Evidence map›Paper›PMID 36156839›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2023

Obstetrical and neonatal complications in hereditary haemorrhagic telangiectasia: A retrospective study.

Laura Delagrange, Olivier Dupuis, Anne-Emmanuelle Fargeton, Lorraine Bernard, Evelyne Decullier, Sophie Dupuis-Girod

Open access · greenAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Hematologic Complications of Pregnancy.European journal of haematology · 2025
    Review
  2. Article
  3. Hereditary haemorrhagic telangiectasia.Nature reviews. Disease primers · 2025
    Review
  4. Review
  5. Review
  6. 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

6 authors at 3 institutions in 1 country.

Laura DelagrangeHospices Civils de Lyon, Centre de référence pour la maladie de Rendu-Osler, Hôpital Femme-Mère-Enfant, Bron, France.
Olivier DupuisHospices Civils de Lyon, Service de Gynécologie-Obstétrique, Hôpital Lyon-Sud, Pierre-Bénite, France.ORCID 0000-0002-8257-7625
Anne-Emmanuelle FargetonHospices Civils de Lyon, Centre de référence pour la maladie de Rendu-Osler, Hôpital Femme-Mère-Enfant, Bron, France.ORCID 0000-0003-3085-9580
Lorraine BernardHospices Civils de Lyon, Pôle de Santé Publique, Lyon, France.
Evelyne DecullierHospices Civils de Lyon, Pôle de Santé Publique, Lyon, France.ORCID 0000-0002-2412-4767
Sophie Dupuis-GirodHospices Civils de Lyon, Centre de référence pour la maladie de Rendu-Osler, Hôpital Femme-Mère-Enfant, Bron, France.ORCID 0000-0002-8834-5526
Université Claude Bernard Lyon 1 · FRHôpital Femme Mère Enfant · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo retrospectively describe a large series of pregnancies in women with hereditary haemorrhagic telangiectasia followed in our reference centre, plus neonatal outcomes, to better understand the risks of complications and to improve their prevention.

designA retrospective descriptive study conducted through a phone questionnaire.

settingReference centre for hereditary haemorrhagic telangiectasia in Lyon, France. POPULATION: Women meeting the following criteria: (1) alive and aged ≥18 years; (2) with a definite clinical and/or genetic diagnosis of hereditary haemorrhagic telangiectasia; and (3) with at least one full-term pregnancy.

main outcome measuresMaternal and perinatal outcomes of pregnancies in women with hereditary haemorrhagic telangiectasia.

resultsFive hundred and sixty-two pregnancies were reported in 207 women with hereditary haemorrhagic telangiectasia. A total of 271 complications (48.2%) were registered. Of these, 149 (55%) non-specific complications, 110 (40.6%) non-severe specific complications and 12 (4.4%) severe specific complications were registered. There were four cases of haemoptysis and two cases of transient ischaemic attack related to pulmonary arteriovenous malformations. Four patients had severe decompensated dyspnoea, related to pulmonary arteriovenous malformations in three cases and to pulmonary arteriovenous malformations associated with severe hepatic arteriovenous malformations in one case. Hepatobiliary necrosis occurred in one case. Epidural or spinal anaesthesia was performed in 139 of 452 deliveries (31%), without complications. There were 12 reports of congenital anomalies in 461 live births (3%).

conclusionsMost pregnancies in hereditary haemorrhagic telangiectasia women are uneventful; complications are rare but can be severe. Women thus need to be educated about screening and possible pregnancy-related risks before becoming pregnant.

Indexed as

Arteriovenous FistulaArteriovenous MalformationsTelangiectasia, Hereditary HemorrhagicAdolescentAdultFemaleHumansInfant, NewbornPregnancyPulmonary ArteryPulmonary VeinsRetrospective Studiesarteriovenous malformationshaemoptysishereditary haemorrhagic telangiectasiapregnancyrare diseasescreeningstroke

Identifiers

PMID36156839
PMCPMC10092409
OpenAlexW4297239175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.