Evidence map›Paper›PMID 35943056›Full record

ArticleJournal of the American Heart Association2022

Delivery Timing and Associated Outcomes in Pregnancies With Maternal Congenital Heart Disease at Term.

Thalia Mok, Allison Woods, Adam Small, Mary M Canobbio, Megha D Tandel, Lorna Kwan, Gentian Lluri, Leigh Reardon, Jamil Aboulhosn, Jeannette Lin and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
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.

Thalia MokDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology University of California Los Angeles CA.ORCID 0000-0003-2005-5562
Allison WoodsDepartment of Anesthesiology and Perioperative Medicine University of California Los Angeles CA.
Adam SmallDivision of Cardiology, Department of Medicine New York University Langone Health New York NY.
Mary M CanobbioDivision of Cardiology, Department of Medicine, Ahmanson/UCLA Adult Congenital Heart Disease Center University of California Los Angeles CA.
Megha D TandelDepartment of Urology University of California Los Angeles CA.
Lorna KwanDepartment of Urology University of California Los Angeles CA.
Gentian LluriDivision of Cardiology, Department of Medicine, Ahmanson/UCLA Adult Congenital Heart Disease Center University of California Los Angeles CA.ORCID 0000-0002-4000-8993
Leigh ReardonDivision of Cardiology, Department of Medicine, Ahmanson/UCLA Adult Congenital Heart Disease Center University of California Los Angeles CA.ORCID 0000-0002-1555-9099
Jamil AboulhosnDivision of Cardiology, Department of Medicine, Ahmanson/UCLA Adult Congenital Heart Disease Center University of California Los Angeles CA.ORCID 0000-0002-0209-9505
Jeannette LinDivision of Cardiology, Department of Medicine, Ahmanson/UCLA Adult Congenital Heart Disease Center University of California Los Angeles CA.ORCID 0000-0003-4669-4629
Yalda AfsharDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology University of California Los Angeles CA.ORCID 0000-0003-3807-7022

Funding

REPRODUCTIVE SCIENTIST TRAINING PROGRAMK12HD000849 · NICHD · WASHINGTON UNIVERSITY · PI Danny J Schust · 1988 to 2026
$33.2M
NICHD NIH HHS K12 HD000849
6 · The paper itself

Abstract

Background Current recommendations for delivery timing of pregnant persons with congenital heart disease (CHD) are based on expert opinion. Justification for early-term birth is based on the theoretical concern of increased cardiovascular stress. The objective was to evaluate whether early-term birth with maternal CHD is associated with lower adverse maternal or neonatal outcomes. Methods and Results This is a retrospective cohort study of pregnant persons with CHD who delivered a singleton after 37 0/7 weeks gestation at a quaternary care center with a multidisciplinary cardio-obstetrics care team between 2013 and 2021. Patients were categorized as early-term (37 0/7 to 38 6/7 weeks) or full-term (≥39 0/7) births and compared. Multivariable logistic regression was conducted to calculate the adjusted odds ratio for the primary outcomes. The primary outcomes were composite adverse cardiovascular, maternal obstetric, and adverse neonatal outcome. Of 110 pregnancies delivering at term, 55 delivered early-term and 55 delivered full-term. Development of adverse cardiovascular and maternal obstetric outcome was not significantly different by delivery timing. The rate of composite adverse neonatal outcomes was significantly higher in early-term births (36% versus 5%,

Indexed as

Heart Defects, CongenitalFemaleGestational AgeHumansInfant, NewbornOdds RatioParturitionPregnancyRetrospective Studiescongenital heart diseasedelivery timingearly‐term birthmaternal cardiac disease

Identifiers

PMID35943056
PMCPMC9496287

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.