دورية أكاديمية
أعرض في EDS

Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis.
المؤلفون: Beressa G; Department of Public Health, Madda Walabu University, Goba, Ethiopia.; Nutrition and Dietetics Department, Faculty of Public Health, Jimma University, Jimma, Ethiopia., Whiting SJ; College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada., Kuma MN; Nutrition and Dietetics Department, Faculty of Public Health, Jimma University, Jimma, Ethiopia., Lencha B; Department of Public Health, Madda Walabu University, Goba, Ethiopia., Belachew T; Nutrition and Dietetics Department, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
المصدر: PloS one [PLoS One] 2024 Sep 12; Vol. 19 (9), pp. e0310329. Date of Electronic Publication: 2024 Sep 12 (Print Publication: 2024).
نوع المنشور: Journal Article; Systematic Review; Meta-Analysis
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Anemia*/blood , Anemia*/complications , Anemia*/diagnosis , Anemia*/epidemiology , Infant, Low Birth Weight* , Pregnancy Complications, Hematologic*/blood , Pregnancy Complications, Hematologic*/diagnosis , Pregnancy Complications, Hematologic*/epidemiology , Premature Birth*/blood , Premature Birth*/epidemiology , Premature Birth*/etiology, Female ; Humans ; Infant, Newborn ; Pregnancy ; Ethiopia/epidemiology
مستخلص: Background: Anemia in pregnancy has been associated with a number of adverse birth outcomes, such as low birth weight (LBW) or preterm birth (PTB). However, the evidence from primary studies on anemia in pregnancy with LBW and PTB is contentious. Moreover, a systematic review and meta-analysis to summarize these findings have not been conducted for Ethiopia. This study aimed to synthesize the best available evidence and quantify the strength and direction of the association of anemia in Ethiopia.
Methods: This review examined women with singleton pregnancies with low birth weight (LBW) and preterm birth (PTB). We retrieved studies from PubMed, Wiley, Cochrane databases, and Google Scholar from inception to February 2, 2024. The World Health Organization (WHO) defines anemia in pregnancy as a low blood haemoglobin (Hgb) concentration below 11 g/dl or a hematocrit level of < 33%. When the newborn's weight was below 2500 g, LBW was considered. Preterm birth refers to the birth of a baby before 37 completed weeks of gestation. Meta-analysis was conducted using fixed and random effects models. The degree of heterogeneity, publication bias, and quality of the evidence of studies was assessed.
Results: There were 35 and 8 studies, with 14,319 and 3,265 respondents included in the meta-analysis for LBW and PTB, respectively. Neonates born to women who had normal Hgb levels were less likely to be LBW [pooled odds ratio (POR) = 0.22, 95% CI: (0.17, 0.28); I2 = 80%] (low-quality evidence). Neonates born to women with normal Hgb levels had a lower risk of PTB [POR = 0.22, 95% CI: 0.18, 0.28; I2 = 19%] (very low-quality evidence). The effect size estimate remained significant after sub-group analysis based on study design and province, except in two retrospective cohort studies for LBW.
Conclusion: The findings suggest major implications for strengthening the implementation of nutrition policies to prevent anemia during pregnancy in Ethiopia. Further research is warranted to assess interventions that are effective in combating maternal anemia to reduce rates of LBW and PTB.
Competing Interests: The authors declared that they have no competing interests.
(Copyright: © 2024 Beressa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20240912 Date Completed: 20240912 Latest Revision: 20240926
رمز التحديث: 20240927
مُعرف محوري في PubMed: PMC11392424
DOI: 10.1371/journal.pone.0310329
PMID: 39264971
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0310329