Evidence map›Paper›PMID 39602915›Full record

SynthesisObesity facts2025

Impact of Body Mass Index on Outcomes of Cervical Cerclage: A Systematic Review and Meta-Analysis.

Lihua Yang, Hua Yang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Obesity facts, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Lihua YangDepartment of Gynecology 10th Ward, Huzhou Maternal and Child Health Hospital, Huzhou, China.
Hua YangOutpatient Surgery Center, Huzhou Maternal and Child Health Hospital, Huzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of the review was to examine the impact of maternal body mass index (BMI) on outcomes of cervical cerclage for cervical insufficiency.

methodsThis prospectively registered review (CRD42024512436) searched PubMed, Embase, Scopus, and Web of Science for comparative studies published before 6 March 2024. Maternal and neonatal outcomes of females undergoing cerclage were compared based on BMI.

resultsSeven studies were included. Pooled data showed that the risk of preterm birth (PTB) (<37 weeks) was significantly increased in the obese vs. non-obese group (odds ratio 1.32, 95% confidence interval [CI]: 1.15, 1.51; I2 = 36%). Gestation age at delivery in weeks was also found to be significantly lower in the obese group (MD: -2.47, 95% CI: -4.83, -0.12; I2 = 96%). There was no significant difference in the risk of preterm premature rupture of membranes and chorioamnionitis between the two groups. Still, the rate of cesarean sections was significantly higher in the obese group. Neonatal birth weight in grams was not found to be significantly different between obese and non-obese groups but the risk of neonatal intensive care unit (NICU) admission was significantly increased in the obese group.

conclusionLow-quality evidence indicates that obesity may lead to an increased risk of PTB in women undergoing cervical cerclage. The risk of cesarean section and NICU admission is also increased in obese females.

Indexed as

Body Mass IndexCerclage, CervicalObesityPremature BirthUterine Cervical IncompetenceCesarean SectionFemaleGestational AgeHumansInfant, NewbornPregnancyPregnancy OutcomePremature Rupture of Fetal MembranesRisk FactorsCervical stitchGestational ageNeonatal outcomesObeseOverweightPreterm birth

Identifiers

PMID39602915
PMCPMC12017757

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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.