Evidence map›Paper›PMID 39370603›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

The Contribution of Hypertensive Disorders of Pregnancy to Neonatal Unit Admissions and Iatrogenic Preterm Delivery at < 34

Frances Conti-Ramsden, Jessica Fleminger, Julia Lanoue, Lucy C Chappell, Cheryl Battersby, UK Neonatal Collaborative

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Observational
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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

6 authors.

Frances Conti-RamsdenDepartment of Women and Children's Health, King's College London, London, UK.ORCID https://orcid.org/0000-0001-7081-6839
Jessica FlemingerDepartment of Women and Children's Health, King's College London, London, UK.
Julia LanoueNeonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK.
Lucy C ChappellDepartment of Women and Children's Health, King's College London, London, UK.
Cheryl BattersbyNeonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-2898-553X
UK Neonatal Collaborative

Funding

Medical Research CouncilNational Institute for Health and Care Research
6 · The paper itself

Abstract

objectivesThe objectives of this study were to (i) quantify the contribution of maternal hypertensive disorders of pregnancy (HDP) to iatrogenic preterm birth (PTB) and neonatal unit (NNU) admissions < 34

designRetrospective population-based study using the National Neonatal Research Database.

settingEngland and Wales. POPULATION: Infants born < 34

methodsDescriptive statistics, linear and logistic regression models to compare outcomes between groups.

main outcome measuresSurvival to discharge with/without comorbidity.

results122 228 infants met inclusion criteria. Where collected, 49 839/114 164 (43.7%, 95% CI 43.4%-43.9%) of infants had an iatrogenic PTB. HDP was recorded in 16 510/122 228 (13.5%) of all infants and 13 560/49 839 (27.2%) of iatrogenic PTBs. HDP and/or foetal growth restriction (FGR) were recorded in 24 124/49 839 (48.4%) of iatrogenic PTBs. Singleton HDP infants < 10th BWC had ≥ 90% survival to discharge from 28 weeks' gestation, versus from 26 weeks' gestation for those born ≥ 10th BWC. In extreme preterm HDP infants (< 27 weeks), 27.3% of infants < 10th BWC died compared to 15.2% of those ≥ 10th BWC. Survival without comorbidity was ≥ 90% from 32 weeks' gestation in HDP infants across BWC.

conclusionsThese contemporaneous population-level data show that almost one in two PTB < 34

Indexed as

Gestational AgeHypertension, Pregnancy-InducedIatrogenic DiseasePremature BirthAdultDatabases, FactualEnglandFemaleFetal Growth RetardationHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMalePregnancyRetrospective Studiesethnicityfoetal growth restrictionhypertensionneonatal unitpregnancypreterm birth

Identifiers

PMID39370603
PMCPMC11704029

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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.