Maternal and birth cohort studies in the Gulf Cooperation Council countries: protocol for a systematic review and narrative evaluation

Al‐Rifai, Rami H.; Ali, Nasloon; Barigye, Esther T.; Haddad, Amal H. I. Al; Loney, Tom; Al-Maskari, Fatma; Ahmed, Luai A.

doi:10.1136/bmjopen-2017-019843

Cited by 4 publications

(3 citation statements)

References 39 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The protocol for this review has been published elsewhere [28] and is registered online on PROSPERO (registration number CRD42017068910). Minor necessary modifications not in line with the protocol were adapted in this review, whenever it was necessary.…”

Section: Methodsmentioning

confidence: 99%

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: We systematically reviewed and chronicled exposures and outcomes measured in the maternal and birth cohort studies in the Gulf Cooperation Council (GCC) countries and quantitatively summarized the weighted effect estimates between maternal obesity and (1) cesarean section (CS) and (2) fetal macrosomia. Methods: We searched MEDLINE-PubMed, Embase, Cochrane Library, Scopus, and Web of Science electronic databases up to 30 June 2019. We considered all maternal and birth cohort studies conducted in the six GCC countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and United Arab Emirates (UAE)). We categorized cohort studies on the basis of the exposure(s) (anthropometric, environmental, medical, maternal/reproductive, perinatal, or socioeconomic) and outcome(s) (maternal or birth) being measured. Adjusted weighted effect estimates, in the form of relative risks, between maternal obesity and CS and fetal macrosomia were generated using a randomeffects model. Results: Of 3502 citations, 81 published cohort studies were included. One cohort study was in Bahrain, eight in Kuwait, seven in Qatar, six in Oman, 52 in Saudi Arabia, and seven in the UAE. Majority of the exposures studied were maternal/reproductive (65.2%) or medical (39.5%). Birth and maternal outcomes were reported in 82.7% and in 74.1% of the cohort studies, respectively. In Saudi Arabia, babies born to obese women were at a higher risk of macrosomia (adjusted relative risk (aRR), 1.15; 95% confidence interval (CI), 1.10-1.20; I 2 = 50%) or cesarean section (aRR, 1.21; 95% CI, 1.15-1.26; I 2 = 62.0%). Several cohort studies were only descriptive without reporting the magnitude of the effect estimate between the assessed exposures and outcomes. Conclusions: Cohort studies in the GCC have predominantly focused on reproductive and medical exposures. Obese pregnant women are at an increased risk of undergoing CS delivery or macrosomic births. Longer-term studies that explore a wider range of environmental and biological exposures and outcomes relevant to the GCC region are needed. Systematic review registration: PROSPERO CRD42017068910

show abstract

Section: Methodsmentioning

confidence: 99%

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is because of these huge financial resources and quantities of money that the Gulf states such as Kuwait, UAE and Saudi Arabia are able to continuously and significantly decrease MMR and LTR of maternal death. This is achieved by providing better birth related services, the latest hospital equipment, advanced maternity wards, increased research in obstetrics and gynecology …”

Section: Discussionmentioning

confidence: 99%

Maternal mortality and health in the Arab World: A 25‐year epidemiological study

Khachfe

Sammouri

Salhab

et al. 2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: In this work, we aim to assess the maternal health in terms of maternal mortality ratios and lifetime risk of maternal death in of women in the Arab World. Methods: Data on maternal mortality rates (MMR) and lifetime risk of maternal death (LTR) were extracted from the official databases of the United Nations Children's Fund. Annual Percentage Change was calculated using Joinpoint regression model. Statistical significance among countries was determined using oneway analysis of variance (ANOVA) on SPSS version 25.0 (IBM SPSS, 2017). Results: The MMR and LTR significantly decreased in almost all Arab countries. Somalia was found to be the country with the highest burden of MMR, while Gulf countries had the lowest burden. Conclusion: Our study shows a decrease in the MMR and LTR of maternal death in the Arab world. Although there is a decrease in these rates, but continuous research and efforts must be undergone to better develop the health care system in a great number of Arab countries to decrease the burden of maternal deaths.

show abstract

“…The impact of genetic factors, socioeconomic status, and exposure to environmental factors during pregnancy on fetal health have been shown by many studies, as well as the long-term effects of these factors on the health of individuals in different life spans, including cardiovascular disease, cancer, respiratory diseases, cognitive and psychological disorders (1).…”

Section: Why Was the Cohort Set Up?mentioning

confidence: 99%

A Study Protocol to Follow a Birth Cohort: Fars Birth Cohort

2018

View full text Add to dashboard Cite

Considering that the birth cohort study is the most appropriate model for studying and evaluating the relationship between exposures during the initial evolution and its long-term effects on the development of diseases, this prospective cohort study is designed for this purpose. Through a stratified random sampling, 6921 women, who were in the 20th to 30th week of gestation and lived in Fars province for at least six months prior to the interview, participated in this prospective cohort study. The study started in 2011 and the 4th follow up was finished in 2017. During the enrolment phase and four follow up after birth, the following information was collected in detail: socioeconomic status, knowledge and attitude of mother, husband toward normal vaginal delivery (NVD) and cesarean section (SC), early and late complications of delivery in mothers and babies, breastfeeding, any medical history in mothers and children, physical activity in children, and common psychiatric problems in mothers. So far, several articles have been published on the first results of the study. Mothers and children under the study will have three more follow ups until the children are 12 years old.

show abstract

Maternal and birth cohort studies in the Gulf Cooperation Council countries: protocol for a systematic review and narrative evaluation

Cited by 4 publications

References 39 publications

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis

Maternal mortality and health in the Arab World: A 25‐year epidemiological study

A Study Protocol to Follow a Birth Cohort: Fars Birth Cohort

Contact Info

Product

Resources

About