Journal article
The impact of pre-pregnancy body mass index and gestational weight gain on placental abruption risk: A systematic review and meta-analysis
Archives of Gynecology and Obstetrics, Vol.300(5), pp.1201-1210
2019
Abstract
Purpose
The aim of this systematic review was to evaluate the associations between pre-pregnancy body mass index and gestational weight gain and placental abruption.
Methods
Relevant studies were identified from PubMed, EMBASE, Scopus and CINAHL. Unpublished findings from analyses of linked population-based data sets from Western Australia (2012–2015, n = 114,792) were also included. Studies evaluating pre-pregnancy body mass index and/or gestational weight gain and placental abruption were included. Two independent reviewers evaluated studies for inclusion and quality. Data including odds ratios (ORs) and 95% confidence intervals (CIs) were extracted and analysed by random effects meta-analysis.
Results
21 studies were included, of which 15 were eligible for meta-analyses. The summary ORs for the association of being underweight, overweight and obese, and placental abruption, compared to normal weight women, were 1.4 (95% CI 1.1, 1.7), 0.8 (95% CI 0.8, 0.9) and 0.8 (95% CI 0.7, 0.9), respectively. These findings remained unchanged when each study was eliminated from the analysis and in subgroup analyses. Although data were scarce, women with gestational weight gain below the Institute of Medicine recommendations appeared to be at greater risk of abruption compared with women who had optimal weight gain.
Conclusions
Mothers that are underweight prior to or in early pregnancy are at a moderately increased risk of placental abruption.
Details
- Title
- The impact of pre-pregnancy body mass index and gestational weight gain on placental abruption risk: A systematic review and meta-analysis
- Authors/Creators
- A.A. Adane (Author/Creator)C.C.J. Shepherd (Author/Creator)F.J. Lim (Author/Creator)S.W. White (Author/Creator)B.M. Farrant (Author/Creator)H.D. Bailey (Author/Creator)
- Publication Details
- Archives of Gynecology and Obstetrics, Vol.300(5), pp.1201-1210
- Publisher
- Springer Berlin Heidelberg
- Identifiers
- 991005540174807891
- Copyright
- © 2019 Springer-Verlag GmbH Germany, part of Springer Nature
- Murdoch Affiliation
- Ngangk Yira Aboriginal Health Research Centre
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.182 Maternal-Fetal Health
- Web Of Science research areas
- Obstetrics & Gynecology
- ESI research areas
- Clinical Medicine