Evidence map›Paper›PMID 42606306›Full record

ReviewScandinavian journal of work, environment & health2026

Quality of guidelines for the management and prevention of occupational risks during pregnancy: a systematic quality assessment using the Appraisal of Guidelines for Research and Evaluation (AGREE II).

Martina Lupia, Ivan Solà, Rocío Villar, Marco Culqui, Pilar Díaz, Marilina Santero, Joan Mirabent, Fernando G Benavides, Consol Serra

Abstract readReview
In one paragraph

Review in Scandinavian journal of work, environment & health, 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

9 authors.

Martina LupiaCiSAL-Centre for Research in Occupational Health, Hospital del Mar Research Institute / Universitat Pompeu Fabra, PRBB Building, Dr. Aiguader, 88, 08003-Barcelona, Spain. consol.serra@upf.edu.
Ivan Solà
Rocío Villar
Marco Culqui
Pilar Díaz
Marilina Santero
Joan Mirabent
Fernando G Benavides
Consol Serra

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis review aimed to appraise the quality of existing guidelines on the management of occupational risks for employed women during pregnancy, identifying and describing their characteristics.

methodsWe systematically identified guidelines in MEDLINE, Embase, CINAHL, UpToDate, GIN International Guidelines Library, ECRI Guidelines Trust and websites of institutions and scientific societies. Four reviewers independently appraised each included document using the Appraisal of Guidelines for Research and Evaluation (AGREE II), generating domain scores of 0-100% (lowest to highest quality). An overall quality score for each guideline was assigned to each document by consensus among reviewers.

resultsThe study included 31 documents: only 4 (12.9%) had good methodological quality for use in clinical practice; 27 (87.1%) scored poorly in domain III (rigor of development), failing to describe literature searches and formulation of recommendations methods, relationship between scientific evidence and recommendations or updating procedures. Domain IV (clarity of presentation) scores were higher as most documents presented their recommendations clearly, and 14 (45.1%) achieved scores of >60% for ease of identification and interpretation. Guidelines were generally clearer in defining their objectives, but none provided implementation tools.

conclusionsGuidelines for the management and prevention of occupational risks during pregnancy lacked sufficient rigor in their development. Despite generally clear objectives and presentation, critical gaps in methodology undermine their utility and applicability. There is a clear need to improve the development process of guidelines for the management and prevention of occupational risks during pregnancy.

Indexed as

Guidelines as TopicOccupational DiseasesOccupational ExposureOccupational HealthPregnancy ComplicationsFemaleHumansPractice Guidelines as TopicPregnancyAGREE IIappraisalcontrolevaluationguidelineoccupational hazardoccupational healthoccupational riskpregnancypregnant workerpreventionresearchreviewsafety managementsystematic quality assessmentsystematic reviewworkwork–life balance

Identifiers

PMID42606306
PMCPMC13571321

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.