Evidence map›Paper›PMID 37312571›Full record

ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2023

Maternal anemia is associated with adverse maternal and neonatal outcomes in Mbarara, Uganda.

P Kaitlyn Edelson, Danni Cao, Kaitlyn E James, Joseph Ngonzi, Drucilla J Roberts, Lisa M Bebell, Adeline A Boatin

Open access · diamondAbstract read
In one paragraph

Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  10. Does induction or augmentation of labor increase the risk of postpartum hemorrhage in pregnant women with anemia? A multicenter prospective cohort study in India.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  11. Association Between the Anemia During Pregnancy and Maternal Intensive Care Unit Admissions: A Systematic Review and Meta-Analysis.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
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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

7 authors at 5 institutions in 2 countries.

P Kaitlyn EdelsonDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
Danni CaoBrandeis University, Waltham, MA, USA.
Kaitlyn E JamesDepartment of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.
Joseph NgonziDepartment of Obstetrics and Gynaecology, Mbarara University of Science and Technology, Mbarara, Uganda.
Drucilla J RobertsDepartment of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Lisa M BebellInfectious Diseases Division, Massachusetts General Hospital, Boston, MA, USA.
Adeline A BoatinDepartment of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USBrandeis University · USCenter for Global Health · USMbarara University of Science and Technology · UGUniversity of Pennsylvania · US

Funding

HIV Infection, Placental Inflammation, and Early Childhood Outcomes in HIV-exposed, Uninfected Infants in UgandaK23AI138856 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BEBELL, LISA M · 2019 to 2023
$1.1M
Wireless Physiologic Monitoring in Postpartum Women in rural UgandaK23HD097300 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI BOATIN, ADELINE ADWOA · 2018 to 2022
$863k
NIAID NIH HHS K23 AI138856NICHD NIH HHS K23 HD097300
6 · The paper itself

Abstract

purposeMaternal anemia is a significant risk factor for maternal morbidity and mortality, increasing risk of preterm birth, intrauterine growth restriction, stillbirth, and death. Moderate and severe anemia in pregnancy is defined as hemoglobin (Hb) <10 g/dl and Hb < 7 g/dl, respectively. We aimed to characterize the association of maternal anemia with maternal, neonatal, and placental outcomes in a resource-limited setting.

methodsData were collected from a prospective cohort of 352 pregnant women at a tertiary academic Ugandan hospital. One hundred and seventy-six (50%) of women were living with HIV. Hemoglobin was measured in labor, and placentas were collected postpartum. Maternal outcomes included mode of delivery, hemorrhage, blood transfusion, intensive care unit admission, and maternal mortality. Neonatal outcomes included gestational age at delivery, birthweight, stillbirth, and neonatal mortality. Placental descriptors included weight and thickness. Categorical variables were analyzed using Chi-squared and Fisher's exact tests.

resultsHemoglobin < 10 g/dl, was present in 17/352 (5%) of women. Significantly more women with moderate or severe anemia were HIV-infected: 14/17 (82%) versus 162/335 (48%) (

conclusionsModerate and severe anemia was associated with maternal HIV infection, maternal blood transfusion, neonatal death, and decreased placental thickness. The overall rate of moderate and severe anemia among this cohort was lower than previously reported.

Indexed as

AnemiaHIV InfectionsPerinatal DeathPremature BirthFemaleHumansInfant, NewbornPlacentaPregnancyProspective StudiesStillbirthUgandaAnemiablood transfusionglobal healthmaternal morbidityneonatal morbidityplacental pathology

Identifiers

PMID37312571
PMCPMC10419325
OpenAlexW4380576921

What OpenQuestion holds

Textmetadata
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.