Evidence map›Paper›PMID 38582906›Full record

ArticleBMC pregnancy and childbirth2024

The effect of intrahepatic cholestasis in pregnancy combined with different stages of hepatitis B virus infection on pregnancy outcomes: a retrospective study.

Qian Gao, Xuejiao Li, Li Wang, Xiaozhi Tan, Zhe Li, Chengfang Xu

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2024. 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
0.8field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  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

6 authors at 2 institutions in 1 country.

Qian GaoDepartment of Obstetrics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, Guangzhou, 510630, China.
Xuejiao LiDepartment of Obstetrics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, Guangzhou, 510630, China.
Li WangDepartment of Obstetrics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, Guangzhou, 510630, China.
Xiaozhi TanDepartment of Obstetrics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, Guangzhou, 510630, China.
Zhe Li *Department of Obstetrics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, Guangzhou, 510630, China. mcal@foxmail.com.
Chengfang Xu *Department of Obstetrics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, Guangzhou, 510630, China. lindaxu2011@qq.com.
Third Affiliated Hospital of Sun Yat-sen University · CNSun Yat-sen University · CN

Funding

Natural Science Foundation of Guangdong Province 2021A1515011441the National Natural Science Foundation of China 82070606
6 · The paper itself

Abstract

BACKGROUND AND

aimsTo investigate the impact of intrahepatic cholestasis of pregnancy (ICP) with hepatitis B virus (HBV) infection on pregnancy outcomes.

methodsWe selected 512 pregnant women, collected the data including maternal demographics, main adverse pregnancy outcomes and maternal HBV infected markers HBeAg and HBV-DNA loads status, then have a comparative analysis.

resultsThere were 319 solitary ICP patients without HBV infection (Group I) and 193 ICP patients with HBV infection. Of the latter, there were 118 cases with abnormal liver function(Group II) and 80 cases with normal liver function(Group III). All HBV-infected pregnant women with ICP were divided into hepatitis Be antigen (HBeAg)-positive group (102 cases) and HBeAg-negative group (91 cases), according to the level of the serum HBeAg status; and into high viral load group (92 cases), moderate viral load group (46 cases) and low viral load group (55 cases) according to the maternal HBV-DNA level. Group II had a higher level of serum total bile acids, transaminase, bilirubin as well as a higher percentage of premature delivery, neonatal intensive care unit (NICU) admission and meconium-stained amniotic fluid (MSAF) compared with the other two groups(P < 0.05), but there were no significant differences in the above indicators between the Group I and Group III. Among the HBV-infected patients with ICP, HBeAg-positive group had a higher level of serum transaminase, bilirubin and bile acid as well as earlier gestational weeks of delivery, lower birth weight of new-borns and a higher rate of NICU admission than HBeAg-negative group (P < 0.05). Those with a high viral load (HBV-DNA > 10

conclusionHBV-infected pregnant women with ICP combined with abnormal liver function have more severe liver damage, a higher percentage of preterm birth and NICU admission. HBeAg-positive status and a high HBV-DNA load will increase the severity of conditions in HBV-infected pregnant women with ICP. HBV-infected patients with ICP who have abnormal liver function, HBeAg-positive or a high viral load should be treated more actively.

Indexed as

Cholestasis, IntrahepaticHepatitis BPregnancy ComplicationsPregnancy Complications, InfectiousPremature BirthBile Acids and SaltsBilirubinBirth WeightDNA, ViralFemaleHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B virusHumansInfant, NewbornPregnancyBile Acids and SaltsBilirubinDNA, ViralHepatitis B e AntigensHepatitis B Surface AntigensTransaminasesHepatitis B virusIntrahepatic cholestasis of pregnancyPregnancy outcomes

Identifiers

PMID38582906
PMCPMC10998294
OpenAlexW4394012961

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.