Evidence map›Paper›PMID 41386998›Full record

ArticleBMJ open2025

Association of fine particulate matter exposure during pregnancy and stillbirth rates in Pakistan: a cross-sectional study.

Waqas Hameed, Bilal Ahmed Usmani, Saqib Ur Rehman, Muhammad Ahmed, Asad Allana, Anmol Minaz, Zafar Ahmed, Zafar Fatmi

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Waqas HameedEnvironmental-Occupational Health & Climate Change Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
Bilal Ahmed UsmaniEnvironmental-Occupational Health & Climate Change Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
Saqib Ur RehmanDepartment of Mathematics, University of Karachi, Karachi, Pakistan.
Muhammad AhmedDepartment of Urban Infrastructure, NED University of Science and Technology, Karachi, Pakistan.
Asad AllanaEnvironmental-Occupational Health & Climate Change Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
Anmol MinazEnvironmental-Occupational Health & Climate Change Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-8463-1998
Zafar AhmedEnvironmental-Occupational Health & Climate Change Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.
Zafar FatmiEnvironmental-Occupational Health & Climate Change Section, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan zafar.fatmi@aku.edu.ORCID http://orcid.org/0000-0001-7212-6858

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study assessed the association between fine particulate matter (PM

designA cross-sectional study using secondary data from the 2017 to 2018 Pakistan Demographic and Health Survey (PDHS), combined with satellite-derived PM

settingThe study covered urban and rural areas across Pakistan, including all four provinces (Punjab, Sindh, Khyber Pakhtunkhwa and Baluchistan) and administrative regions (Gilgit-Baltistan (GB), Islamabad, Federally Administered Tribal Areas and Azad Jammu Kashmir).

participantsThe study included 9172 married women aged 15-49 with at least one birth in the past 5 years. Women with incomplete pregnancy outcome data were excluded. EXPOSURE ASSESSMENT: PM PRIMARY OUTCOME: Stillbirth, defined as pregnancy loss at ≥28 weeks gestation.

resultsMultivariable logistic regression was used to assess the association between PM

conclusionsIncreased PM

Indexed as

Air PollutantsEnvironmental ExposureMaternal ExposureParticulate MatterStillbirthAdolescentAdultCross-Sectional StudiesFemaleHumansMiddle AgedPakistanPregnancyYoung AdultAir PollutantsParticulate MatterCommunity child healthPregnant WomenPUBLIC HEALTH

Identifiers

PMID41386998
PMCPMC12706225

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.