Evidence map›Paper›PMID 42724613›Full record

ArticleThe Lancet regional health. Europe2026

Temporal and socioeconomic trends in hospital admissions for miscarriage and ectopic pregnancy in England, 2004-2024: a nationwide study.

Sindhu Sekar, Joshua Odendaal, Siobhan Quenby, Nicola Tempest

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 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

4 authors.

Sindhu SekarDepartment of Women's and Children's Health, Centre for Women's Health Research, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Health Partners, Liverpool, L8 7SS, UK.
Joshua OdendaalTommy's National Centre for Miscarriage Research, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, UK.
Siobhan QuenbyTommy's National Centre for Miscarriage Research, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, UK.
Nicola TempestDepartment of Women's and Children's Health, Centre for Women's Health Research, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Health Partners, Liverpool, L8 7SS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Miscarriage and ectopic pregnancy are among the most common early pregnancy complications, yet contemporary national trends and associated inequalities in England remain poorly characterised. This study examined 20-year temporal patterns in hospital admissions for miscarriage and ectopic pregnancy, with additional stratification by socioeconomic deprivation and age. Methods: National admissions data from 2004 to 2024, curated by NHS England, were extracted from Hospital Episode Statistics and the Maternity Services Data Set. Annual counts of miscarriage (ICD-10 O02-O03) and ectopic pregnancy (ICD-10 O00), deliveries, deprivation deciles, and age groups were analysed. Joinpoint regression (version 5.0) was used to identify significant changes in trends, calculating Annual Percent Change (APC) and Average Annual Percent Change (AAPC). Findings: Miscarriage admissions declined significantly between 2018 and 2021 (APC = -4.44∗%; 95% CI: -7.4218 to -0.7135; Interpretation: Persistent socioeconomic inequalities reflect a combination of population structure, higher prevalence of modifiable risk factors and inequitable access to care. Strengthening equitable access, tailored outreach through digital platforms and preventive strategies addressing modifiable risk factors may help optimise early pregnancy care and reduce avoidable emergency admissions. Findings should be interpreted with caution due to limited risk factor, parity, and age-deprivation data. Funding: None.

Indexed as

DeprivationEarly pregnancyEctopic pregnancyJoinpointMiscarriage

Identifiers

PMID42724613
PMCPMC13559920

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.