Evidence map›Paper›PMID 39052170›Full record

ArticleJournal of assisted reproduction and genetics2024

Association between serum hormone levels in early pregnancy and risk of hypertensive diseases of pregnancy in women undergoing assisted reproduction.

Rachel A Martel, Victoria Lee, Abigail Armstrong, Maral Demirjian, Lorna Kwan, Zain A Al-Safi

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Rachel A MartelDepartment of Obstetrics and Gynecology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA. rmartel23@gmail.com.ORCID http://orcid.org/0000-0003-2665-251X
Victoria LeeUCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Abigail ArmstrongDepartment of Obstetrics and Gynecology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA.
Maral DemirjianDepartment of Urology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA.
Lorna KwanDepartment of Urology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA.
Zain A Al-SafiDepartment of Obstetrics and Gynecology, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe examined the association between progesterone (P4), estradiol (E2), and human chorionic gonadotropin (hCG) levels in early pregnancy and the development of hypertensive diseases of pregnancy among women undergoing assisted reproduction.

methodsRetrospective study including patients who underwent frozen embryo transfer (FET), ovarian stimulation (OS), or unassisted conception (UC) and had a live singleton birth. The primary outcome was the development of hypertensive diseases of pregnancy (gestational hypertension, preeclampsia, HELLP, or eclampsia). Secondary outcomes were the development of fetal intrauterine growth restriction (IUGR), gestational diabetes mellitus, birth weight, and pre-term birth. Hormone levels and the development of the outcomes were correlated.

resultsA total of 681 patients were included; 189 had FET, 193 had OS, and 299 had UC. Patients undergoing FET or OS were not more likely to develop hypertensive diseases of pregnancy compared with UC patients. While median levels of E2 and P4 were significantly different between P-FET and NC-FET patients (E2: 252 vs 317 pg/mL, P4: 64 vs 29 ng/mL, respectively; both p < 0.01), rates of hypertensive diseases of pregnancy did not significantly differ between those two groups. In the multivariate analyses, P4, E2, and hCG were not associated with the development of hypertensive diseases of pregnancy, but progesterone levels were significantly higher among those with IUGR. This remained consistent when the analysis was limited to FET patients.

conclusionP4, E2, and hCG levels did not correlate with the development of hypertensive diseases of pregnancy but elevated progesterone levels did correlate with the development of IUGR.

Indexed as

Chorionic GonadotropinEmbryo TransferEstradiolHypertension, Pregnancy-InducedProgesteroneReproductive Techniques, AssistedAdultFemaleFertilization in VitroFetal Growth RetardationHumansOvulation InductionPregnancyRetrospective StudiesRisk FactorsChorionic GonadotropinEstradiolProgesteroneEstradiolGestational hypertensionHuman chorionic gonadotropinPreeclampsiaProgesterone

Identifiers

PMID39052170
PMCPMC11405613

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