Evidence map›Paper›PMID 39768283›Full record

ArticleLife (Basel, Switzerland)2024

Maternal and Neonatal Outcomes Based on Changes in Glycosylated Hemoglobin Levels During First and Second Trimesters of Pregnancy in Women with Pregestational Diabetes: Multicenter, Retrospective Cohort Study in South Korea.

Mi Ju Kim, Suyeon Park, Sooran Choi, Subeen Hong, Ji-Hee Sung, Hyun-Joo Seol, Joon Ho Lee, Seung Cheol Kim, Sae-Kyoung Choi, Ji Young Kwon and 10 more

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

20 authors.

Mi Ju KimDepartment of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.ORCID 0000-0001-9770-1580
Suyeon ParkDepartment of Obstetrics and Gynecology, Inha University, Incheon 22212, Republic of Korea.
Sooran ChoiDepartment of Obstetrics and Gynecology, Inha University, Incheon 22212, Republic of Korea.
Subeen HongDepartment of Obstetrics and Gynecology, Incheon St. Mary's Hospital, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Ji-Hee SungDepartment of Obstetrics and Gynecology, Sungkyunkwan University, Seoul 03063, Republic of Korea.
Hyun-Joo SeolDepartment of Obstetrics and Gynecology, Kyung Hee University, Seoul 02447, Republic of Korea.ORCID 0000-0003-0303-7813
Joon Ho LeeDepartment of Obstetrics and Gynecology, Yonsei University Health System, Yonsei University, Seoul 03722, Republic of Korea.
Seung Cheol KimDepartment of Obstetrics and Gynecology, Pusan National University, Busan 46241, Republic of Korea.ORCID 0000-0002-8174-9931
Sae-Kyoung ChoiDepartment of Obstetrics and Gynecology, Incheon St. Mary's Hospital, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Ji Young KwonDepartment of Obstetrics and Gynecology, Incheon St. Mary's Hospital, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Seung Mi LeeDepartment of Obstetrics and Gynecology, Seoul National University, Seoul 08826, Republic of Korea.
Se Jin LeeDepartment of Obstetrics and Gynecology, Kangwon National University, Gangwon 24341, Republic of Korea.
Han-Sung HwangDepartment of Obstetrics and Gynecology, Konkuk University, Seoul 05030, Republic of Korea.
Gi Su LeeDepartment of Obstetrics and Gynecology, School of Medicine, Keimyung University, Daegu 42601, Republic of Korea.
Hyun Soo ParkFamily Medicine Residency, Providence St. Joseph Eureka Hospital, Eureka, CA 95501, USA.ORCID 0000-0002-7873-3234
Soo-Jeong LeeDepartment of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Ulsan 44610, Republic of Korea.ORCID 0000-0001-9272-6770
Geum Joon ChoDepartment of Obstetrics and Gynecology, Korea University, Seoul 02841, Republic of Korea.
Jin-Gon BaeDepartment of Obstetrics and Gynecology, School of Medicine, Keimyung University, Daegu 42601, Republic of Korea.
Won Joon SeongDepartment of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Hyun Sun KoDepartment of Obstetrics and Gynecology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0001-6310-6206

Funding

grant of Patient-Centered Clinical Research Coordinating Center (PACEN) RS-2023-KH137595
6 · The paper itself

Abstract

This study compared glycosylated hemoglobin (HbA1c) levels in the first and second trimesters of pregnancy and assessed maternal and neonatal outcomes according to HbA1c variations among women with pregestational diabetes. This retrospective, multicenter Korean study involved mothers with diabetes who had given birth in 17 hospitals. A total of 292 women were divided into three groups based on HbA1c levels during the first and second trimesters: women with HbA1c levels maintained at <6.5% (well-controlled [WC] group); women with HbA1c ≥ 6.5% (poorly-controlled [PC] group); and women with HbA1c ≥ 6.5% in the first trimester but <6.5% in the second trimester (improved-control [IC] group). The PC group had the highest pregnancy-associated hypertension (PAH) incidence, while the incidence did not significantly differ between the WC and IC groups. The receiver operating characteristic (ROC) curve indicated that HbA1c in the second trimester could predict PAH with a cut-off value of 5.7%. The PC versus WC versus IC group showed statistically significantly higher neonatal birthweight and significantly higher rates of large for gestational age (LGA); however, those were not significantly different between the WC and IC groups. HbA1c levels in the second trimester could predict LGA, with a cut-off value of 5.4%. Therefore, the second trimester HbA1c levels were significantly associated with both maternal and neonatal outcomes.

Indexed as

first trimesterglycosylated hemoglobinmaternal outcomesneonatal outcomespregestational diabetessecond trimester

Identifiers

PMID39768283
PMCPMC11676594

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.