Evidence map›Paper›PMID 37184578›Full record

ArticleArchives of gynecology and obstetrics2024

Anatomy of the fetal membranes: insights from spinning disk confocal microscopy.

Hannah Marie Eichholz, Alissa Cornelis, Benjamin Wolf, Hanna Grubitzsch, Philip Friedrich, Ahmad Makky, Bahriye Aktas, Josef Alfons Käs, Holger Stepan

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2024. 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
0.9field-weighted citation impact, top 25% 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, 4 citations in OpenAlex.

  1. Review
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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

9 authors at 3 institutions in 1 country.

Hannah Marie Eichholz *Leipzig Institute for Meteorology, Leipzig University, 04103, Leipzig, Germany.
Alissa Cornelis *Department of Obstetrics, University Hospital Leipzig, 04103, Leipzig, Germany.
Benjamin WolfDepartment of Gynecology, University Hospital Leipzig, 04103, Leipzig, Germany.ORCID http://orcid.org/0000-0002-1931-5198
Hanna GrubitzschDepartment of Obstetrics, University Hospital Leipzig, 04103, Leipzig, Germany.
Philip FriedrichPeter Debye Institute for Soft Matter Physics, Leipzig University, 04103, Leipzig, Germany.
Ahmad MakkyDepartment of Pathology and Neuropathology, University Hospital and Comprehensive Cancer Center Tübingen, 72076, Tübingen, Germany.
Bahriye AktasDepartment of Gynecology, University Hospital Leipzig, 04103, Leipzig, Germany.
Josef Alfons KäsPeter Debye Institute for Soft Matter Physics, Leipzig University, 04103, Leipzig, Germany.
Holger StepanDepartment of Obstetrics, University Hospital Leipzig, 04103, Leipzig, Germany. holger.stepan@medizin.uni-leipzig.de.
University Hospital Leipzig · DELeipzig University · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe fetal membranes are essential for the maintenance of pregnancy, and their integrity until parturition is critical for both fetal and maternal health. Preterm premature rupture of the membranes (pPROM) is known to be an indicator of preterm birth, but the underlying architectural and mechanical changes that lead to fetal membrane failure are not yet fully understood. The aim of this study was to gain new insights into the anatomy of the fetal membrane and to establish a tissue processing and staining protocol suitable for future prospective cohort studies.

methodsIn this proof of principle study, we collected fetal membranes from women undergoing vaginal delivery or cesarean section. Small membrane sections were then fixed, stained for nucleic acids, actin, and collagen using fluorescent probes, and subsequently imaged in three dimensions using a spinning disk confocal microscope.

resultsFour fetal membranes of different types were successfully processed and imaged after establishing a suitable protocol. Cellular and nuclear outlines are clearly visible in all cases, especially in the uppermost membrane layer. Focal membrane (micro) fractures could be identified in several samples.

conclusionThe presented method proves to be well suited to determine whether and how the occurrence of membrane (micro) fractures and cellular jamming correlate with the timing of membrane rupture and the mode of delivery. In future measurements, this method could be combined with mechanical probing techniques to compare optical and mechanical sample information.

Indexed as

Premature BirthPremature Rupture of Fetal MembranesCesarean SectionChorionExtraembryonic MembranesFemaleHumansInfant, NewbornMicroscopy, ConfocalPregnancyProspective StudiesAmnionAnatomyChorionConfocal microscopyFetal membrane microfracturesFetal membranesFluorescence microscopyPremature preterm rupture of membranesPreterm labor

Identifiers

PMID37184578
PMCPMC11018647
OpenAlexW4376610109

What OpenQuestion holds

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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.