Evidence map›Paper›PMID 37682812›Full record

ArticlePloS one2023

Maternal, fetal, and perinatal outcomes among pregnant women admitted to an Ebola treatment center in the Democratic Republic of Congo, 2018-2020.

David Philpott, Neil Rupani, Monique Gainey, Eta N Mbong, Prince Imani Musimwa, Shiromi M Perera, Razia Laghari, Mija Ververs, Adam C Levine

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. 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

9 authors at 5 institutions in 2 countries.

David PhilpottJohns Hopkins Children's Center, Baltimore, Maryland, United States of America.ORCID 0000-0002-7666-3068
Neil RupaniBrown University, Providence, Rhode Island, United States of America.ORCID 0000-0001-7798-3808
Monique GaineyDepartment of Emergency Medicine, Rhode Island Hospital, Providence, Rhode Island, United States of America.ORCID 0000-0002-2860-9104
Eta N MbongInternational Medical Corps, Goma, Democratic Republic of Congo.
Prince Imani MusimwaDepartment of Gynecology and Obstetrics, University of Goma, Goma, Democratic Republic of Congo.
Shiromi M PereraInternational Medical Corps, Washington, District of Colombia, United States of America.
Razia LaghariInternational Medical Corps, Goma, Democratic Republic of Congo.
Mija VerversCenter for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Adam C LevineDepartment of Emergency Medicine, Brown University, Providence, Rhode Island, United States of America.
Brown University · USJohns Hopkins University · USInternational Medical Corps · USProvidence College · USUniversity of Goma · CD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to investigate maternal, fetal, and perinatal outcomes during the 2018-2020 Ebola outbreak in Democratic Republic of Congo (DRC).

methodsMortality between pregnant and non-pregnant women of reproductive age admitted to DRC's Mangina Ebola treatment center (ETC) were compared using propensity score matching. Propensity scores were calculated using age, initial Ebola viral load, Ebola vaccination status, and investigational therapeutic. Additionally, fetal and perinatal outcomes of pregnancies were also described.

resultsTwenty-seven pregnant women were admitted to the Mangina ETC during December 2018-January 2020 among 162 women of childbearing age. We found no evidence of increase mortality among pregnant women compared to non-pregnant women (relative risk:1.0, 95%CI: 0.58-1.72). Among surviving mothers, pregnancy outcomes were poor with at least 58% (11/19) experiencing loss of pregnancy while 16% (3/19) were discharged with viable pregnancy. Two mothers with viable pregnancies were vaccinated, and all received investigational therapeutics. Two live births occurred, with one infant surviving after the infant and mother received an investigational post-exposure prophylaxis and Ebola therapeutic respectively.

conclusionsPregnancy was not associated with increased mortality among women with EVD in the Mangina ETC. Fetal and perinatal outcomes remained poor in pregnancies complicated by EVD, though novel therapeutics may have potential for improving these outcomes.

Indexed as

Hemorrhagic Fever, EbolaDemocratic Republic of the CongoFemaleHospitalizationHumansInfantLive BirthMothersPregnancy

Identifiers

PMID37682812
PMCPMC10490991
OpenAlexW4386536499

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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.