Evidence map›Paper›PMID 41639469›Full record

SynthesisArchives of gynecology and obstetrics2026

Investigation of the association between maternal serum ferritin levels and preterm delivery: A systematic review and meta-analyses.

Amirhossein Ehsani, Mohammad Mahdi Mehrabi, Tima Bashar Awad, Moein Ghasemi, Ahmad Eshraghi, Seyed Amir Asef Agah, Adele Sajadi, Sara Ashtari, Nafiseh Saedi

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Amirhossein Ehsani *Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Mahdi Mehrabi *Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Tima Bashar AwadFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Moein GhasemiFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Ahmad EshraghiFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Amir Asef AgahFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Adele SajadiObstetrics and Gynaecology Department, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sara AshtariFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. sara.ashtari2@gmail.com.
Nafiseh SaediObstetrics and Gynaecology Department, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. saedi.tums@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm delivery (PTD) has been a significant cause of neonatal morbidity and mortality. Maternal serum ferritin, a biomarker of both iron stores and systemic inflammation, has shown inconsistent associations with PTD risk in individual studies.

objectiveThis systematic review and meta-analysis aimed to clarify the relationship between maternal serum ferritin levels and the risk of PTD.

methodsFollowing the PRISMA guidelines, we searched PubMed, Scopus, Web of Science, and Google Scholar up to August 2025. Twenty-four observational studies with more than 10000 participants were included. Pooled standardized mean differences (SMDs) and odds ratios (ORs) were calculated using random-effects models. The ROBINS-1 tool was used to assess the quality of the studies and the risk of bias.

resultsFerritin levels were significantly higher in pregnancies ending in PTD (random-effects SMD 0.82, 95% CI 0.28-1.36; I

conclusionElevated levels of maternal serum ferritin, especially during the second trimester, are linked to PTD. However, the adjusted OR estimates have not shown statistical significance. There is considerable variability among the studies and a risk of bias that warrants cautious interpretation. Additionally, the diagnostic thresholds reported differ greatly and lack sufficient validation for clinical application. It is essential to conduct standardized prospective studies before ferritin-based clinical decision-making can be endorsed.

Indexed as

FerritinsPremature BirthBiomarkersFemaleHumansPregnancyBiomarkersFerritinsFerritinMeta-analysisPreterm deliveryPreterm labor

Identifiers

PMID41639469
PMCPMC12872698

What OpenQuestion holds

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Registered trials

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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.