Evidence map›Paper›PMID 36300886›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

The predictive value of common symptoms in early pregnancy for complications later in pregnancy and at birth.

Ruth Kirk Ertmann, Dagny Ros Nicolaisdottir, Jakob Kragstrup, Gritt Overbeck, Margit Kriegbaum, Volkert Siersma

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

6 authors at 1 institution in 1 country.

Ruth Kirk ErtmannResearch Unit for General Practice and Section for General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-4629-3518
Dagny Ros NicolaisdottirResearch Unit for General Practice and Section for General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
Jakob KragstrupResearch Unit for General Practice and Section for General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
Gritt OverbeckResearch Unit for General Practice and Section for General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
Margit KriegbaumResearch Unit for General Practice and Section for General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
Volkert SiersmaResearch Unit for General Practice and Section for General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DK

Funding

A.P. Møllers Fund 2016-16-87Danisk Generel Practice Fund EMN-2017-00265Jacob and Orla Madsens Fund 5421Lilly and Herbet Hansens Fund 05.07.2019-082Novo Nordisk NNF 130C0002689Region Sealand 15-000342
6 · The paper itself

Abstract

introductionThe aim was to investigate whether common pregnancy-related symptoms-nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins-in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications. MATERIAL AND

methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015-August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.

resultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy-related physical symptoms in first trimester and birth complications.

conclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.

Indexed as

Pelvic Girdle PainPregnancy ComplicationsFemaleHumansInfant, NewbornParturitionPelvic PainPregnancyPregnancy Trimester, FirstProspective StudiesUterine Hemorrhagebirth complicationscohortfirst trimestergeneral practicepelvic cavity painpelvic girdle painpregnancypregnancy complicationsvaginal bleeding

Identifiers

PMID36300886
PMCPMC9780714
OpenAlexW4307426267

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.