Evidence map›Paper›PMID 42252605›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2026

Association Between Lateral Placenta and Adverse Maternal and Perinatal Outcomes: A Systematic Review and Meta-Analysis.

Joseph Arkorful, Juliana Nyamson, Theophilus Adu-Bredu, Kwame Adu-Bonsaffoh, Joyce Browne, Albert D Piersson, Kitty Bloemenkamp

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Joseph ArkorfulDepartment of Obstetrics, Division Woman and Baby, Wilhelmina Children Hospital, University Medical Center, Utrecht University, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0001-9457-4221
Juliana NyamsonDepartment of Imaging Technology & Sonography, University of Cape Coast, Cape Coast, Ghana.
Theophilus Adu-BreduNuffield Center of Women's Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0003-2365-6769
Kwame Adu-BonsaffohDepartment of Obstetrics and Gynaecology, University of Ghana, School of Medical Sciences, Accra, Ghana.
Joyce BrowneJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
Albert D PierssonDepartment of Diagnostic Radiography & Medical Imaging, York St John University, York, UK.
Kitty BloemenkampDepartment of Obstetrics, Division Woman and Baby, Wilhelmina Children Hospital, University Medical Center, Utrecht University, Utrecht, the Netherlands.

Funding

University of Cape Coast
6 · The paper itself

Abstract

backgroundAdverse maternal and perinatal outcomes such as preeclampsia, small-for-gestational age (SGA) and preterm birth remain major global health concerns. Beyond known high-risk placental features, emerging evidence suggests lateral placenta to be associated with impaired uteroplacental blood flow resulting in placenta dysfunction and adverse outcomes. A better understanding of these associations requires synthesizing both crude and adjusted effect estimates from available evidence.

objectivesTo comprehensively review and synthesize available evidence on the association between lateral placenta and adverse maternal and perinatal outcomes. SEARCH STRATEGY: MEDLINE (PubMed), EMBASE, Scopus and Cochrane CENTRAL were searched on 25th August, 2025. SELECTION CRITERIA: Studies that assessed the association between lateral placentation and adverse maternal and perinatal outcomes in singleton pregnancies. DATA COLLECTION AND ANALYSIS: Data were independently extracted by two reviewers. The random-effects model was used to pool estimates of both crude and adjusted odds ratios (ORs) with corresponding 95% confidence interval (CI). Statistical heterogeneity was assessed by the I MAIN

resultsTwenty one eligible studies with a total of 162 727 singleton pregnancies were included in the meta-analyses. Lateral placenta was associated with preeclampsia (OR = 1.65, 95% CI: 1.25, 2.19, I

conclusionsLateral placenta is associated with increased odds of preeclampsia, SGA, preterm birth, non-vertex foetal presentation, and retained placenta. After controlling for confounders, lateral placenta remained independently associated with increased odds of SGA, preterm birth, and retained placenta. More studies that adjust for confounders are, however, needed to further clarify and strengthen the evidence base of this independent association.

Indexed as

PlacentaPre-EclampsiaPregnancy OutcomePremature BirthFemaleHumansInfant, NewbornInfant, Small for Gestational AgePlacenta DiseasesPregnancyadverse maternal outcomesadverse perinatal outcomeslateral placentalateral placentationmeta‐analysisplacental dysfunctionsystematic review

Identifiers

PMID42252605
PMCPMC13659432

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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.