Pregnancy outcome in women with hearing disability: systematic review and meta-analysis

Background Hearing disabilities are a significant risk factor for adverse pregnancy outcomes. This study aimed to analyse the impact of hearing impairment on maternal and neonatal outcomes, and to evaluate the adequacy of prenatal care among women diagnosed with hearing disabilities.Methods A litera...

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Main Authors: Hui Zhang, Yue Du, Jianwei Qiu, Yu Wang, Yinjing Song
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Obstetrics and Gynaecology
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Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2025.2519379
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author Hui Zhang
Yue Du
Jianwei Qiu
Yu Wang
Yinjing Song
author_facet Hui Zhang
Yue Du
Jianwei Qiu
Yu Wang
Yinjing Song
author_sort Hui Zhang
collection DOAJ
description Background Hearing disabilities are a significant risk factor for adverse pregnancy outcomes. This study aimed to analyse the impact of hearing impairment on maternal and neonatal outcomes, and to evaluate the adequacy of prenatal care among women diagnosed with hearing disabilities.Methods A literature search of the PubMed, Medline, Cochrane Library, Embase, and Scopus databases for relevant studies published in English was performed. Two researchers independently performed screening and quality assessments. Adverse maternal outcomes (gestational diabetes, preeclampsia, and caesarean delivery), adverse neonatal outcomes (preterm birth and low birth weight), and utilisation of prenatal care resources were primary outcomes of this review. A comparative effects meta-analysis and a narrative synthesis were performed.Results Ten retrospective cohort studies comprising 97,251,223 participants, of whom 63,387 had a hearing disability, were included in this review. Meta-analysis revealed a significantly higher risk for gestational diabetes, preeclampsia, eclampsia, caesarean delivery, placental abruption, preterm birth, low birth weight, and adequate–plus utilisation of prenatal care resources. The results were similar in the sensitivity analyses based on different statistical models. There were no statistical differences in pooled estimates of the incidence of chorioamnionitis, although a significantly higher risk was observed when the model was modified.Conclusion Compared to women without disabilities, those with hearing disabilities exhibited a higher risk for adverse maternal and neonatal outcomes and excessive use of prenatal care services.
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spelling doaj-art-21ca56f3c31b4c8facf2879435a09d812025-08-20T02:10:24ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932025-12-0145110.1080/01443615.2025.2519379Pregnancy outcome in women with hearing disability: systematic review and meta-analysisHui Zhang0Yue Du1Jianwei Qiu2Yu Wang3Yinjing Song4Zhejiang Vocational College of Special Education, Hangzhou, ChinaZhejiang Vocational College of Special Education, Hangzhou, ChinaZhejiang Vocational College of Special Education, Hangzhou, ChinaZhejiang Vocational College of Special Education, Hangzhou, ChinaSir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaBackground Hearing disabilities are a significant risk factor for adverse pregnancy outcomes. This study aimed to analyse the impact of hearing impairment on maternal and neonatal outcomes, and to evaluate the adequacy of prenatal care among women diagnosed with hearing disabilities.Methods A literature search of the PubMed, Medline, Cochrane Library, Embase, and Scopus databases for relevant studies published in English was performed. Two researchers independently performed screening and quality assessments. Adverse maternal outcomes (gestational diabetes, preeclampsia, and caesarean delivery), adverse neonatal outcomes (preterm birth and low birth weight), and utilisation of prenatal care resources were primary outcomes of this review. A comparative effects meta-analysis and a narrative synthesis were performed.Results Ten retrospective cohort studies comprising 97,251,223 participants, of whom 63,387 had a hearing disability, were included in this review. Meta-analysis revealed a significantly higher risk for gestational diabetes, preeclampsia, eclampsia, caesarean delivery, placental abruption, preterm birth, low birth weight, and adequate–plus utilisation of prenatal care resources. The results were similar in the sensitivity analyses based on different statistical models. There were no statistical differences in pooled estimates of the incidence of chorioamnionitis, although a significantly higher risk was observed when the model was modified.Conclusion Compared to women without disabilities, those with hearing disabilities exhibited a higher risk for adverse maternal and neonatal outcomes and excessive use of prenatal care services.https://www.tandfonline.com/doi/10.1080/01443615.2025.2519379Hearing disabilityadverse pregnancy outcomemode of deliveryhealthcare communication
spellingShingle Hui Zhang
Yue Du
Jianwei Qiu
Yu Wang
Yinjing Song
Pregnancy outcome in women with hearing disability: systematic review and meta-analysis
Journal of Obstetrics and Gynaecology
Hearing disability
adverse pregnancy outcome
mode of delivery
healthcare communication
title Pregnancy outcome in women with hearing disability: systematic review and meta-analysis
title_full Pregnancy outcome in women with hearing disability: systematic review and meta-analysis
title_fullStr Pregnancy outcome in women with hearing disability: systematic review and meta-analysis
title_full_unstemmed Pregnancy outcome in women with hearing disability: systematic review and meta-analysis
title_short Pregnancy outcome in women with hearing disability: systematic review and meta-analysis
title_sort pregnancy outcome in women with hearing disability systematic review and meta analysis
topic Hearing disability
adverse pregnancy outcome
mode of delivery
healthcare communication
url https://www.tandfonline.com/doi/10.1080/01443615.2025.2519379
work_keys_str_mv AT huizhang pregnancyoutcomeinwomenwithhearingdisabilitysystematicreviewandmetaanalysis
AT yuedu pregnancyoutcomeinwomenwithhearingdisabilitysystematicreviewandmetaanalysis
AT jianweiqiu pregnancyoutcomeinwomenwithhearingdisabilitysystematicreviewandmetaanalysis
AT yuwang pregnancyoutcomeinwomenwithhearingdisabilitysystematicreviewandmetaanalysis
AT yinjingsong pregnancyoutcomeinwomenwithhearingdisabilitysystematicreviewandmetaanalysis