Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis
Introduction: Preeclampsia is a common pregnancy complication with the multisystem variable disorder. Yet, the literature has not been systematically reviewed for the relationship between previous cesarean section and the risk of preeclampsia. Objective: This study aimed to identify the relationship...
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Guilan University of Medical Sciences
2023-06-01
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| Series: | Journal of Holistic Nursing and Midwifery |
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| Online Access: | http://hnmj.gums.ac.ir/article-1-2179-en.pdf |
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| author | Ensiyeh Jenabi Salman Khazaei Soodabeh Aghababaei |
| author_facet | Ensiyeh Jenabi Salman Khazaei Soodabeh Aghababaei |
| author_sort | Ensiyeh Jenabi |
| collection | DOAJ |
| description | Introduction: Preeclampsia is a common pregnancy complication with the multisystem variable disorder. Yet, the literature has not been systematically reviewed for the relationship between previous cesarean section and the risk of preeclampsia.
Objective: This study aimed to identify the relationship between previous cesarean delivery and the risk of preeclampsia.
Materials and Methods: This study was a systematic review and meta-analysis. PubMed, Scopus, ProQuest, and Web of Sciences were searched to identify eligible observational studies until May 25, 2019. The odds ratio (OR) and 95% confidence intervals (CI) were calculated as random effect estimates of association among studies. The quality of the included studies was examined based on the Newcastle-Ottawa scale.
Results: This study included 7 eligible articles (2 studies with a case-control design, 4 with a cohort design, and 1 with a cross-sectional design). The meta-analysis results showed an increased risk of preeclampsia in the women with previous cesarean section compared to women without cesarean section (OR=1.28, 95% CI, 1.15%-1.41%, P=0.001), I2=37.2%. The quality of all studies except one study was high based on the Newcastle-Ottawa scale. The subgroup analysis was conducted based on the adjusted form of studies. The crude and adjusted studies were 1.29 (95% CI, 0.13%-2.46%, P=0.2) and 1.29 (95% CI, 1.22%-1.36%, P=0.001), respectively.
Conclusion: These findings showed that previous cesarean section is a risk factor for preeclampsia. Therefore, education programs and interventions should be considered to reduce elective cesarean section on maternal requests. |
| format | Article |
| id | doaj-art-14bb80972f2f4ce6ba3ea0a308edd656 |
| institution | DOAJ |
| issn | 2588-3712 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-14bb80972f2f4ce6ba3ea0a308edd6562025-08-20T03:05:35ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122023-06-01333176182Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysisEnsiyeh Jenabi0Salman Khazaei1Soodabeh Aghababaei2 Assistant Professor, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Assistant Professor, School of Health, Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Associate Professor, School of Nursing and Midwifery, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Introduction: Preeclampsia is a common pregnancy complication with the multisystem variable disorder. Yet, the literature has not been systematically reviewed for the relationship between previous cesarean section and the risk of preeclampsia. Objective: This study aimed to identify the relationship between previous cesarean delivery and the risk of preeclampsia. Materials and Methods: This study was a systematic review and meta-analysis. PubMed, Scopus, ProQuest, and Web of Sciences were searched to identify eligible observational studies until May 25, 2019. The odds ratio (OR) and 95% confidence intervals (CI) were calculated as random effect estimates of association among studies. The quality of the included studies was examined based on the Newcastle-Ottawa scale. Results: This study included 7 eligible articles (2 studies with a case-control design, 4 with a cohort design, and 1 with a cross-sectional design). The meta-analysis results showed an increased risk of preeclampsia in the women with previous cesarean section compared to women without cesarean section (OR=1.28, 95% CI, 1.15%-1.41%, P=0.001), I2=37.2%. The quality of all studies except one study was high based on the Newcastle-Ottawa scale. The subgroup analysis was conducted based on the adjusted form of studies. The crude and adjusted studies were 1.29 (95% CI, 0.13%-2.46%, P=0.2) and 1.29 (95% CI, 1.22%-1.36%, P=0.001), respectively. Conclusion: These findings showed that previous cesarean section is a risk factor for preeclampsia. Therefore, education programs and interventions should be considered to reduce elective cesarean section on maternal requests.http://hnmj.gums.ac.ir/article-1-2179-en.pdfcesarean sectionpreeclampsiameta-analysis |
| spellingShingle | Ensiyeh Jenabi Salman Khazaei Soodabeh Aghababaei Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis Journal of Holistic Nursing and Midwifery cesarean section preeclampsia meta-analysis |
| title | Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis |
| title_full | Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis |
| title_fullStr | Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis |
| title_full_unstemmed | Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis |
| title_short | Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis |
| title_sort | previous cesarean section and the risk of preeclampsia a meta analysis |
| topic | cesarean section preeclampsia meta-analysis |
| url | http://hnmj.gums.ac.ir/article-1-2179-en.pdf |
| work_keys_str_mv | AT ensiyehjenabi previouscesareansectionandtheriskofpreeclampsiaametaanalysis AT salmankhazaei previouscesareansectionandtheriskofpreeclampsiaametaanalysis AT soodabehaghababaei previouscesareansectionandtheriskofpreeclampsiaametaanalysis |