Association between earthquakes and perinatal outcomes: A systematic review and meta-analysis.
Int J Gynaecol Obstet
; 166(1): 228-237, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38234161
ABSTRACT
BACKGROUND:
Evidence for the association between earthquakes and adverse perinatal outcomes is limited.OBJECTIVES:
To evaluate the association between earthquakes and perinatal outcomes including preterm birth and low birth weight. SEARCH STRATEGY We searched studies using MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, World Health Organization International Clinical Trials Platform Search Portal, and ClinicalTrials.gov on February 9, 2023. SELECTION CRITERIA We included before-and-after studies that evaluated the associations between earthquakes and perinatal outcomes in women living in affected areas. DATA COLLECTION ANDANALYSIS:
Two independent reviewers extracted data. We calculated the pooled odds ratio (OR) with the random-effects model. We analyzed outcomes in subgroups of Asians and others. We evaluated the certainty of evidence with the Grading of Recommendations Assessment, Development and Evaluation system. MAINRESULTS:
We included 2 607 405 women in 13 studies. Earthquakes may not increase preterm birth (nine studies, 1 761 760participants:
OR 1.10, 95% confidence interval [CI] 0.98-1.24, low certainty of evidence) or low birth weight (seven studies, 1 753 891participants:
OR 1.10, 95% CI 0.94-1.28, low certainty of evidence). Subgroup analyses showed that earthquakes may be associated with an increase of preterm birth among populations in Asia (OR 1.44, 95% CI 1.07-1.95), but this was not evident in others (OR 0.93, 95% CI 0.83-1.05).CONCLUSIONS:
Perinatal outcomes might not change after earthquakes. Further research on the association between earthquakes and perinatal outcomes, combined with an assessment of the characteristics of the region, is needed.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Problema de saúde:
1_surtos_doencas_emergencias
/
2_cobertura_universal
Assunto principal:
Recém-Nascido de Baixo Peso
/
Resultado da Gravidez
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Nascimento Prematuro
/
Terremotos
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Female
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Humans
/
Newborn
/
Pregnancy
Idioma:
En
Revista:
Int J Gynaecol Obstet
/
Int. j. gynaecol. obstet
/
International journal of gynaecology and obstetrics
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Japão