Evidence map›Paper›PMID 40918928›Full record

ArticleAmerican journal of preventive cardiology2025

Impact of mode of delivery on maternal and fetal outcomes in pregnant patients with heart failure or pulmonary hypertension.

Monil Majmundar, Kunal N Patel, Tasveer Khawaja, Rajkumar Doshi, Harshvardhan Zala, Ankur Kalra, Megan McKee Thomas, Matthew Lippmann, Martha Gulati

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In one paragraph

Article in American journal of preventive cardiology, 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.

Monil MajmundarDepartment of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Kunal N PatelDepartment of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Tasveer KhawajaDepartment of Cardiovascular Medicine, Case Western Reserve University, University Hospitals, Cleveland, OH, USA.
Rajkumar DoshiDepartment of Cardiology, Atlantic Medical Group Cardiology, Hackettstown, NJ, USA.
Harshvardhan ZalaDepartment of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.
Ankur KalraDepartment of Cardiology, State University of New York, Upstate Medical University, Syracuse, NY, USA.
Megan McKee ThomasDepartment of Gynecology and Obstetrics, University of Kansas Medical Center, Kansas City, KS, USA.
Matthew LippmannDepartment of Cardiology, Zucker School of Medicine at Hofstra/Northwell, Bay Shore, NY, USA.
Martha GulatiDepartment of Cardiology, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Data on outcomes associated with various modes of delivery in pregnant patients with heart failure (HF) or pulmonary hypertension (pHTN) are limited. Objective: We aim to investigate the association between mode of delivery on maternal and fetal outcomes in pregnant patients with HF or pHTN by conducting a multicenter, large scale and nationwide retrospective cohort study. Methods: This retrospective population-based cohort study used the Nationwide Readmission Database to identify all hospitalized pregnant patients who were primarily admitted for vaginal or cesarean delivery from 2011 to 2019. Pregnant patients with HF or pHTN were identified. The primary outcomes were in-hospital maternal and fetal mortality. Results: 23,359 hospitalized pregnant patients with HF or pHTN were identified: 7885 (33.8 %) underwent vaginal delivery, and 15,474 (66.2 %) underwent cesarean delivery. Patients undergoing cesarean delivery had lower odds of fetal mortality than vaginal delivery (OR: 0.18, 95 % CI: 0.07-0.45; Conclusions: In this multicentric cohort study, cesarean delivery was associated with lower fetal mortality but higher in-hospital maternal mortality. Thus, the unique features of each patient case should be considered via a multidisciplinary team before determining the optimal delivery method for patients with HF or pHTN.

Indexed as

Acute coronary syndromeCesarean deliveryFetal mortalityHeart failureIn-hospital mortalityPregnancyReadmissionVaginal delivery

Identifiers

PMID40918928
PMCPMC12410395

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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.