Evidence map›Paper›PMID 37843262›Full record

ArticleEuropean journal of neurology2024

Pregnancy outcomes for women with myasthenia gravis and their newborns: A nationwide register-based cohort study.

Laura O'Connor, Clas Malmeström, Rui Da Silva Rodrigues, Susanna Brauner, Anna-Karin Wikström, Anna Rostedt Punga

Open access · hybridAbstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Laura O'ConnorDepartment of Medical Sciences, Clinical Neurophysiology, Uppsala University, Uppsala, Sweden.
Clas MalmeströmDepartment of Clinical Neuroscience, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Rui Da Silva RodriguesDepartment of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden.
Susanna BraunerNeuroimmunology Unit, Department of Clinical Neurosciences, Karolinska Institutet, and Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Anna-Karin WikströmDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Anna Rostedt PungaDepartment of Medical Sciences, Clinical Neurophysiology, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-2178-9413
Uppsala University · SEKarolinska University Hospital · SESahlgrenska University Hospital · SE

Funding

Swedish Scientific Research Council, Vetenskapsrådet, Grant/Award Number: VR-523-2014-2048
6 · The paper itself

Abstract

background and purposeFew large-scale studies examine whether maternal myasthenia gravis (MG) is a risk factor for complications during pregnancy and childbirth. This study evaluated whether maternal MG is associated with an increased risk of adverse pregnancy, delivery, and neonatal outcomes.

methodsWe conducted a nationwide Swedish register-based cohort study of women who gave birth to singleton infants (≥22 gestational weeks) during 1987-2019. Exposed women were diagnosed with MG before or during the index pregnancy (N = 443). Unexposed women comprised 4249 women without a diagnosis of MG, matched for age, parity, hospital, and year of childbirth. The risks of adverse pregnancy, delivery, and neonatal outcomes for women with MG were estimated using regression modeling and presented as adjusted odds ratios (aOR).

resultsThere was no increased risk of pregnancy complications in women with MG. Women with MG had a spontaneous onset of labor less often than women without MG (69.8% vs. 79.5%; aOR 0.59; p < 0.001) as well as higher labor induction rates and elective cesarean section deliveries (16.0% vs. 12.3%, aOR 1.42; p = 0.02 and 12.0% vs. 8.1%, aOR 1.59; p = 0.009). Infants of women with MG were born on average 2 days earlier (p = 0.002); however, these infants did not have a higher risk of having low APGAR, being small for gestational age, or having a congenital malformation.

conclusionThis first nationwide study of pregnancy in women with MG in Sweden demonstrates reassuring results overall, suggesting generally safe pregnancy outcomes for women with MG and their infants.

Indexed as

Myasthenia GravisPregnancy OutcomeCesarean SectionCohort StudiesFemaleHumansInfantInfant, NewbornMalePregnancyRisk Factorsmyasthenia gravisnewbornpostpartumpregnancy

Identifiers

PMID37843262
PMCPMC11235875
OpenAlexW4387661230

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.