{"id":"https://openalex.org/W7224096583","doi":"https://doi.org/10.1186/s12884-026-10024-4","title":"Association between adenomyosis and late miscarriage: a retrospective cohort study","display_name":"Association between adenomyosis and late miscarriage: a retrospective cohort study","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224096583","doi":"https://doi.org/10.1186/s12884-026-10024-4"},"language":"en","primary_location":{"id":"doi:10.1186/s12884-026-10024-4","doi":"https://doi.org/10.1186/s12884-026-10024-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-026-10024-4","pdf_url":null,"source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12884-026-10024-4","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027388423","display_name":"Marie Timmermans","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I157674565","display_name":"University of Li\u00e8ge","ror":"https://ror.org/00afp2z80","country_code":"BE","type":"education","lineage":["https://openalex.org/I157674565"]},{"id":"https://openalex.org/I4210134544","display_name":"Centre Hospitalier Universitaire de Li\u00e8ge","ror":"https://ror.org/044s61914","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210134544"]},{"id":"https://openalex.org/I4210159123","display_name":"Centre hospitalier r\u00e9gional de la Citadelle","ror":"https://ror.org/059kfmf89","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210159123"]}],"countries":["BE"],"is_corresponding":true,"raw_author_name":"Marie Timmermans","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, Citadelle Hospital, CHU Liege, Li\u00e8ge, Belgium","ULiege, Liege, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, Citadelle Hospital, CHU Liege, Li\u00e8ge, Belgium","institution_ids":["https://openalex.org/I4210134544","https://openalex.org/I4210159123"]},{"raw_affiliation_string":"ULiege, Liege, Belgium","institution_ids":["https://openalex.org/I157674565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130840497","display_name":"Sandy El Sayed","orcid":"https://orcid.org/0009-0005-4829-3580","observed_orcids":["https://orcid.org/0009-0005-4829-3580"]},"institutions":[{"id":"https://openalex.org/I157674565","display_name":"University of Li\u00e8ge","ror":"https://ror.org/00afp2z80","country_code":"BE","type":"education","lineage":["https://openalex.org/I157674565"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Sandy El Sayed","raw_affiliation_strings":["ULiege, Liege, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ULiege, Liege, Belgium","institution_ids":["https://openalex.org/I157674565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160055783","display_name":"Sophie M\u00e9lotte","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I157674565","display_name":"University of Li\u00e8ge","ror":"https://ror.org/00afp2z80","country_code":"BE","type":"education","lineage":["https://openalex.org/I157674565"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Sophie M\u00e9lotte","raw_affiliation_strings":["ULiege, Liege, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ULiege, Liege, Belgium","institution_ids":["https://openalex.org/I157674565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079022163","display_name":"Laurie Henry","orcid":"https://orcid.org/0000-0002-6162-1551","observed_orcids":["https://orcid.org/0000-0002-6162-1551"]},"institutions":[{"id":"https://openalex.org/I157674565","display_name":"University of Li\u00e8ge","ror":"https://ror.org/00afp2z80","country_code":"BE","type":"education","lineage":["https://openalex.org/I157674565"]},{"id":"https://openalex.org/I4210134544","display_name":"Centre Hospitalier Universitaire de Li\u00e8ge","ror":"https://ror.org/044s61914","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210134544"]},{"id":"https://openalex.org/I4210159123","display_name":"Centre hospitalier r\u00e9gional de la Citadelle","ror":"https://ror.org/059kfmf89","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210159123"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Laurie Henry","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, Citadelle Hospital, CHU