Trajectories tracking of maternal and neonatal health in eastern China from 2010 to 2021: A multicentre cross-sectional study

Zhu, Hui; Cai, Jie; Liu, Hongyi; Zhao, Zhijia; Chen, Yanming; Wang, Penghao; Chen, Tao; He, Da; Chen, Xiang; Xu, Jin; Ji, Lindan

doi:10.7189/jogh.14.04069

Cited by 3 publications

(2 citation statements)

References 57 publications

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“…Moreover, previous evidence indicated that the rates of advanced maternal age, women with prior caesarean sections and uterine scars, assisted reproductive technology interventions, and multiparous women were significantly increased after the implementation of the two-child policy [ 17 , 18 ]. The risk of placenta previa is likely significantly higher in women who experience these conditions or interventions, which will likely lead to a hike in the incidence of placenta previa in this population.…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, we conducted subgroup and meta-regression (univariate and multivariable) analyses to explore potential sources of heterogeneity. Based on the studies included in our previous review and other similar prevalence meta-analyses [ 3 , 4 , 17 , 18 ], the potential variables were geographical study region, survey year, quality score, maternal age, and hospital level. Lastly, we used funnel plots and Egger’s test to assess small-study effects.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of placenta previa among deliveries: An update systematic review and meta-analysis after the introduction of the two-child policy in Mainland China

Fan,

Liu,

et al. 2024

J Glob Health

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Prevalence of placenta previa among deliveries: An update systematic review and meta-analysis after the introduction of the two-child policy in Mainland China

Fan,

Liu,

et al. 2024

J Glob Health

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Cohort Profile: The Ningbo Birth Cohort of Population Undergoing Assisted Reproductive Technology (NBart)

Zhu,

Xu,

Cai

et al. 2024

International Journal of Epidemiology

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The interaction between preeclampsia and advanced maternal age on adverse perinatal outcomes: a retrospective cohort study (2013-2022)

Wu,

Chen,

Zhang

et al. 2024

Preprint

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Background: This study aims to explore the risk of pregnancy complications and outcomes among younger women (aged 20-34 years) and older women ( aged 35 years or older) with PE and further investigate the interaction between PE and advanced maternal age (AMA) on the development of these outcomes. Methods: This retrospective cohort study included 75860 single pregnant women aged 20-55 years, logistic regression was perform to find the associations between PE and pregnancy complications and outcomes. Additive interaction analysis between PE and AMA on the development of these outcomes was performed by using odds ratio (OR) due to interaction (RERI), attributable proportion due to interaction (AP), and synergy index (SI) with their 95% confidence intervals (95%CIs). Results:Among younger women, PE was associated with higher risk of gestational diabetes mellitus (GDM), caesarean delivery, placental accreta spectrum , placental abruption , intrahepatic cholestasis of pregnancy (ICP) , haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, abnormal placental location and cord insertion, postpartum haemorrhage, preterm birth, low birth weight, fetal distress, intrauterine growth restriction (IUGR), and birth defects when compared to women without PE. The (OR 95%CI) was (1.34, 1.20-1.50), (3.57, 3.22-3.97), (1.40, 1.03-1.92),(6.39, 4.55-8.99), (1.92, 1.59-2.31), (64.98, 29.86-141.41), (1.43, 1.18-1.74), (1.66, 1.26-2.18), (4.50, 4.02-5.04), (6.55, 5.88-7.04), (1.52, 91.34-1.71), (9.37, 8.10-10.83), (1.37, 1.01-1.88), respectively. Among older women, PE had a higher risk of GDM, caesarean delivery, placental abruption, ICP, HELLP syndrome, preterm birth, low birth weight, fetal distress, and IUGR, the (OR 95%CI) was (1.19, 1.03-1.38), (2.92, 2.45-3.48), (4.20, 2.43-7.27), (2.03, 1.57-2.63), (17.74, 7.79-40.42), (4.59, 3.92-5.34), (7.33, 6.26-8.59), (1.56, 1.29-1.88), (9.44, 7.54-11.81), respectively. PE and AMA had a significant synergistic effect on caesarean delivery, preterm birth, and low birth weight (RERI 1.93, 95%CI 0.64-3.22; AP 0.29, 95%CI 0.14-0.43; SI 1.50, 95%CI 1.19-1.90), (RERI 1.40, 95%CI 0.35-2.45; AP 0.23, 95%CI 0.09-0.37; SI 1.37, 95%CI 1.10-1.70), (RERI 2.45, 95%CI 0.93-3.97; AP 0.27, 95%CI 0.14-0.40; SI 1.42, 95%CI 1.16-1.74). Conclusion: PE was an independent risk factor for a series of pregnancy complications and outcomes, and may play an important role in the interaction with AMA on the development of caesarean delivery, preterm birth and low birth weight.

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Trajectories tracking of maternal and neonatal health in eastern China from 2010 to 2021: A multicentre cross-sectional study

Cited by 3 publications

References 57 publications

Prevalence of placenta previa among deliveries: An update systematic review and meta-analysis after the introduction of the two-child policy in Mainland China

Prevalence of placenta previa among deliveries: An update systematic review and meta-analysis after the introduction of the two-child policy in Mainland China

Cohort Profile: The Ningbo Birth Cohort of Population Undergoing Assisted Reproductive Technology (NBart)

The interaction between preeclampsia and advanced maternal age on adverse perinatal outcomes: a retrospective cohort study (2013-2022)

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