Evidence map›Paper›PMID 40264354›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Maternal Anaemia and Congenital Heart Disease in Offspring: A Case-Control Study Using Linked Electronic Health Records in the United Kingdom.

Manisha Nair, Cynthia W Drakesmith, Margaret Smith, Clare R Bankhead, Duncan B Sparrow

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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. 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

5 authors.

Manisha NairNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0003-0660-5054
Cynthia W DrakesmithNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Margaret SmithNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Clare R BankheadNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Duncan B SparrowDepartment of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-1141-6613

Funding

British Heart FoundationMedical Research CouncilNational Institute for Health and Care Research Applied Research Collaboration Oxford and Thames Valley
6 · The paper itself

Abstract

objectiveAssessment of whether maternal anaemia in early pregnancy is associated with offspring congenital heart disease (CHD).

designMatched case-control study.

settingJanuary 1998-October 2020, United Kingdom. POPULATION: Women with a haemoglobin measurement in the first 100 days of pregnancy and a CHD-diagnosed child.

methodsData were extracted from the United Kingdom Clinical Practice Research Datalink GOLD database of electronic health records. Cases were 2,776 women with a CHD-diagnosed child. These were compared to 13 880 matched controls, women without a CHD-diagnosed child. Anaemia was classified as < 110 g/L haemoglobin following the WHO definition. A conditional logistic regression analysis was conducted, adjusted for potential maternal demographic and health-related confounders.

main outcome measuresOffspring CHD diagnosed within 5 years of birth.

results123 (4.4%) cases and 390 (2.8%) controls had anaemia. After adjusting for potential confounders, the odds of giving birth to a CHD-diagnosed child were 47% higher among anaemic mothers (adjusted OR 1.47, 95% CI 1.18,1.83, p < 0.001).

conclusionsThe observed association between maternal anaemia in early pregnancy and increased risk of offspring CHD supports our recent evidence in mice. Approximately two-thirds of anaemia cases globally are due to iron deficiency. A clinical trial of periconceptional iron supplementation might be a minimally invasive and low-cost intervention for the prevention of some CHD if iron deficiency anaemia is proven to be a cause.

Indexed as

AnemiaHeart Defects, CongenitalPregnancy Complications, HematologicAdultCase-Control StudiesElectronic Health RecordsFemaleHumansInfant, NewbornPregnancyRisk FactorsUnited KingdomYoung Adultanaemiacase–control studiesclinical practice research datalinkcongenital heart diseasehaemoglobinrisk factor

Identifiers

PMID40264354
PMCPMC12137751

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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.