Evidence map›Paper›PMID 40747270›Full record

Articlenpj women's health2024

The biomechanical evolution of the uterus and cervix and fetal growth in human pregnancy.

Erin M Louwagie, Serena R Russell, Jacqueline C Hairston, Claire Nottman, Chia-Ling Nhan-Chang, Karin Fuchs, Cynthia Gyamfi-Bannerman, Whitney Booker, Maria Andrikopoulou, Alexander M Friedman and 7 more

Abstract read
In one paragraph

Article in npj women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

17 authors.

Erin M LouwagieColumbia University, Department of Mechanical Engineering, New York, 10027, USA.
Serena R RussellColumbia University, Department of Mechanical Engineering, New York, 10027, USA.
Jacqueline C HairstonColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Claire NottmanColumbia University, Department of Biomedical Engineering, New York, 10027, USA.
Chia-Ling Nhan-ChangColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Karin FuchsColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Cynthia Gyamfi-BannermanColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Whitney BookerColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Maria AndrikopoulouColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Alexander M FriedmanColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Noelia ZorkColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Ronald WapnerColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Joy VinkColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Mirella MouradColumbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, 10036, USA.
Helen M FeltovichIcahn School of Medicine at Mount Sinai, Department of Obstetrics & Gynecology, New York, 10029, USA.
Michael D HouseTufts Medical Center, Department of Obstetrics & Gynecology, Boston, 02111, USA.
Kristin M MyersColumbia University, Department of Mechanical Engineering, New York, 10027, USA.

Funding

A Computational Framework for the Clinical Evaluation of the Soft Tissue Mechanics in PregnancyR01HD091153 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI MYERS, KRISTIN MARIE · 2017 to 2021
$1.6M
NICHD NIH HHS R01 HD091153
6 · The paper itself

Abstract

The coordinated biomechanical performance of maternal tissues facilitates healthy pregnancy. Quantifying uterine and cervical biomechanical function has been challenging due to minimal data on the anatomy's shape, size, and material properties across gestation. Addressing this challenge, this study quantifies structural features of human pregnancy by assessing maternal reproductive tissues and estimated fetal weight in 47 low-risk pregnancies at four gestation times. Uterocervical size and estimated fetal weight were measured via ultrasound, and cervical stiffness was measured via mechanical aspiration. Patient-specific uterocervical solid models were built for each time point, and uterocervical dimensions and cervical stiffness rate changes were assessed between time points. We found that uterine growth rates are time- and direction-dependent, with cervical softening occurring fastest in early gestation and cervical shortening fastest in late gestation. In conclusion, this work enables computational modeling platforms (i.e., digital twins) to explore the structural performance of the uterus and cervix in pregnancy.

Identifiers

PMID40747270
PMCPMC12312188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.