Evidence map›Paper›PMID 40634714›Full record

ArticleMaternal and child health journal2025

Maternal and Neonatal Outcomes in Pregnancies with Adenomyosis.

Soukaina Hguig, Nicholas Czuzoj-Shulman, Andrea R Spence, Haim Arie Abenhaim

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Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

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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 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

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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

4 authors.

Soukaina HguigDepartment of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Canada.
Nicholas Czuzoj-ShulmanCentre for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montreal, QC, Canada.
Andrea R SpenceCentre for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montreal, QC, Canada.
Haim Arie AbenhaimDepartment of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Canada. haim.abenhaim@gmail.com.ORCID http://orcid.org/0000-0002-7001-7153

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAdenomyosis is a common gynecologic disease involving the uterus, with its effect on pregnancy being poorly understood. This study aimed to evaluate the associations between adenomyosis and obstetrical and newborn outcomes.

methodsUsing the Healthcare Cost and Utilization Project-National Inpatient Sample from the United States, we conducted a retrospective cohort study of all birth-related admissions from 2016 to 2019. Pregnancies with adenomyosis were identified using the ICD-10 code N80.03, with the remaining pregnancies being the reference group. Then, ICD-10 codes were used to identify obstetrical and neonatal outcomes and multivariable logistic regression models, adjusted for baseline maternal demographics, were used to determine the impact of adenomyosis on these outcomes. Also, in light of the potential detection bias inherent in births by cesarean delivery, adjustment for mode of delivery was included in all regression analyses.

resultsAmong the 2,943,532 women who delivered between 2016 and 2019, 1,084 had adenomyosis, for an overall prevalence of 36 cases/100,000 births, which was stable throughout the study period. Adenomyosis in pregnancy was associated with increased frequency of placenta abruptio (adjusted OR 1.7, 95% CI 1.2-2.4), preterm delivery (1.4, 1.2-1.6), preterm premature rupture of membranes (1.3, 1.1-1.6), postpartum hemorrhage (2.7, 2.1-3.3), post-partum transfusion (2.2, 1.6-3.0), disseminated intravascular coagulation (9.3, 4.2-20.9), sepsis (2.7, 1.6-4.5), congenital anomalies (2.0, 1.3-2.8), and intrauterine fetal demise (2.0, 1.0-3.8). Also, these pregnancies had an elevated risk of delivering by cesarean (15.7, 12.7-19.3).

conclusionAdenomyosis in pregnancy is associated with adverse obstetric and fetal outcomes. As such, pregnancies in patients with adenomyosis should be considered high-risk and should be delivered in centers capable of managing the potential poor events associated with these pregnancies.

Indexed as

AdenomyosisPregnancy ComplicationsPregnancy OutcomeAdultCohort StudiesFemaleHumansInfant, NewbornPregnancyPremature BirthPrevalenceRetrospective StudiesUnited StatesAdenomyosisNeonatal outcomesPregnancyPregnancy outcomes

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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.