Evidence map›Paper›PMID 42265713›Full record

ArticleBMC pregnancy and childbirth2026

Application of next-generation sequencing in nonimmune hydrops fetalis and its impact on pregnancy decisions.

Yu Qin, Wei Li, Sha Zhu, Shunran Zhang, Ruijie Fang, Qingling Kang, Lei Fan, Jing Liu, Shufang Li, Jianli Wu and 5 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. 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

15 authors.

Yu Qin *Department of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Wei Li *Department of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Sha ZhuDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Shunran ZhangDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Ruijie FangDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Qingling KangDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Lei FanDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Jing LiuDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Shufang LiDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Jianli WuDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Yuanyuan WuDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Xinwei ShiDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Ling FengDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China.
Suhua ChenDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China. tj_csh@163.com.ORCID http://orcid.org/0000-0001-8425-0768
Juan XiaoDepartment of Obstetrics & Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1095, Wuhan, Hubei, 430030, China. tjxiaojuan2005@163.com.

Funding

Natural Science Foundation of Hubei Province 2024AFB1019
6 · The paper itself

Abstract

backgroundNonimmune hydrops fetalis (NIHF) has a highly heterogeneous etiology, with genetic factors contributing substantially to its pathogenesis. This study aimed to investigate the chromosomal and monogenic etiologies of NIHF.

methodsThis single-center retrospective cohort study included 121 pregnancies complicated by NIHF evaluated at a tertiary referral center between August 2020 and August 2023. All cases underwent copy number variation sequencing (CNV-seq), and 95 additionally underwent whole-exome sequencing (WES), both assays were based on next-generation sequencing (NGS) technology. Cases were stratified according to gestational age at diagnosis, maternal age, conception method, and whether NIHF was isolated or non-isolated. Genetic findings and pregnancy outcomes were analyzed and compared across subgroups, with longitudinal follow-up of pregnancy outcomes.

resultsAmong the 121 NIHF cases, pathogenic or likely pathogenic genetic findings were identified in 62 cases, yielding an overall positivity rate of 51.2% (62/121). CNV-seq detected pathogenic abnormalities in 49 cases (40.5%, 49/121), including 38 numerical chromosomal abnormalities and 11 structural chromosomal abnormalities. Among the 95 fetuses that underwent WES, 14 had pathogenic or likely pathogenic variants, corresponding to a positivity rate of 14.7% (14/95). RASopathies (RIT1, RAF1, and BRAF) and skeletal disorders (FGFR2, COL1A1, and HSPG2) were the most frequently identified monogenic conditions. The overall genetic positivity rate was significantly higher in cases diagnosed at ≤ 13

conclusionNIHF is associated with a broad spectrum of genetic abnormalities, including aneuploidies, pathogenic structural chromosomal abnormalities, and single-gene disorders. After excluding aneuploidy, the diagnostic yields of pathogenic CNVs and WES were comparable across clinical subgroups. These findings suggest that expanded genomic testing may be valuable across the spectrum of NIHF and may help inform genetic counseling and future pregnancy planning.

Indexed as

High-Throughput Nucleotide SequencingHydrops FetalisAdultChromosome AberrationsDNA Copy Number VariationsExome SequencingFemaleGestational AgeHumansPregnancyPregnancy OutcomeRetrospective StudiesCopy number variation sequencingMonogenic disordersNext-generation sequencingNonimmune hydrops fetalisWhole-exome sequencing

Identifiers

PMID42265713
PMCPMC13474967

What Socratic holds

Textmetadata
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Registered trials

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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.