whether pregnant women with schizophrenia were at increased risk of pregnancy, delivery and neonatal complications compared with women without severe mental disorders.

methodsWe performed a population-based cohort study of all singleton deliveries in France between Jan. 1, 2015, and Dec. 31, 2019. We divided this population into cases (

findingsOver 5 years, 3,667,461 singleton deliveries were identified, of which 3,108 occurred in women with schizophrenia. Compared to controls, women with schizophrenia were found to be older; have more frequent smoking, alcohol and substance addictions; suffer from obesity, diabetes and chronic obstructive pulmonary disease; and often be hospitalized in tertiary maternity hospitals. Compared to matched controls, women with schizophrenia had more pregnancy complications (adjusted OR=1.41[95%CI 1.31-1.51]) (

interpretationOur results highlight the importance of health disparities between pregnant women with and without schizophrenia, as well as in their newborns. Our study calls for health policy interventions during and before pregnancy, including proportionate intensified care to the level of needs, effective case management and preventive and social determinant approaches.

fundingNo funding.

Identifiers

PMID34806069
PMCPMC8589714
OpenAlexW3197426932

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.