Evidence map›Paper›PMID 41664012›Full record

ReviewBMC pregnancy and childbirth2026

Fetal ventricular contractility and birth outcomes: a prospective cohort study.

Zafer Bütün, Masum Kayapınar, Gökalp Şenol, Mehmet Can Keven

Abstract readReview
In one paragraph

Review in BMC pregnancy and childbirth, 2026. 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
–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 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Zafer BütünPrivate Perinatology Clinic, Eskişehir, Turkey. zaferbutun@hotmail.com.
Masum KayapınarPrivate Perinatology Clinic, Mersin, Turkey.
Gökalp ŞenolPerinatology Department, Hitit University Erol Olçok Research Hospital, Çorum, Turkey.
Mehmet Can KevenPerinatology Department, Eskişehir City Hospital, Eskişehir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreeclampsia, gestational diabetes mellitus (GDM), and fetal growth restriction (FGR) are maternal complications that affect intrauterine growth and cardiovascular adaptation of fetuses. This study aimed to determine whether early fetal cardiac function predicts birth weight, gestational age at delivery, and the occurrence of maternal and fetal complications.

methodsIn this prospective cohort, there were 101 singleton pregnancies that had been evaluated at 20-22 gestational weeks using detailed fetal echocardiography. Maternal age, body mass index (BMI) and pregnancy complications (preeclampsia, GDM, FGR) were documented. Fetal parameters of echocardiography were left and right ventricular size, systolic function parameters, stroke volume, and cardiac output. To find the predictors of birth weight, gestational age, and complications, multivariate linear regression was conducted.

resultsIn preeclamptic mothers, fetuses had smaller ventricular dimensions but maintained systolic function, and FGR fetuses had smaller areas of LV end-diastolic and RV end-systolic. GDM was not tied to a significant heart defect in the fetus or birth weight. Maternal age was not linked to any fetal cardiac or birth outcome. These structural alterations in preeclampsia and FGR suggest subclinical cardiac remodeling, detectable in mid-gestation, which may represent early biomarkers of adverse outcomes. Fetal cardiac parameters were not significant predictors of birth weight; however, maternal BMI was strongly associated with birth weight. (p<0.001).

conclusionsEarly remodelling without functional deficiency is indicated by subclinical structural cardiac variations in preeclampsia and FGR, which highlight the importance of targeted attention during high-risk pregnancy and the use of weight optimization strategies before pregnancy.

Indexed as

Birth WeightFetal Growth RetardationFetal HeartHeart VentriclesMyocardial ContractionVentricular FunctionAdultBody Mass IndexDiabetes, GestationalEchocardiographyFemaleGestational AgeHumansInfant, NewbornPre-EclampsiaPregnancyBirth weightBody mass indexEchocardiography, fetal growth retardationGestational diabetesPreeclampsiaPregnancy complications, cardiovascularPregnancy outcome

Identifiers

PMID41664012
PMCPMC12983933

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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.