Evidence map›Paper›PMID 35407545›Full record

ArticleJournal of clinical medicine2022

Amniocentesis in Twin Pregnancies: Risk Factors of Fetal Loss.

Ewelina Litwinska, Magdalena Litwinska, Bartosz Czuba, Agnieszka Gach, Sebastian Kwiatkowski, Przemyslaw Kosinski, Piotr Kaczmarek, Miroslaw Wielgos

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Article
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.

Ewelina Litwinska1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 03-242 Warsaw, Poland.
Magdalena Litwinska1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 03-242 Warsaw, Poland.ORCID 0000-0003-2160-2548
Bartosz CzubaWomen's Health, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.
Agnieszka GachDepartment of Genetics, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.ORCID 0000-0002-6590-5797
Sebastian KwiatkowskiClinical Department of Obstetrics and Gynecology, Pomeranian Medical University, 71-455 Szczecin, Poland.ORCID 0000-0003-1504-3639
Przemyslaw KosinskiDepartment of Obstetrics, Perinatology and Gynecology, Medical University of Warsaw, 03-242 Warsaw, Poland.ORCID 0000-0003-3812-7560
Piotr KaczmarekDepartment of Gynecology, Fertility and Fetal Therapy, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
Miroslaw Wielgos1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 03-242 Warsaw, Poland.
Medical University of Warsaw · PLPolish Mother’s Memorial Hospital Research Institute · PLMedical University of Silesia · PLPomeranian Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to determine if second trimester amniocentesis in twin pregnancies provides a significant independent contribution in the prediction of miscarriage or fetal loss at any stage of pregnancy. This was a retrospective cohort study of women with twin gestations booked for routine prenatal care in four fetal medicine units in Poland in the years 2010-2020. The study population included: (1) twin pregnancies that underwent amniocentesis at 16-20 weeks' gestation; (2) twin pregnancies that did not require any further testing and were followed-up routinely. Univariable and multivariable regression analysis was used to define which maternal and pregnancy characteristics provided a significant independent contribution in the prediction of miscarriage and fetal loss at any stage of pregnancy. In the study period, 2645 twin pregnancies were eligible for analysis. There were 144 cases of miscarriage defined as fetal loss of one or both twins before 24 weeks and 40 cases of intrauterine death of one or both twins after 24 weeks. A total number of 162 twin pregnancies underwent amniocentesis at 16-20 weeks' gestation. The rate of miscarriage before 24 weeks and the rate of fetal loss at any stage of pregnancy in the group that underwent amniocentesis was 10.49% and 13.58%, respectively, compared to 5.11% and 6.52% that did not undergo amniocentesis. Multivariable regression analysis showed that factors providing a significant independent contribution in the prediction of miscarriage and fetal loss at any stage of pregnancy were monochorionicity (MC), large intertwin discordance in crown-rump length (CRL), low Pregnancy Related Plasma Protein (PAPP-A) MoM and nuchal translucency (NT) above 95th centile. Amniocentesis in twin pregnancies does not provide a significant contribution in the prediction of miscarriage or fetal loss at any stage of pregnancy.

Indexed as

amniocentesisfetal lossmiscarriagetwin pregnancies

Identifiers

PMID35407545
PMCPMC9000006
OpenAlexW4220728211

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.