Uterine caesarean closure techniques affect ultrasound findings and maternal outcomes: a systematic review and meta-analysis

2018 ◽  
Vol 125 (9) ◽  
pp. 1097-1108 ◽  
Author(s):  
SI Stegwee ◽  
IPM Jordans ◽  
LF van der Voet ◽  
PM van de Ven ◽  
JCF Ket ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Maternal Outcomes ◽  
Ultrasound Findings

scholarly journals The Impact of Diagnostic Criteria for Gestational Diabetes Mellitus on Adverse Maternal Outcomes: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 10 (4) ◽  
pp. 666
Author(s):  
Fahimeh Ramezani Tehrani ◽  
Marzieh Saei Ghare Naz ◽  
Razieh Bidhendi Yarandi ◽  
Samira Behboudi-Gandevani
Keyword(s):  
Systematic Review ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Diagnostic Criteria ◽  
Meta Analysis ◽  
Population Based ◽  
Maternal Outcomes ◽  
Care Providers ◽  
Iadpsg Criteria ◽  
The Impact

This systematic review and meta-analysis aimed to examine the impact of different gestational-diabetes (GDM) diagnostic-criteria on the risk of adverse-maternal-outcomes. The search process encompassed PubMed (Medline), Scopus, and Web of Science databases to retrieve original, population-based studies with the universal GDM screening approach, published in English language and with a focus on adverse-maternal-outcomes up to January 2020. According to GDM diagnostic criteria, the studies were classified into seven groups. A total of 49 population-based studies consisting of 1409018 pregnant women with GDM and 7,667,546 non-GDM counterparts were selected for data analysis and knowledge synthesis. Accordingly, the risk of adverse-maternal-outcomes including primary-cesarean, induction of labor, maternal-hemorrhage, and pregnancy-related-hypertension, overall, regardless of GDM diagnostic-criteria and in all diagnostic-criteria subgroups were significantly higher than non-GDM counterparts. However, in meta-regression, the increased risk was not influenced by the GDM diagnostic-classification and the magnitude of the risks among patients, using the IADPSG criteria-classification as the most strict-criteria, was similar to other criteria. In conclusion, a reduction in the diagnostic-threshold increased the prevalence of GDM, but the risk of adverse-maternal-outcome was not different among those women who were diagnosed through more or less intensive strategies. Our review findings can empower health-care-providers to select the most cost-effective approach for the screening of GDM among pregnant women.

Maternal outcomes of cesarean section performed at early gestational ages: a systematic review and meta-analysis

2021 ◽  
pp. 100360
Author(s):  
Chiara Cerra ◽  
Roberta Morelli ◽  
Daniele Di Mascio ◽  
Danilo Buca ◽  
Francesca Di Sebastiano ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Meta Analysis ◽  
Maternal Outcomes

The effects of hands on and hands off/poised techniques on maternal outcomes: A systematic review and meta-analysis

Midwifery ◽  
2020 ◽  
Vol 87 ◽  
pp. 102712 ◽  
Author(s):  
Jing Huang ◽  
Hong Lu ◽  
Yu Zang ◽  
Lihua Ren ◽  
Chunying Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Maternal Outcomes ◽  
Hands On

scholarly journals Obstructed labor and its association with adverse feto-maternal outcome in Ethiopia: a protocol for a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Yordanos Gizachew Yeshitila ◽  
Melaku Desta ◽  
Abraham Kebede
Keyword(s):  
Systematic Review ◽  
Obstetric Fistula ◽  
Statistical Tests ◽  
Meta Analysis ◽  
Relevant Literature ◽  
Near Miss ◽  
Cochrane Library ◽  
Maternal Outcomes ◽  
Obstructed Labor ◽  
Middle Income

Abstract Background Obstructed labor accounted for 22% of obstetrical complications and 9% of all maternal deaths in low- and middle-income countries. Even though there are separate studies regarding obstructed labor and its complication in Ethiopia, their results are inconsistent. The objectives of this review will be to estimate the pooled the prevalence of obstructed labor and to identify adverse feto-maternal outcomes associated with obstructed labor in Ethiopia. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline will be followed to conduct this systematic review and meta-analysis. The databases we will search will be PubMed, Cochrane Library, Google Scholar, CINAHL, African Journals Online, Dimensions, and Summon per country online databases. To search the relevant literature, we will use the following key search terms: “prevalence,” “adverse outcome,” “obstructed labour,” “maternal near miss,” “neonatal near miss,” “perinatal outcome,” “cesarean section,” “obstetric fistula,” “uterine rupture,” and “Ethiopia.” Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used for evaluating the quality of the studies. Appropriate statistical tests will be conducted to quantify the between studies heterogeneity and for the assessment of publication bias. We will check individual study influence analysis and also do subgroup analysis. The STATA version 15 will be used for statistical analysis. Discussion Our systematic review and meta-analysis will provide the pooled prevalence of obstructed labor and its association with adverse feto-maternal outcomes in Ethiopia. The finding of this study will be helpful to design appropriate preventive and promotive strategies for reducing of obstructed labor-related maternal mortality. Systematic review registration PROSPERO CRD42020196153.

