Evidence map›Paper›PMID 39043994›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Adverse fetal/neonatal and obstetric outcomes in pregnancies with both maternal and fetal heart disease.

Beatriz A Fernandez-Campos, Jasmine Grewal, Marla Kiess, Samuel C Siu, Birgit Pfaller, Mathew Sermer, Jennifer Mason, Candice K Silversides, Kim Haberer

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Beatriz A Fernandez-CamposDivision of Cardiology, University of Toronto, Pregnancy and Heart Disease Program, Mount Sinai and Toronto General Hospitals, Toronto, ON, Canada.ORCID 0000-0001-8030-4239
Jasmine GrewalDivision of Cardiology, St Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Marla KiessDivision of Cardiology, St Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Samuel C SiuDivision of Cardiology, University of Toronto, Pregnancy and Heart Disease Program, Mount Sinai and Toronto General Hospitals, Toronto, ON, Canada.
Birgit PfallerDepartment of Internal Medicine 1, University Hospital of St. Pölten, Karl Landsteiner University of Health Sciences, Karl Landsteiner Institute for Nephrology, St. Pölten, Austria.
Mathew SermerDivision of Maternal Fetal Medicine, University of Toronto, Special Pregnancy Program, Mount Sinai Hospital, Toronto, ON, Canada.
Jennifer MasonDivision of Maternal Fetal Medicine, University of Toronto, Special Pregnancy Program, Mount Sinai Hospital, Toronto, ON, Canada.
Candice K SilversidesDivision of Cardiology, University of Toronto, Pregnancy and Heart Disease Program, Mount Sinai and Toronto General Hospitals, Toronto, ON, Canada.
Kim HabererDivision of Pediatric Cardiology, Cohen Children's Medical Center of New York- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA. Khaberer1@northwell.edu.ORCID 0000-0001-5108-1590

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate fetal/neonatal and obstetric events in pregnancies with both maternal and fetal heart disease. STUDY

designFrom the CARPREG database, singleton pregnancies (>24 weeks) in patients with structural heart disease that underwent fetal/neonatal echocardiograms were selected and separated in two groups: maternal heart disease only (M-HD) and maternal and fetal heart disease (MF-HD). Differences in adverse fetal/neonatal (death, preterm birth, and small for gestational age) and obstetric (preeclampsia/eclampsia) outcomes between groups were analyzed.

resultsFrom 1011 pregnancies, 93 had MF-HD. Fetal/neonatal events (38.7% vs 25.3%, p = 0.006) and spontaneous preterm birth (10.8% vs 4.9%, p = 0.021) were more frequent in MF-HD compared to M-HD, with no difference in obstetric events. MF-HD remained as a significant predictor of fetal/neonatal events after adjustment (OR:1.883; 95% CI:1.182-3.000; p = 0.008).

conclusionsPregnancies with MF-HD are at risk of adverse fetal/neonatal events and spontaneous preterm birth. Larger studies are needed to determine their association with preeclampsia.

Indexed as

Pregnancy OutcomePremature BirthAdultEchocardiographyFemaleFetal DiseasesGestational AgeHeart DiseasesHumansInfant, NewbornInfant, Small for Gestational AgeLogistic ModelsPre-EclampsiaPregnancyPregnancy Complications, CardiovascularRetrospective Studies

Identifiers

PMID39043994
PMCPMC11442303

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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.