Evidence map›Paper›PMID 38400078›Full record

ArticleViruses2024

Association between the Mode of Delivery and Vertical Transmission of Human Papillomavirus.

Émilie Nantel, Marie-Hélène Mayrand, François Audibert, Joseph Niyibizi, Paul Brassard, Louise Laporte, Julie Lacaille, Monica Zahreddine, William Fraser, Diane Francoeur and 7 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 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
3.5field-weighted citation impact, top 7% 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, 9 citations in OpenAlex.

  1. Pooled it
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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

17 authors at 5 institutions in 1 country.

Émilie NantelDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.
Marie-Hélène MayrandDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.
François AudibertDepartment of Obstetrics and Gynecology, Sainte-Justine Hospital, Montreal, QC H3T 1C5, Canada.ORCID 0000-0002-2697-3826
Joseph NiyibiziDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.
Paul BrassardDivision of Clinical Epidemiology, McGill University Health Center, Montreal, QC H4A 3J1, Canada.ORCID 0000-0001-7485-2546
Louise LaporteSainte-Justine Hospital Research Center, Montreal, QC H3T 1C5, Canada.
Julie LacailleCentre de Recherche du CHUM (CRCHUM), Montreal, QC H2X 0A9, Canada.
Monica ZahreddineDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.
William FraserDepartment of Obstetrics and Gynecology, Centre de Recherche du CHUS, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada.
Diane FrancoeurDepartment of Obstetrics and Gynecology, Université de Montréal, Montreal, QC H3N 1X9, Canada.
Marie-Josée BédardCentre de Recherche du CHUM (CRCHUM), Montreal, QC H2X 0A9, Canada.
Isabelle GirardDepartment of Obstetrics and Gynecology, St-Mary's Hospital Center, Montreal, QC H3T 1M5, Canada.
Jacques LacroixSainte-Justine Hospital Research Center, Montreal, QC H3T 1C5, Canada.
Ana Maria CarcellerSainte-Justine Hospital Research Center, Montreal, QC H3T 1C5, Canada.
François CoutléeCentre de Recherche du CHUM (CRCHUM), Montreal, QC H2X 0A9, Canada.
Helen TrottierDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.ORCID 0000-0003-3293-7837
HERITAGE Study Group
Centre Hospitalier Universitaire Sainte-Justine · CACentre Hospitalier de l’Université de Montréal · CAMcGill University Health Centre · CASt Mary's Hospital Centre · CAUniversité de Sherbrooke · CA

Funding

CIHR MOP-93564 and MOP-136833
6 · The paper itself

Abstract

Human papillomavirus (HPV) can be vertically transmitted. Our objective was to measure the association between the mode of delivery and the detection of HPV in infants. We used data collected from pregnant women during the HERITAGE study. Self-collected vaginal samples from the first and third trimester were obtained for HPV testing. Specimens from oral, pharyngeal, conjunctival and anogenital mucosa were collected from infants 36-48 h after delivery and at 3 months of age. All samples were tested for HPV DNA by the Linear Array assay. Adjusted odd ratios (aOR) and 95% confidence interval (CI) were estimated using multivariate logistic regressions. From the 282 women revealed to be HPV-positive in both the first and third trimesters, 25 infants were born HPV-positive. The overall probability of transmission was 8.9% (25/282); 3.7% (3/81) in participants with a caesarean section and 10.9% (22/201) for those who delivered vaginally. Vaginal delivery increased the risk of HPV in infants compared to caesarean (aOR: 3.63, 95%CI: 1.03-12.82). Infants born after a caesarean with ruptured membranes were not at increased risk of HPV compared to infants born after an elective caesarean section with intact membranes (aOR: 1.31, 95%CI: 0.10-17.76). Our results support the hypothesis that transmission occurs mostly during the passage in the vaginal canal.

Indexed as

Papillomavirus InfectionsPregnancy Complications, InfectiousCesarean SectionDelivery, ObstetricFemaleHuman Papillomavirus VirusesHumansInfantInfectious Disease Transmission, VerticalPregnancycaesarean sectionhuman papillomavirus (HPV)mode of deliverypregnancyvaginal deliveryvertical transmission

Identifiers

PMID38400078
PMCPMC10893054
OpenAlexW4391883050

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.