Evidence map›Paper›PMID 40784940›Full record

ReviewMaternal health, neonatology and perinatology2025

A systematic review of maternal and perinatal health outcomes in the context of epidemic threats: towards the development of a core outcome set.

Agustina Mazzoni, Mabel Berrueta, Veronica Pingray, Magdalena Babinska, Carolina Nigri, Vanesa Ortega, Florencia Salva, Agustín Ciapponi, Mercedes Bonet

Abstract readReview
In one paragraph

Review in Maternal health, neonatology and perinatology, 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. 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

9 authors.

Agustina MazzoniInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina. amazzoni@iecs.org.ar.
Mabel BerruetaInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina.
Veronica PingrayInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina.
Magdalena BabinskaUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Organization, Av. Appia 20, Geneva, 1211, Switzerland.
Carolina NigriInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina.
Vanesa OrtegaInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina.
Florencia SalvaInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina.
Agustín CiapponiInstitute for Clinical Effectiveness and Health Policy, Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina.
Mercedes BonetUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Organization, Av. Appia 20, Geneva, 1211, Switzerland.

Funding

Bill and Melinda Gates Foundation INV-041181 WHOGates Foundation INV-041181World Health Organization 001
6 · The paper itself

Abstract

objectiveTo systematically identify and classify maternal and perinatal health outcomes reported in research conducted in the epidemic and pandemic context. STUDY DESIGN AND

settingWe conducted a systematic review following Cochrane Methods. We searched MEDLINE, EMBASE, LILACS, SCI-EXPANDED, CINAHL, Cochrane Central Register of Controlled Trials, PsycINFO, AMED, ClinicalTrials.gov and ICTRP, between January 2015 and March 2023. Experimental, quasi-experimental, observational studies, phase IV trials, and post-marketing studies, published protocols and ongoing registered studies reporting maternal and perinatal health outcomes were included. Studies only reporting coverage of interventions, access to routine health services, clinical presentation of infectious diseases, and reviews were excluded. A sampling strategy was used for COVID-19 studies, due to their very high numbers. Outcome verbatims were extracted and categorized in unique outcome, and further classified into domains and subdomains. Frequency of outcome reporting was calculated.

results94 maternal and pregnancy and 47 unique neonatal outcomes were identified, from a total of 917 and 657 verbatims, respectively, reported across 440 included studies. At least 20% of included studies reported maternal and pregnancy outcomes of mode of delivery (56.1%), stillbirth (33.0%), preterm birth (28.6%), hypertensive disorders of pregnancy (26.6%), and maternal death (20.7%). These outcomes were identified across all three types of studies identified (epidemiological, product development or post-authorization surveillance). Gestational age at birth (29.8%), congenital malformations of the nervous system (26.1%), birth weight (23.4%), neonatal admission to intensive care unit (23.2%), and neonatal death (19.1%) were the most frequently reported neonatal outcomes.

conclusionsOur study provides the basis for developing a core outcome set to measure maternal and perinatal health during outbreaks, which would help improve data collection of harmonized data, data synthesis, and timely development of informed public health guidance and clinical care responding to the needs of pregnant women.

Indexed as

EpidemicsMaternalNewbornPandemicPregnancySystematic review

Identifiers

PMID40784940
PMCPMC12337472

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.