Evidence map›Paper›PMID 40226770›Full record

ArticleThe journal of allergy and clinical immunology. Global2025

Anesthetic management of women with primary immunodeficiencies in the obstetric setting: A French cohort study (ANEU-DIP).

Aude Beloeuvre, Olivia Anselem, Asmaa Tazi, Hawa Keita-Meyer, Nizar Mahlaoui, Caroline Charlier

Registry-linked trialAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06449066 (Infectious Complications Associated With the Use of Peri-partum Neuraxial Anaesthesia in Patients With Primary Immunodeficiencies), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT06449066 completednot on this map

Infectious Complications Associated With the Use of Peri-partum Neuraxial Anaesthesia in Patients With Primary Immunodeficiencies

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2024 to 2024Enrolled30ConditionsInfectious Complications (Epidural Abscess or Meningitis), Obstetrical Neuraxial AnaesthesiaArmsNon applicable
3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Aude BeloeuvreInfectious Diseases Unit, Paris Centre University Hospital, Paris, France.
Olivia AnselemDepartment of Obstetrics, Paris Centre University Hospital, Paris, France.
Asmaa TaziBacteriology Department, National Reference Center for Streptococci, Paris Centre University Hospital, Paris, France.
Hawa Keita-MeyerObstetric and Pediatric Anesthesiology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Centre University Hospital, Paris, France.
Nizar MahlaouiFrench National Reference Center for Primary Immune Deficiencies, Necker-Enfants malades University Hospital, AP-HP, Paris, France.
Caroline CharlierInfectious Diseases Unit, Paris Centre University Hospital, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Primary immunodeficiencies (PIDs) encompass a large group of inherited diseases affecting the immune system. PID management is improving, enabling more patients to carry a pregnancy to term. Anesthetic care of those patients, especially obstetric neuraxial anesthesia and the associated infectious complications, has never been evaluated in this population. Objective: This retrospective multicenter study aimed to assess the anesthetic management of women with PIDs during childbirth, focusing on potential infectious complications related to neuraxial anesthesia. Methods: The medical records of 30 women aged 18 years or older, who are included in the French national PID registry (Reference Centre for Primary Immunodeficiencies [CEREDIH]) and who gave birth at one of the Assistance Publique-Hôpitaux de Paris maternity units between 2014 and 2024, were analyzed. Data on PID history, obstetric outcomes, and peripartum anesthesia were collected (the ANEU-DIP study, ClinicalTrials.gov identifier NCT06449066). Results: We examined 51 deliveries (including 20 cesarean sections) among 30 women with PIDs (13 with predominantly antibody defects, 11 with T-cell immune deficiencies, and 6 with innate immune deficiencies). Of the 49 locoregional anesthesia procedures performed, 36 were epidurals, 8 were spinals, and 5 were combined spinal-epidurals. No anesthesia-related complications were reported. The distribution and severity of PIDs in the cohort were consistent with those in other French studies. Three intrauterine infections were identified, of which 2 were associated with known risk factors and subsequent favorable maternal and neonatal outcomes. Conclusion: This study highlights the frequent use of neuraxial anesthesia in women with PIDs. No anesthesia-related complications were observed. Further research is needed to implement tailored anesthesia guidelines for this vulnerable segment of the pregnant population.

Indexed as

anesthesiachronic diseasesinborn errors of immunityinfectioninterventionneonateoutcomepregnancyPrimary immune deficiencyrare diseasesregistry

Identifiers

PMID40226770
PMCPMC11986503

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