Evidence map›Paper›PMID 40185642›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Associations Between Modifiable Preconception Care Indicators and Pregnancy Outcomes.

Ashwini Kamath Mulki, Melanie B Johnson, Nicole M Burgess, Kyle Shaak, Katie Nisbett, Katarzyna Jabbour, Roya Hamadani, Beth Careyva

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In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. 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. Research on the Social Context of Medicine and the Modern Family Physician.Journal of the American Board of Family Medicine : JABFM
    Article
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

8 authors.

Ashwini Kamath MulkiFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC). ashwini.kamathmulki@lvhn.org.
Melanie B JohnsonFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).
Nicole M BurgessFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).
Kyle ShaakFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).
Katie NisbettFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).
Katarzyna JabbourFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).
Roya HamadaniFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).
Beth CareyvaFrom the Lehigh Valley Health Network (AKM, MBJ, NMB, KS, KN, KJ, RH, BC); Valley Health Partners (AKM), University of South Florida Morsani College of Medicine (AKM, KS, KJ, BC).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study explored gaps and opportunities in preconception care with a focus on determining whether modifiable preconception care indicators are associated with preterm births.

methodsThis retrospective case-control study explored prepregnancy data of patients ≥18 years old who delivered preterm (cases) versus full term (controls) between June 1, 2018, and May 31, 2019, at a health care network in Pennsylvania. Cases were matched 1:2 with controls based on age, parity, and history of preterm delivery. A literature review yielded 11 key indicators of quality preconception care. Documentation of counseling on these indicators were extracted from patient charts from their most recent primary care visit before pregnancy (preconception care) and their pregnancy intake visit (prenatal care). Bivariate analyses were used to assess whether any of the 11 preconception indicators were associated with preterm birth. All analyses were conducted using SPSS statistical software.

resultsOur sample included 663 patient charts: 221 preterm births and 442 term births. Elevated blood pressure (>120/80) in the preconception period (Odds Ratio [OR] = 1.84) and at the prenatal intake visit (OR = 1.68) was significantly associated with preterm birth. In addition, patients with Body Mass Index (BMI) ≤18 or ≥30 at their prenatal visit were nearly twice as likely (OR = 1.85) to have pregnancies resulting in preterm birth.

conclusionsOur study highlights BMI and Blood Pressure (BP) as key focus points for preconception counseling. Additional studies are needed to determine whether pregnancy outcomes other than preterm birth may be influenced by these and other preconception care indicators.

Indexed as

Preconception CarePregnancy OutcomePremature BirthQuality Indicators, Health CareAdultCase-Control StudiesFemaleHumansPennsylvaniaPregnancyPrenatal CareRetrospective StudiesRisk FactorsYoung AdultCase-Control StudiesCounselingPennsylvaniaPreconception CarePregnancyPregnancy OutcomePreterm BirthPrimary Health CareRetrospective Studies

Identifiers

PMID40185642
PMCPMC12096372

What OpenQuestion holds

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Registered trials

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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.