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Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis
Anaemia during pregnancy is associated with an increased incidence of caesarean delivery (CD). This study was conducted to explore the association between CD and maternal anaemia. The PubMed/MEDLINE, Cochrane, Google, Google Scholar and ScienceDirect databases were searched for relevant studies on t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9867340/ https://www.ncbi.nlm.nih.gov/pubmed/36675421 http://dx.doi.org/10.3390/jcm12020490 |
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author | Adam, Ishag Salih, Yasir Hamdan, Hamdan Z. |
author_facet | Adam, Ishag Salih, Yasir Hamdan, Hamdan Z. |
author_sort | Adam, Ishag |
collection | PubMed |
description | Anaemia during pregnancy is associated with an increased incidence of caesarean delivery (CD). This study was conducted to explore the association between CD and maternal anaemia. The PubMed/MEDLINE, Cochrane, Google, Google Scholar and ScienceDirect databases were searched for relevant studies on this topic. The assessment and review were conducted with the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. The studies were assessed using the modified Newcastle–Ottawa quality assessment scale. Data were collected in an Excel sheet, and the ‘meta’ package of the R 4.0.3 software was used for statistical analysis. Fourteen studies that enrolled 336,128 pregnant women were included in the meta-analysis. Women with anaemia were found to be at a higher risk for CD (OR = 1.63, 95% CI = 1.23–2.17). As heterogeneity was detected in the studies, the random-effects model was used for the pooled meta-analysis (Q = 96.7, p < 0.001). In the subgroup analysis, anaemic women were found to be at higher risk for CD in studies from both low-middle-income (7) and high-income countries (7). In meta-regression analysis, none of the investigated covariates were associated with the pooled OR of CD. This evidence demonstrates with a moderate level of certainty that anaemic pregnant women are more likely to have CD than non-anaemic pregnant women. |
format | Online Article Text |
id | pubmed-9867340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98673402023-01-22 Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis Adam, Ishag Salih, Yasir Hamdan, Hamdan Z. J Clin Med Systematic Review Anaemia during pregnancy is associated with an increased incidence of caesarean delivery (CD). This study was conducted to explore the association between CD and maternal anaemia. The PubMed/MEDLINE, Cochrane, Google, Google Scholar and ScienceDirect databases were searched for relevant studies on this topic. The assessment and review were conducted with the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. The studies were assessed using the modified Newcastle–Ottawa quality assessment scale. Data were collected in an Excel sheet, and the ‘meta’ package of the R 4.0.3 software was used for statistical analysis. Fourteen studies that enrolled 336,128 pregnant women were included in the meta-analysis. Women with anaemia were found to be at a higher risk for CD (OR = 1.63, 95% CI = 1.23–2.17). As heterogeneity was detected in the studies, the random-effects model was used for the pooled meta-analysis (Q = 96.7, p < 0.001). In the subgroup analysis, anaemic women were found to be at higher risk for CD in studies from both low-middle-income (7) and high-income countries (7). In meta-regression analysis, none of the investigated covariates were associated with the pooled OR of CD. This evidence demonstrates with a moderate level of certainty that anaemic pregnant women are more likely to have CD than non-anaemic pregnant women. MDPI 2023-01-06 /pmc/articles/PMC9867340/ /pubmed/36675421 http://dx.doi.org/10.3390/jcm12020490 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Adam, Ishag Salih, Yasir Hamdan, Hamdan Z. Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis |
title | Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis |
title_full | Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis |
title_fullStr | Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis |
title_short | Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis |
title_sort | association of maternal anemia and cesarean delivery: a systematic review and meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9867340/ https://www.ncbi.nlm.nih.gov/pubmed/36675421 http://dx.doi.org/10.3390/jcm12020490 |
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