Liege, Li\u00e8ge, Belgium","ULiege, Liege, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, Citadelle Hospital, CHU Liege, Li\u00e8ge, Belgium","institution_ids":["https://openalex.org/I4210134544","https://openalex.org/I4210159123"]},{"raw_affiliation_string":"ULiege, Liege, Belgium","institution_ids":["https://openalex.org/I157674565"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035154028","display_name":"Michelle Nisolle","orcid":"https://orcid.org/0000-0002-7070-7146","observed_orcids":["https://orcid.org/0000-0002-7070-7146"]},"institutions":[{"id":"https://openalex.org/I157674565","display_name":"University of Li\u00e8ge","ror":"https://ror.org/00afp2z80","country_code":"BE","type":"education","lineage":["https://openalex.org/I157674565"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Michelle Nisolle","raw_affiliation_strings":["ULiege, Liege, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ULiege, Liege, Belgium","institution_ids":["https://openalex.org/I157674565"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052797735","display_name":"Fr\u00e9d\u00e9ric Chantraine","orcid":"https://orcid.org/0000-0001-9639-7038","observed_orcids":["https://orcid.org/0000-0001-9639-7038"]},"institutions":[{"id":"https://openalex.org/I157674565","display_name":"University of Li\u00e8ge","ror":"https://ror.org/00afp2z80","country_code":"BE","type":"education","lineage":["https://openalex.org/I157674565"]},{"id":"https://openalex.org/I4210134544","display_name":"Centre Hospitalier Universitaire de Li\u00e8ge","ror":"https://ror.org/044s61914","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210134544"]},{"id":"https://openalex.org/I4210159123","display_name":"Centre hospitalier r\u00e9gional de la Citadelle","ror":"https://ror.org/059kfmf89","country_code":"BE","type":"healthcare","lineage":["https://openalex.org/I4210159123"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Frederic Chantraine","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, Citadelle Hospital, CHU Liege, Li\u00e8ge, Belgium","ULiege, Liege, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, Citadelle Hospital, CHU Liege, Li\u00e8ge, Belgium","institution_ids":["https://openalex.org/I4210134544","https://openalex.org/I4210159123"]},{"raw_affiliation_string":"ULiege, Liege, Belgium","institution_ids":["https://openalex.org/I157674565"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5027388423"],"corresponding_institution_ids":["https://openalex.org/I157674565","https://openalex.org/I4210134544","https://openalex.org/I4210159123"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88439248,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10935","display_name":"Endometriosis Research and Treatment","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10935","display_name":"Endometriosis Research and Treatment","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11510","display_name":"Reproductive System and Pregnancy","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adenomyosis","display_name":"adenomyosis","score":0.9990000128746033},{"id":"https://openalex.org/keywords/late-miscarriage","display_name":"late miscarriage","score":0.9959999918937683},{"id":"https://openalex.org/keywords/placenta-previa","display_name":"placenta previa","score":0.8690000176429749},{"id":"https://openalex.org/keywords/placenta-accreta-spectrum","display_name":"placenta accreta spectrum","score":0.9990000128746033},{"id":"https://openalex.org/keywords/pregnancy-complications","display_name":"pregnancy complications","score":0.8709999918937683},{"id":"https://openalex.org/keywords/endometriosis","display_name":"endometriosis","score":0.7350000143051147},{"id":"https://openalex.org/keywords/assisted-reproductive-technology","display_name":"assisted reproduction","score":0.6620000004768372},{"id":"https://openalex.org/keywords/uterine-mri","display_name":"uterine MRI","score":0.5299999713897705},{"id":"https://openalex.org/keywords/transvaginal-ultrasound","display_name":"transvaginal ultrasound","score":0.7179999947547913},{"id":"https://openalex.org/keywords/singleton-pregnancy","display_name":"singleton