Evidence map›Paper›PMID 36828655›Full record

ArticleBMJ open2023

Maternal and child outcomes for pregnant women with pre-existing multiple long-term conditions: protocol for an observational study in the UK.

Siang Ing Lee, Holly Hope, Dermot O'Reilly, Lisa Kent, Gillian Santorelli, Anuradhaa Subramanian, Ngawai Moss, Amaya Azcoaga-Lorenzo, Adeniyi Francis Fagbamigbe, Catherine Nelson-Piercy and 20 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

30 authors at 11 institutions in 2 countries.

Siang Ing LeeInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2332-5452
Holly HopeCentre for Women's Mental Health, Faculty of Biology Medicine & Health, The University of Manchester, Manchester, UK.ORCID 0000-0002-4834-6719
Dermot O'ReillyCentre for Public Health, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-9181-0652
Lisa KentCentre for Public Health, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-8882-0526
Gillian SantorelliBradford Institute for Health Research, Bradford Teaching Hospitals NHS Trust, Bradford, UK.ORCID 0000-0003-0427-1783
Anuradhaa SubramanianInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0001-8875-7363
Ngawai MossPatient and Public Representative, London, UK.
Amaya Azcoaga-LorenzoDivision of Population and Behavioural Sciences, University of St Andrews School of Medicine, St Andrews, UK.ORCID 0000-0003-3307-878X
Adeniyi Francis FagbamigbeDivision of Population and Behavioural Sciences, University of St Andrews School of Medicine, St Andrews, UK.ORCID 0000-0001-9184-8258
Catherine Nelson-PiercyGuy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0001-9311-1196
Christopher YauNuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK.ORCID 0000-0001-7615-8523
Colin McCowanDivision of Population and Behavioural Sciences, University of St Andrews School of Medicine, St Andrews, UK.ORCID 0000-0002-9466-833X
Jonathan Ian KennedyData Science, Medical School, Swansea University, Swansea, UK.ORCID 0000-0002-1122-6502
Katherine PhillipsInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-0674-605X
Megha SinghInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-3680-7124
Mohamed MhereegData Science, Medical School, Swansea University, Swansea, UK.ORCID 0000-0003-1241-9549
Neil CockburnInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0001-9284-6991
Peter BrocklehurstInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-9950-6751
Rachel PlachcinskiPatient and Public Representative, London, UK.ORCID 0000-0001-9908-0773
Richard D RileyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0001-8699-0735
Shakila ThangaratinamWHO Collaborating Centre for Global Women's Health, University of Birmingham Institute of Metabolism and Systems Research, Birmingham, UK.ORCID 0000-0002-4254-460X
Sinead BrophyData Science, Medical School, Swansea University, Swansea, UK.ORCID 0000-0001-7417-2858
Sudasing Pathirannehelage Buddhika Hemali SudasingheInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Utkarsh AgrawalDivision of Population and Behavioural Sciences, University of St Andrews School of Medicine, St Andrews, UK.ORCID 0000-0001-5181-6120
Zoe VowlesGuy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0001-6989-2180
Kathryn Mary AbelCentre for Women's Mental Health, Faculty of Biology Medicine & Health, The University of Manchester, Manchester, UK.ORCID 0000-0003-3538-8896
Krishnarajah NirantharakumarInstitute of Applied Health Research, University of Birmingham, Birmingham, UK k.nirantharan@bham.ac.uk.ORCID 0000-0002-6816-1279
Mairead BlackAberdeen Centre for Women's Health Research, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK.ORCID 0000-0002-6841-8601
Kelly-Ann EastwoodCentre for Public Health, Queen's University Belfast, Belfast, UK.ORCID 0000-0003-3689-0490
MuM-PreDiCT
University of Birmingham · GBUniversity of St Andrews · GBQueen's University Belfast · GBSwansea University · GBGuy's and St Thomas' NHS Foundation Trust · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBBradford Teaching Hospitals NHS Foundation Trust · GBGreater Manchester Mental Health NHS Foundation Trust · GBUniversity of Aberdeen · GBUniversity of Manchester · GBUniversity of Oxford · GB

Funding

Department of HealthMedical Research Council MR/V005243/1Medical Research Council MR/W014432/1
6 · The paper itself

Abstract

introductionOne in five pregnant women has multiple pre-existing long-term conditions in the UK. Studies have shown that maternal multiple long-term conditions are associated with adverse outcomes. This observational study aims to compare maternal and child outcomes for pregnant women with multiple long-term conditions to those without multiple long-term conditions (0 or 1 long-term conditions). METHODS AND ANALYSIS: Pregnant women aged 15-49 years old with a conception date between 2000 and 2019 in the UK will be included with follow-up till 2019. The data source will be routine health records from all four UK nations (Clinical Practice Research Datalink (England), Secure Anonymised Information Linkage (Wales), Scotland routine health records and Northern Ireland Maternity System) and the Born in Bradford birth cohort. The exposure of two or more pre-existing, long-term physical or mental health conditions will be defined from a list of health conditions predetermined by women and clinicians. The association of maternal multiple long-term conditions with (a) antenatal, (b) peripartum, (c) postnatal and long-term and (d) mental health outcomes, for both women and their children will be examined. Outcomes of interest will be guided by a core outcome set. Comparisons will be made between pregnant women with and without multiple long-term conditions using modified Poisson and Cox regression. Generalised estimating equation will account for the clustering effect of women who had more than one pregnancy episode. Where appropriate, multiple imputation with chained equation will be used for missing data. Federated analysis will be conducted for each dataset and results will be pooled using random-effects meta-analyses. ETHICS AND DISSEMINATION: Approval has been obtained from the respective data sources in each UK nation. Study findings will be submitted for publications in peer-reviewed journals and presented at key conferences.

Indexed as

Mental DisordersPregnant PeopleAdolescentAdultChildEnglandFemaleHumansMiddle AgedObservational Studies as TopicPregnancyScotlandWalesYoung AdultEPIDEMIOLOGYMaternal medicineOBSTETRICS

Identifiers

PMID36828655
PMCPMC9972454
OpenAlexW4321769370

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.