Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis
BackgroundThe evidence of some previous papers was insufficient in studying the causal association between interpregnancy interval (IPI) and adverse pregnancy outcomes. In addition, more literature have been updated worldwide during the last 10 years.MethodsEnglish and Chinese articles published fro...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.922053/full |
| _version_ | 1828301771530829824 |
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| author | Yumei Wang Yumei Wang Yumei Wang Can Zeng Yuhong Chen Liu Yang Di Tian Xinghui Liu Xinghui Liu Yonghong Lin |
| author_facet | Yumei Wang Yumei Wang Yumei Wang Can Zeng Yuhong Chen Liu Yang Di Tian Xinghui Liu Xinghui Liu Yonghong Lin |
| author_sort | Yumei Wang |
| collection | DOAJ |
| description | BackgroundThe evidence of some previous papers was insufficient in studying the causal association between interpregnancy interval (IPI) and adverse pregnancy outcomes. In addition, more literature have been updated worldwide during the last 10 years.MethodsEnglish and Chinese articles published from January 1980 to August 2021 in the databases of PubMed, Cochrane Library, Ovid, Embase, China Biology Medicine disc (CBM), and China National Knowledge Infrastructure (CNKI) were searched. Then following the inclusion and exclusion criteria, we screened the articles. Utilizing the Newcastle–Ottawa Scale (NOS), we evaluated the quality of the included articles. The literature information extraction table was set up in Excel, and the meta-analysis was performed with Stata 16.0 software (Texas, USA).ResultsA total of 41 articles were included in the meta-analysis, and NOS scores were four to eight. The short IPI after delivery was the risk factor of preterm birth (pooled odds ratio 1.49, 95% confidence interval 1.42–1.57), very preterm birth (pooled OR: 1.82, 95% CI: 1.55–2.14), low birth weight (pooled OR: 1.33, 95% CI: 1.24–1.43), and small for gestational age (pooled OR: 1.14, 95% CI: 1.07–1.21), offspring death (pooled OR: 1.60, 95% CI: 1.51–1.69), NICU (pooled OR: 1.26, 95% CI: 1.01–1.57), and congenital abnormality (pooled OR: 1.10, 95% CI: 1.05–1.16), while was not the risk factor of gestational hypertension (pooled OR: 0.95, 95% CI: 0.93–0.98) or gestational diabetes (pooled OR: 1.06, 95% CI: 0.93–1.20).ConclusionShort IPI (IPI < 6 months) can lead to adverse perinatal outcomes, while it is not a risk factor for gestational diabetes and gestational hypertension. Therefore, more high-quality studies covering more comprehensive indicators of maternal and perinatal pregnancy outcomes are needed to ameliorate the pregnancy policy for women of childbearing age. |
| first_indexed | 2024-04-13T13:27:46Z |
| format | Article |
| id | doaj.art-ff3389d2322641378c9bf44ce5607f4a |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-13T13:27:46Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-ff3389d2322641378c9bf44ce5607f4a2022-12-22T02:45:04ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-11-01910.3389/fmed.2022.922053922053Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysisYumei Wang0Yumei Wang1Yumei Wang2Can Zeng3Yuhong Chen4Liu Yang5Di Tian6Xinghui Liu7Xinghui Liu8Yonghong Lin9Department of Health Care, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Travel to Check, Customs of Chengdu Shuangliu Airport Belongs to Chengdu Customs, Chengdu, ChinaDepartment of Health Care, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Health Care, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Health Care, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Health Care, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaBackgroundThe evidence of some previous papers was insufficient in studying the causal association between interpregnancy interval (IPI) and adverse pregnancy outcomes. In addition, more literature have been updated worldwide during the last 10 years.MethodsEnglish and Chinese articles published from January 1980 to August 2021 in the databases of PubMed, Cochrane Library, Ovid, Embase, China Biology Medicine disc (CBM), and China National Knowledge Infrastructure (CNKI) were searched. Then following the inclusion and exclusion criteria, we screened the articles. Utilizing the Newcastle–Ottawa Scale (NOS), we evaluated the quality of the included articles. The literature information extraction table was set up in Excel, and the meta-analysis was performed with Stata 16.0 software (Texas, USA).ResultsA total of 41 articles were included in the meta-analysis, and NOS scores were four to eight. The short IPI after delivery was the risk factor of preterm birth (pooled odds ratio 1.49, 95% confidence interval 1.42–1.57), very preterm birth (pooled OR: 1.82, 95% CI: 1.55–2.14), low birth weight (pooled OR: 1.33, 95% CI: 1.24–1.43), and small for gestational age (pooled OR: 1.14, 95% CI: 1.07–1.21), offspring death (pooled OR: 1.60, 95% CI: 1.51–1.69), NICU (pooled OR: 1.26, 95% CI: 1.01–1.57), and congenital abnormality (pooled OR: 1.10, 95% CI: 1.05–1.16), while was not the risk factor of gestational hypertension (pooled OR: 0.95, 95% CI: 0.93–0.98) or gestational diabetes (pooled OR: 1.06, 95% CI: 0.93–1.20).ConclusionShort IPI (IPI < 6 months) can lead to adverse perinatal outcomes, while it is not a risk factor for gestational diabetes and gestational hypertension. Therefore, more high-quality studies covering more comprehensive indicators of maternal and perinatal pregnancy outcomes are needed to ameliorate the pregnancy policy for women of childbearing age.https://www.frontiersin.org/articles/10.3389/fmed.2022.922053/fullinterpregnancy intervaladverse pregnancy outcomespreterm birthgestational hypertensiongestational diabetes |
| spellingShingle | Yumei Wang Yumei Wang Yumei Wang Can Zeng Yuhong Chen Liu Yang Di Tian Xinghui Liu Xinghui Liu Yonghong Lin Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis Frontiers in Medicine interpregnancy interval adverse pregnancy outcomes preterm birth gestational hypertension gestational diabetes |
| title | Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis |
| title_full | Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis |
| title_fullStr | Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis |
| title_full_unstemmed | Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis |
| title_short | Short interpregnancy interval can lead to adverse pregnancy outcomes: A meta-analysis |
| title_sort | short interpregnancy interval can lead to adverse pregnancy outcomes a meta analysis |
| topic | interpregnancy interval adverse pregnancy outcomes preterm birth gestational hypertension gestational diabetes |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.922053/full |
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