Evidence map›Paper›PMID 35403695›Full record

ArticleThe Journal of infectious diseases2022

Comparable Pregnancy Outcomes for HIV-Uninfected and HIV-Infected Women on Antiretroviral Treatment in Kenya.

Cyrus Mugo, Ruth Nduati, Eric Osoro, Bryan O Nyawanda, Harriet Mirieri, Elizabeth Hunsperger, Jennifer R Verani, Hafsa Jin, Dufton Mwaengo, Brian Maugo and 10 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 15 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

20 authors at 6 institutions in 3 countries.

Cyrus MugoDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.ORCID 0000-0001-7516-2168
Ruth NduatiDepartment of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Eric OsoroWashington State University Global Health Kenya, Nairobi, Kenya.
Bryan O NyawandaKenya Medical Research Institute, Kisumu, Kenya.
Harriet MirieriWashington State University Global Health Kenya, Nairobi, Kenya.
Elizabeth HunspergerCDC-Kenya, Centers for Disease Control and Prevention, Nairobi, Kenya.
Jennifer R VeraniCDC-Kenya, Centers for Disease Control and Prevention, Nairobi, Kenya.
Hafsa JinCoast Referral and Teaching Hospital, Mombasa, Kenya.
Dufton MwaengoUniversity of Nairobi Institute of Tropical and Infectious Diseases, Nairobi, Kenya.
Brian MaugoDepartment of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
James MachokiUniversity of Nairobi Institute of Tropical and Infectious Diseases, Nairobi, Kenya.
Nancy A OtienoKenya Medical Research Institute, Kisumu, Kenya.
Cynthia OmbokWashington State University Global Health Kenya, Nairobi, Kenya.
Mufida ShabibiCoast Referral and Teaching Hospital, Mombasa, Kenya.
Lydia OkutoyiDepartment of Health Care Quality, Kenyatta National Hospital, Nairobi, Kenya.
John KinuthiaResearch and Programs Department, Kenyatta National Hospital, Nairobi, Kenya.
Marc Alain WiddowsonCDC-Kenya, Centers for Disease Control and Prevention, Nairobi, Kenya.
Kariuki NjengaWashington State University Global Health Kenya, Nairobi, Kenya.
Irene InwaniDepartment of Pediatrics, Kenyatta National Hospital, Nairobi, Kenya.
Dalton WamalwaDepartment of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
University of Nairobi · KEKenyatta National Hospital · KEWashington State Department of Health · USCenters for Disease Control and Prevention · KEKenya Medical Research Institute · KETechnical University of Mombasa · KE

Funding

ACL HHS U01GH002143CGH CDC HHS U01 GH002143Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe impact of human immunodeficiency virus (HIV) on pregnancy outcomes for women on antiretroviral therapy (ART) in sub-Saharan Africa remains unclear.

methodsPregnant women in Kenya were enrolled in the second trimester and followed up to delivery. We estimated effects of treated HIV with 3 pregnancy outcomes: loss, premature birth, and low birth weight and factors associated with HIV-positive status.

resultsOf 2113 participants, 311 (15%) were HIV infected and on ART. Ninety-one of 1762 (5%) experienced a pregnancy loss, 169/1725 (10%) a premature birth (<37 weeks), and 74/1317 (6%) had a low-birth-weight newborn (<2500 g). There was no evidence of associations between treated HIV infection and pregnancy loss (adjusted relative risk [aRR], 1.19; 95% confidence interval [CI], .65-2.16; P = .57), prematurity (aRR, 1.09; 95% CI, .70-1.70; P = .69), and low birth weight (aRR, 1.36; 95% CI, .77-2.40; P = .27). Factors associated with an HIV-positive status included older age, food insecurity, lower education level, higher parity, lower gestation at first antenatal clinic, anemia, and syphilis. Women who were overweight or underweight were less likely to be HIV infected compared to those with normal weight.

conclusionsCurrently treated HIV was not significantly associated with adverse pregnancy outcomes. HIV-infected women, however, had a higher prevalence of other factors associated with adverse pregnancy outcomes.

Indexed as

Abortion, SpontaneousHIV InfectionsPregnancy ComplicationsPregnancy Complications, InfectiousPremature BirthAnti-Retroviral AgentsFemaleHumansInfant, NewbornKenyaPregnancyPregnancy OutcomeAnti-Retroviral Agentsantiretroviral therapyHIVlow birth weightpregnancy lossprematuritysub-Saharan Africatest and treat

Identifiers

PMID35403695
PMCPMC10155227
OpenAlexW4223535339

What OpenQuestion holds

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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.