Effects of consuming date fruits (Phoenix dactylifera Linn) on gestation, labor, and delivery: An updated systematic review and meta-analysis of clinical trials

Nasiri, Morteza; Gheibi, Zeinab; Miri, Ali; Rahmani, Jamal; Asadi, Masoumeh; Sadeghi, Omid; Maleki, Vahid; Khodadost, Mahmoud

doi:10.1016/j.ctim.2019.05.017

Cited by 24 publications

(29 citation statements)

References 36 publications

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“…Those results are not reliable, because they had included three duplicated published studies in their meta-analysis. In that study, bishop score and frequency of caesarean section were not investigated [32].…”

Section: Discussionmentioning

confidence: 98%

“…Most recently, a systematic review conducted on the effects of date fruit on pregnancy and delivery has been published [32]; however, there are some differences between its reviewed outcomes and this study. Therefore in that study the reporting bias and publication bias have not been regarded in inclusion of studies to meta-analysis.…”

Section: Date and Its Role In The Labormentioning

confidence: 99%

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Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Karimi

Elmi

Mirghafourvand

et al. 2020

BMC Pregnancy Childbirth

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Background: The rate of cesarean section is increasing in all over the world with different drafts in various countries. This growth increases unpleasant outcomes of delivery. Recent studies explained the benefits of date palm fruit on labor process improvement. Date fruit can be considered as a factor for increasing vaginal delivery and also reducing the frequency of caesarean section in order to prevent its great complications. This systematic review has been designed to review clinical studies that investigate the effects of date palm fruit on labor outcomes (duration of labor stages, bishop score, and frequency of cesarean section) compared with routine cares. Methods: This study was performed in 2019. Required data has been collected from electronic databases and manual searches. All randomized clinical trials evaluating the effects of date palm fruit on labor and delivery that in English and Persian languages, were incorporated in this systematic review. The methodological quality of the included studies was evaluated according to the risk of bias assessment of Cochrane handbook of systematic reviews, and were then reported using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results: Eight studies were included in the qualitative and quantitative synthesis. Meta-Analysis showed that date fruit consumption can significantly reduce active phase of labor (three trials with 380 participants; (MD = − 109.3, 95%CI (− 196.32, − 22.29; I 2 = 89%), P = 0.01), and also it can significantly improve the bishop score (two trials with 320 participants; MD = 2.45, 95%CI (1.87, 3.04; I 2 = 0%), P < 0.00001). Date fruit consumption had no effects on the duration of first, second, and third stages of labor, and the frequency of cesarean section. Conclusion: Date can reduce the duration of active phase and improve the bishop score; however, due to from the low to mediate quality of the studies; it seems that the other studies are needed to prove these results better than this.

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Section: Discussionmentioning

confidence: 98%

Section: Date and Its Role In The Labormentioning

confidence: 99%

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Karimi

Elmi

Mirghafourvand

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Most recently, a systematic review about effects of date fruit on pregnancy and delivery has been published [30] but, there are some differences between its reviewed outcomes and this study. So in that study the reporting bias and publication bias have not been regarded in inclusion of studies to meta-analysis.…”

Section: Date and Its Role In The Labormentioning

confidence: 99%

“…The primary outcomes were duration of labor stages and the secondary outcomes were frequency of caesarian section and bishop score. Nasiri et al [30], in their systematic review investigated and explained the duration of labor stages but they included three duplicated published studies in their meta-analysis. They are publication bias and reporting bias.…”

Section: ) Outcomesmentioning

confidence: 99%

Effects of Date fruit (Phoenix Dactylifera) on Bishop Score and Frequency of Caesarean Section: A Systematic Review and Meta-Analysis

