دورية أكاديمية
Association between multimorbidity of pregnancy and adverse birth outcomes: A systemic review and meta-analysis.
| العنوان: | Association between multimorbidity of pregnancy and adverse birth outcomes: A systemic review and meta-analysis. |
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| المؤلفون: | Bestman PL; Department of Maternal and Children Health, Xiangya School of Public Health, Central South University, Changsha 410078, Hunan Province, China., Kolleh EM; Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, Hunan Province, China., Moeng E; Department of Maternal and Children Health, Xiangya School of Public Health, Central South University, Changsha 410078, Hunan Province, China., Brhane T; Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, Hunan Province, China., Nget M; Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, Hunan Province, China., Luo J; Department of Maternal and Children Health, Xiangya School of Public Health, Central South University, Changsha 410078, Hunan Province, China. Electronic address: jiayouluo@126.com. |
| المصدر: | Preventive medicine [Prev Med] 2024 Mar; Vol. 180, pp. 107872. Date of Electronic Publication: 2024 Jan 23. |
| نوع المنشور: | Meta-Analysis; Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 0322116 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-0260 (Electronic) Linking ISSN: 00917435 NLM ISO Abbreviation: Prev Med |
| أسماء مطبوعة: | Original Publication: New York, Academic Press. |
| مواضيع طبية MeSH: | Multimorbidity* , Pregnancy Outcome*/epidemiology , Premature Birth*/epidemiology , Pregnancy Complications*/epidemiology, Humans ; Pregnancy ; Female ; Infant, Newborn ; Stillbirth/epidemiology ; Infant Mortality |
| مستخلص: | Multimorbidity (≥2 co-existing conditions) in pregnancy is a significant public health issue with a rising prevalence worldwide. However, the association between pregnancy multimorbidity and adverse birth outcomes is unclear. So, this review assessed the association between pregnancy-multimorbidity and adverse birth outcomes (preterm birth, abnormal birth weight, neonatal mortality, and stillbirth). Relevant peer-reviewed papers in PubMed, Web of Science, Elsevier/ScienceDirect, and Google Scholar were systematically search from January 1990 to March 2023. We used the random-effects model to calculate the multimorbidity pooled odds ratio, quantified heterogeneity using I 2 statistics, and performed subgroup and sensitivity analyses in Stata version 17. The review protocol is registered with PROSPERO (CRD42023421336). The meta-analysis included 21 observational studies involving 6,523,741 pregnant women. The overall pooled odds of pregnancy multimorbidity associated with adverse birth outcomes were 3.11(2.14-4.09), 3.76(2.56-4.96) in Europe, 3.38(1.18-5.58) in North America, and 2.94(0.78-5.09) in Asia. Pregnant women with psychological and physical multimorbidity had increased odds of 5.65(1.71-9.59) and 2.75(1.71-9.58), respectively, for adverse birth outcomes. Pregnancy multimorbidity was associated with preterm birth 4.28(2.23-6.34), large gestational age (>90 percentile) 3.33(1.50-5.17), macrosomia (≥4000 g) 2.16(0.34-3.98), and small gestational age (<10th percentile) 3.52(1.54-5.51). There is substantial variance in the odds of pregnancy multimorbidity by type of comorbidity and type of adverse birth outcome, attributed to differences in the healthcare system by geographical location. Therefore, prioritizing pregnant women with multimorbidity is crucial for effective and integrative interventions. Competing Interests: Declaration of Competing Interest Declaration of competing interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024. Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Adverse birth outcomes, association; Complications; Multimorbidity; Pregnancy and childbirth |
| تواريخ الأحداث: | Date Created: 20240125 Date Completed: 20240807 Latest Revision: 20240814 |
| رمز التحديث: | 20240814 |
| DOI: | 10.1016/j.ypmed.2024.107872 |
| PMID: | 38272269 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1096-0260 |
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| DOI: | 10.1016/j.ypmed.2024.107872 |