Evidence map›Paper›PMID 36362562›Full record

ArticleJournal of clinical medicine2022

Perinatal Outcome and Its Association with Blood Pressure Levels in Women with Preeclampsia.

Daniela Willy, Ralf Schmitz, Walter Klockenbusch, Helen Ann Köster, Kevin Willy, Janina Braun, Mareike Möllers, Kathrin Oelmeier

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Daniela WillyDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.
Ralf SchmitzDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.
Walter KlockenbuschDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.
Helen Ann KösterDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.
Kevin WillyDepartment of Cardiology, University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0003-1259-3213
Janina BraunDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.
Mareike MöllersDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.
Kathrin OelmeierDepartment of Obstetrics and Gynecology, University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0001-8298-6966
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Timing and mode of delivery in women with preeclampsia remains challenging, often balancing the risk of severe maternal complications and preterm delivery with its risks for the newborn. It is known that women with very high blood pressure levels in pregnancy have more unfavourable outcomes, but there is little data on neonatal outcome in these cases and the effect of the delivery mode. Methods: We included 158 preeclamptic women in our single-centre retrospective cohort study. Patients were divided into three subgroups depending on blood pressure levels, and delivery mode as well as neonatal outcomes were analysed. Furthermore, the effect of gestational age at delivery was assessed. Results: Maternal blood pressure levels correlated negatively with gestational age at delivery (p = 0.007) and positively with delivery via caesarean section (p = 0.003). Induction of labour was more frequent in women with lower blood pressure levels (p = 0.008) and higher gestational age (p < 0.001). If labour was induced, vaginal delivery was achieved equally often in all gestational ages. Neonatal outcome appears to be more favourable after vaginal delivery compared to planned caesarean section (p < 0.001). Conclusions: Induction of labour should be discussed generously in preeclamptic women, even if blood pressure levels are high and/or gestational age is young, as success rates seem to be adequate and neonatal outcome is more favourable after vaginal delivery. Large prospective trials are needed to better evaluate success rates, risks and complications of induced labour and the effects of delivery mode on neonatal outcome in preeclampsia.

Indexed as

arterial hypertensiondelivery modeinduction of labourpreeclampsiapreterm delivery

Identifiers

PMID36362562
PMCPMC9654839
OpenAlexW4307633521

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.