pregnancy","score":0.640999972820282},{"id":"https://openalex.org/keywords/postpartum-diagnosis","display_name":"postpartum diagnosis","score":0.5619999766349792},{"id":"https://openalex.org/keywords/uterine-fibroids","display_name":"uterine fibroids","score":0.5090000033378601},{"id":"https://openalex.org/keywords/congenital-uterine-anomalies","display_name":"congenital uterine anomalies","score":0.7350000143051147},{"id":"https://openalex.org/keywords/mode-of-conception","display_name":"mode of conception","score":0.5960000157356262},{"id":"https://openalex.org/keywords/maternal-age","display_name":"maternal age","score":0.5920000076293945},{"id":"https://openalex.org/keywords/parity","display_name":"parity","score":0.3400000035762787}],"concepts":[{"id":"https://openalex.org/C2779166600","wikidata":"https://www.wikidata.org/wiki/Q2012569","display_name":"Adenomyosis","level":3,"score":0.9581999778747559},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9276999831199646},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.7649000287055969},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6807000041007996},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5945000052452087},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.5820000171661377},{"id":"https://openalex.org/C2779245376","wikidata":"https://www.wikidata.org/wiki/Q28693","display_name":"Miscarriage","level":3,"score":0.5759999752044678},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.5651000142097473},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.48669999837875366},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.47040000557899475},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4205999970436096},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.37959998846054077},{"id":"https://openalex.org/C2779116671","wikidata":"https://www.wikidata.org/wiki/Q517856","display_name":"Placenta accreta","level":5,"score":0.3718999922275543},{"id":"https://openalex.org/C2780343435","wikidata":"https://www.wikidata.org/wiki/Q7247864","display_name":"Products of conception","level":4,"score":0.32580000162124634},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.30869999527931213},{"id":"https://openalex.org/C2780625311","wikidata":"https://www.wikidata.org/wiki/Q25787","display_name":"Recurrent miscarriage","level":4,"score":0.29100000858306885},{"id":"https://openalex.org/C2780081364","wikidata":"https://www.wikidata.org/wiki/Q1471410","display_name":"Placenta previa","level":5,"score":0.2872999906539917},{"id":"https://openalex.org/C2778279030","wikidata":"https://www.wikidata.org/wiki/Q1543380","display_name":"Live birth","level":3,"score":0.2840999960899353},{"id":"https://openalex.org/C2779319320","wikidata":"https://www.wikidata.org/wiki/Q901433","display_name":"Uterine rupture","level":3,"score":0.2736999988555908},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.25769999623298645},{"id":"https://openalex.org/C2776352029","wikidata":"https://www.wikidata.org/wiki/Q4686351","display_name":"Advanced maternal age","level":4,"score":0.25220000743865967}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12884-026-10024-4","doi":"https://doi.org/10.1186/s12884-026-10024-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-026-10024-4","pdf_url":null,"source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12884-026-10024-4","doi":"https://doi.org/10.1186/s12884-026-10024-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-026-10024-4","pdf_url":null,"source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4289861481","https://openalex.org/W2582200713","https://openalex.org/W4387262316","https://openalex.org/W2925257918","https://openalex.org/W3205654509","https://openalex.org/W4388564302","https://openalex.org/W2977842482","https://openalex.org/W2869155317","https://openalex.org/W4366776708","https://openalex.org/W3207124481"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Adenomyosis":[2,124,199,249,276],"is":[3],"increasingly":[4],"diagnosed":[5,126],"in":[6,14,224,283],"women":[7],"of":[8,49,165,174,183,205,218,256],"reproductive":[9,197],"age":[10],"due