Evidence mapPaperPMID 40054873Full record

ArticleBMJ open2025

Improving maternal and PeRinatal Outcomes aMong wOmen with and without obEsity (PROMOTE): protocol for a prospective pregnancy cohort study.

Ania Samarawickrama Lucewicz, Yoon Ji Jina Rhou, Sarah Melov, James Elhindi, Shrujna Patel, Victoria Flood, Ben J Smith, Tim Usherwood, Justin McNab, Mark McClean and 4 more

Abstract read
In one paragraph

Article in BMJ open, 2025. 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

14 authors.

Ania Samarawickrama LucewiczReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.ORCID http://orcid.org/0009-0008-3153-7464
Yoon Ji Jina RhouReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Sarah MelovReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
James ElhindiReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Shrujna PatelReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Victoria FloodReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Ben J SmithReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-6227-5566
Tim UsherwoodReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-7522-0345
Justin McNabReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Mark McCleanReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Ngai Wah CheungReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Karena PryceWestmead Institute for Medical Research, Westmead, New South Wales, Australia.
Dharmintra PasupathyReproduction and Perinatal Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia Dharmintra.Pasupathy@sydney.edu.au.
PROMOTE Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Improving maternal and PeRinatal Outcomes aMongst wOmen with and without obEsity (PROMOTE) cohort study is a prospective pregnancy cohort study that seeks to test current assumptions and understanding of cardiometabolic disease and risk during pregnancy. The demographic shift among pregnant women, including older age and increasing obesity, has resulted in an increased risk of cardiometabolic complications during pregnancy and over the lifetime for mother and offspring. Unfortunately, lifestyle interventions during pregnancy have not yet produced clinically meaningful outcomes. Furthermore, cohort studies in pregnancy are costly and have selection bias due to study burden and attrition. There is an urgent need for high-quality observational data collected pragmatically about cardiometabolic health and determinants during pregnancy, to identify subgroups at highest risk and to provide rich contextual information around the interplay of clinical and social determinants. METHODS AND ANALYSIS: The PROMOTE cohort study is a prospective pregnancy cohort study recruiting pregnant participants <16 weeks' gestation at a large urban public teaching hospital with high social and cultural diversity in Sydney, Australia. Participants are surveyed about their physical activity levels, dietary quality, emotional well-being and sociodemographic status using validated tools. Participants are consented for biobanking and for use of routinely collected clinical and social data, including medical conditions, body mass index, blood pressure and glycaemia. Follow-up is from routinely collected data. Pregnancy and birth outcomes include maternal and neonatal pregnancy and birth outcomes include gestational diabetes mellitus, hypertensive disorders of pregnancy and preterm birth. Postnatal and longitudinal data collection is planned. ETHICS AND DISSEMINATION: The study has been approved by the Western Sydney Local Health District Human Research Ethics Committee (2021/ETH00287). The study will disseminate results by academic publication, conference presentations and targeted implementation partnerships. TRIAL REGISTRATION NUMBER: Retrospectively registered with the Australian New Zealand Clinical Trials Registry (registration number: ACTRN12624001344583).

Indexed as

ObesityPregnancy ComplicationsPregnancy OutcomeAdultAustraliaExerciseFemaleHumansPregnancyProspective StudiesResearch DesignDiabetes in pregnancyEPIDEMIOLOGYNUTRITION & DIETETICSObesityObservational StudyOBSTETRICS

Identifiers

PMID40054873
PMCPMC11891537

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.