scholarly journals Impact of point-of-care diagnostics on maternal outcomes in HIV-infected women: systematic review and meta-analysis protocol

BMJ Open ◽  
2016 ◽  
Vol 6 (1) ◽  
pp. e008002 ◽  
Author(s):  
T P Mashamba-Thompson ◽  
B Sartorius ◽  
L Thabane ◽  
C X Shi ◽  
P K Drain
Keyword(s):  
Systematic Review ◽  
Point Of Care ◽  
Meta Analysis ◽  
Maternal Outcomes ◽  
Point Of Care Diagnostics ◽  
Analysis Protocol

Fetal Meconium Peritonitis – Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis

2020 ◽  
Author(s):  
Shiri Shinar ◽  
Swati Agrawal ◽  
Michelle Ryu ◽  
Tim Van Mieghem ◽  
Alan Daneman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cystic Fibrosis ◽  
Meta Analysis ◽  
Case Series ◽  
Neonatal Surgery ◽  
Meconium Peritonitis ◽  
Ultrasound Findings ◽  
Small Bowel Atresia ◽  
Postnatal Outcome ◽  
Bowel Atresia

Abstract Purpose To describe the postnatal outcome of fetal meconium peritonitis and identify prenatal predictors of neonatal surgery. Methods We retrospectively reviewed all fetuses with ultrasound findings suspicious for meconium peritonitis at a single center over a 10-year period. A systematic review and meta-analysis were then performed pooling our results with previous studies assessing prenatally diagnosed meconium peritonitis and postnatal outcome. Prenatal sonographic findings were analyzed to identify predictors for postnatal surgery. Results 34 cases suggestive of meconium peritonitis were diagnosed at our center. These were pooled with cases from 14 other studies yielding a total of 244 cases. Postnatal abdominal surgery was required in two thirds of case (66.5 %). The strongest predictor of neonatal surgery was meconium pseudocyst (OR [95 % CI] 6.75 [2.53–18.01]), followed by bowel dilation (OR [95 % CI] 4.17 [1.93–9.05]) and ascites (OR [95 % CI] 2.57 [1.07–5.24]). The most common cause of intestinal perforation and meconium peritonitis, found in 52.2 % of the cases, was small bowel atresia. Cystic fibrosis was diagnosed in 9.8 % of cases. Short-term neonatal outcomes were favorable, with a post-operative mortality rate of 8.1 % and a survival rate of 100 % in neonates not requiring surgery. Conclusion Meconium pseudocysts, bowel dilation, and ascites are prenatal predictors of neonatal surgery in cases of meconium peritonitis. Fetuses with these findings should be delivered in centers with pediatric surgery services. Though the prognosis is favorable, cystic fibrosis complicates postnatal outcomes.

scholarly journals Middle Cerebral Artery Doppler Velocimetry for the Diagnosis of Twin Anemia Polycythemia Sequence: A Systematic Review

2020 ◽  
Vol 9 (6) ◽  
pp. 1735
Author(s):  
Clifton O. Brock ◽  
Eric P. Bergh ◽  
Kenneth J. Moise ◽  
Anthony Johnson ◽  
Edgar Hernandez-Andrade ◽  
...  
Keyword(s):  
Systematic Review ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Rare Complication ◽  
Meta Analysis ◽  
Peak Systolic Velocity ◽  
Fetal Hemoglobin ◽  
Diagnostic Characteristics ◽  
Ultrasound Findings ◽  
Sensitivity Specificity

Twin anemia polycythemia sequence (TAPS) is a rare complication of monochorionic diamniotic (MCDA) twins. Middle cerebral artery peak systolic velocity (MCA-PSV) measurements are used to screen for TAPS while fetal or neonatal hemoglobin levels are required for definitive diagnosis. We sought to perform a systematic review of the efficacy of MCA-PSV in diagnosing TAPS. Search criteria were developed using relevant terms to query the Pubmed, Embase, and SCOPUS electronic databases. Publications reporting diagnostic characteristics of MCA-PSV measurements (i.e., sensitivity, specificity or receiver operator curves) were included. Each article was assessed for bias using the Quality Assessment of Diagnostic Accuracy Studies II (QUADAS II) tool. Results were assessed for uniformity to determine whether meta-analysis was feasible. Data were presented in tabular form. Among publications, five met the inclusion criteria. QUADAS II analysis revealed that four of the publications were highly likely to have bias in multiple areas. Meta-analysis was precluded by non-uniformity between definitions of TAPS by MCA-PSV and neonatal or fetal hemoglobin levels. High-quality prospective studies with consistent definitions and ultrasound surveillance protocols are still required to determine the efficacy of MCA-PSV in diagnosing TAPS. Other ultrasound findings (e.g., placenta echogenicity discordance) may augment Doppler studies.

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