":[11],"to":[12,119,146,336],"advances":[13],"imaging":[15,141,330],"and":[16,39,65,68,99,112,158,167,191,234,265,300,316,331,340],"standardised":[17,329],"criteria.":[18],"Beyond":[19],"its":[20],"gynaecological":[21],"symptoms,":[22],"emerging":[23],"evidence":[24],"suggests":[25],"associations":[26,32],"with":[27,33,103,114,187,202,253,280],"adverse":[28],"obstetric":[29,71,207],"outcomes.":[30],"While":[31],"placental":[34,74,306],"disorders":[35],"including":[36,180,290],"placenta":[37,40,266],"praevia":[38,267],"accreta":[41],"spectrum":[42],"(PAS)":[43],"are":[44,334],"often":[45],"reported,":[46],"the":[47,61,154],"impact":[48],"adenomyosis":[50,64,157,184,188,225],"on":[51,128],"late":[52,66,159,219,281],"miscarriage":[53,220,282],"remains":[54],"poorly":[55],"defined.":[56],"This":[57,77],"study":[58,81],"primarily":[59],"evaluated":[60],"relationship":[62],"between":[63,96,156],"miscarriage,":[67,160],"secondarily":[69],"other":[70],"complications,":[72],"especially":[73],"disorders.":[75],"Methods":[76],"single-centre":[78],"retrospective":[79],"cohort":[80],"included":[82],"all":[83],"singleton":[84,176],"deliveries":[85,118,177],"at":[86],"OBGYN":[87],"Department":[88],"from":[89,108,312],"CHU":[90],"Li\u00e8ge":[91],"\u2013":[92],"Citadelle":[93],"Hospital":[94],"(Belgium)":[95],"January":[97],"2020":[98],"December":[100],"2023.":[101],"Pregnancies":[102],"predefined":[104],"complications":[105],"were":[106,178,189,221],"identified":[107],"institutional":[109],"delivery":[110],"registry":[111],"paired":[113],"temporally":[115],"adjacent":[116],"uncomplicated":[117],"construct":[120],"an":[121],"outcome-enriched":[122],"cohort.":[123,285],"was":[125,200,250,277],"based":[127],"transvaginal":[129],"ultrasonography":[130],"(applying":[131],"Morphological":[132],"Uterus":[133],"Sonographic":[134],"Assessment":[135],"(MUSA)":[136],"criteria)":[137],"and/or":[138],"magnetic":[139],"resonance":[140],"(MRI)":[142],"reports,":[143],"assessed":[144],"up":[145],"six":[147],"weeks":[148],"postpartum.":[149],"Multivariate":[150],"logistic":[151],"regression":[152],"estimated":[153],"association":[155],"adjusted":[161],"for":[162],"endometriosis,":[163],"mode":[164],"conception":[166],"congenital":[168],"uterine":[169,298],"malformations.":[170],"Results":[171],"A":[172],"total":[173],"2620":[175],"analysed,":[179],"86":[181],"cases":[182],"(3.3%).":[185],"Women":[186],"older":[190],"more":[192],"frequently":[193],"conceived":[194],"using":[195,327],"assisted":[196],"technologies.":[198],"associated":[201,237,252,279],"higher":[203,223],"odds":[204,217,255],"overall":[206],"morbidity":[208],"(OR":[209,227,258,268],"1.64,":[210],"95%CI:":[211,229,242,260,270],"1.06\u20132.55,":[212],"p":[213,231,246,262,272],"=":[214,232,247,263,273],"0.03).":[215],"The":[216],"significantly":[222],"group":[226],"3.88,":[228],"1.62\u20139.34,":[230],"0.0077)":[233],"remained":[235],"independently":[236,278],"after":[238],"adjustment":[239],"(aOR":[240],"2.95,":[241],"1.04":[243],"\u2212":[244],"7.15,":[245],"0.043).":[248],"also":[251],"increased":[254,313],"PAS":[257],"2.44,":[259],"1.15\u20135.20,":[261],"0.026)":[264],"3.48,":[269],"1.21\u201310.03,":[271],"0.037).":[274],"Conclusions":[275],"this":[284],"Given":[286],"that":[287],"adenomyosis-related":[288],"alterations,":[289],"ectopic":[291],"endometrium":[292],"within":[293],"myometrium,":[294],"chronic":[295],"inflammation,":[296],"impaired":[297],"contractility":[299],"abnormal":[301],"vascular":[302],"remodelling,":[303],"may":[304,310],"impair":[305],"development,":[307],"affected":[308],"pregnancies":[309],"benefit":[311],"clinical":[314,342],"awareness":[315],"careful":[317],"antenatal":[318],"surveillance,":[319],"particularly":[320],"during":[321],"second":[322],"trimester.":[323],"Further":[324],"prospective":[325],"studies":[326],"pre-conception":[328],"detailed":[332],"phenotyping":[333],"needed":[335],"clarify":[337],"underlying":[338],"mechanisms":[339],"optimise":[341],"management.":[343],"Trial":[344],"registration":[345],"not":[346],"applicable.":[347]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-29T00:00:00"}
