Evidence map›Paper›PMID 41949150›Full record

ArticleActa obstetricia et gynecologica Scandinavica2026

Pregnancies in women with rare diseases: Selected maternal and perinatal outcomes.

Philipp Kosian, Kristin Niederhöfer, Elena Jost, Ulrich Gembruch, Tim Bender, Lorenz Grigull, Waltraut Maria Merz

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2026. 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

7 authors.

Philipp KosianDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-2201-1494
Kristin NiederhöferDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Elena JostDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Ulrich GembruchDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Tim BenderCenter for Rare Diseases Bonn, University Hospital Bonn, Bonn, Germany.
Lorenz GrigullCenter for Rare Diseases Bonn, University Hospital Bonn, Bonn, Germany.
Waltraut Maria MerzDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRare diseases (RD) are characterized by chronicity and may be associated with reduced life expectancy and quality of life. Case series and reports regarding pregnancies in individuals with specific RD exist, but there is no data on the outcome of pregnancies in the overall group. MATERIAL AND

methodsA retrospective analysis was conducted of all pregnancies in women with RD who were managed at our center between January 2018 and July 2022. Maternal, fetal, and obstetric parameters were recorded.

resultsDuring the study period, 388 pregnant women with 434 RD were managed. Of these, 11.9% had more than one RD. The breakdown of conditions was as follows: 50.7% acquired diseases, 21% congenital diseases excluding malformations, 17.5% malformations, and 10.8% tumors. Disease-specific complications occurred in 23.2% of women, and pregnancy-specific complications in 25.1% of live births. Women with preconception stability experienced significantly fewer complications. The cesarean section rate was 50.6%. Preterm birth occurred in 15.3% of cases, and 20.4% of newborns required admission to the neonatal intensive care unit.

conclusionsWomen with RD experience a high rate of disease-specific and pregnancy complications. Preconception stability is a key factor for an uncomplicated course of pregnancy and birth.

Indexed as

Pregnancy ComplicationsPregnancy OutcomeRare DiseasesAdultCesarean SectionFemaleHumansInfant, NewbornPregnancyRetrospective Studieshealthcare requirementsmaternity careobstetric medicinepregnancypregnancy outcomerare disease

Identifiers

PMID41949150
PMCPMC13191797

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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.