Karimi

Elmi

Mirghafourvand

et al. 2019

Preprint

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Background : The rate of cesarean section is increasing in the world with different drafts in various countries. This growth increases unpleasant outcomes of delivery. Recent studies explained benefits of date palm fruit on labor process improvement. Date fruit can be a factor to increase vaginal delivery and to reduce frequency of cesarean section to prevent its great complications. This systematic review has been designed to review clinical studies that investigate the effects of date palm fruit on labor outcomes (duration of labor stages, bishop score and frequency of cesarean section) compared with routine cares. Methods : This study was performed in 2019. Required data has been gathered from electronic databases and manual searches. All randomized clinical trials evaluating the effects of date palm fruit on labor and delivery that have been published from January 2000 to August 2019 in English and Persian languages were included in this systematic review. The methodological quality of the included studies were evaluated according to the risk of bias assessment of Cochrane handbook of systematic reviews and were reported using, Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Results : Six studies were included in the qualitative and quantitative synthesis. Meta-Analysis showed that date fruit consumption significantly reduces active phase of labor (MD= -60.26, 95%CI (-107.18, -13.34), P=0.01) and significantly reduces duration of the first stage of labor (MD= -50.90, 95%CI (-100.63, -1.16), P=0.04) and significantly improves the bishop score (MD = 2.45, 95%CI (1.87, 3.04), P<0.00001) and it reduces the frequency of cesarean section but not significantly (Odds Ratio= 0.67, 95%CI (0.44, 1.02), P=0.06). Conclusion : Date can reduce the duration of active phase and the first stage of labor and the rate of cesarean section and improves the bishop score, but due to from the low to mediate quality of the studies, it seems that the other studies are needed to prove these results better than this. Key words : Date palm, date fruit, Phoenix dactiylifera, delivery, labor, systematic review, meta-analysis.

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“…Numerous studies are already underway to investigate new medications, and a part of these studies focuses on plants and their extracted compounds [4,[9][10][11][12][13][14][15][16]. Capsella bursa-pastoris (L.) Medik.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Capsella bursa-pastoris Extract on Heavy Menstrual Bleeding and Quality of Life in Patients with Uterine Leiomyoma: A Double-blind Randomized Clinical Trial

Danesh

Mojab

Mohammadbeigi

et al. 2019

JPRI

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Objectives: Heavy Menstrual Bleeding (HMB) is the most important problems of Uterine Leiomyoma (UL). This study aimed to assess the effect of the extract of the Capsella bursa-pastoris (CBP) on the control of HMB and quality of life in patients with uterine leiomyoma. Design: In a double-blind randomized, clinical trial 54 women with uterine leiomyoma were randomly assigned to the intervention/control groups by block randomization. Setting: Gynecology outpatient clinics. Intervention: The intervention group received 350 mg of alcoholic extract of Capsella bursa-pastoris and the control group received placebo twice daily for three months. Main Outcome Measures: Amount of bleeding by Pictorial blood loss assessment chart (PBAC), quality of life by menstrual quality of life questionnaires (MQ) and bleeding duration by calendar were evaluated. Results: The mean of PBAC decreased from 464.00± 283.61 at baseline to 323.82±207.66 in the intervention group and decreased from 445.92±362.64 to 214.36±137.68 in control group in the third month. The improvement trend was significant in the two groups, but there was no significant difference between groups. The mean of bleeding duration and menstrual quality of life showed improvement in patients of two groups without significant difference between the two groups. Conclusion: Despite the effectiveness of CBP in the intervention group in decreasing of PBAC score and menstrual bleeding duration and improvement of menstrual quality of life in patients who suffered from UL, it did not show a significant effect compared to the control group. Future studies with a larger sample size in one specific type of UL suggested.

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Effects of consuming date fruits (Phoenix dactylifera Linn) on gestation, labor, and delivery: An updated systematic review and meta-analysis of clinical trials

Cited by 24 publications

References 36 publications

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Effects of date fruit (Phoenix dactylifera L.) on labor and delivery outcomes: a systematic review and meta-analysis

Effects of Date fruit (Phoenix Dactylifera) on Bishop Score and Frequency of Caesarean Section: A Systematic Review and Meta-Analysis

The Effect of Capsella bursa-pastoris Extract on Heavy Menstrual Bleeding and Quality of Life in Patients with Uterine Leiomyoma: A Double-blind Randomized Clinical Trial

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