Influencing factors for placenta accreta in recent 5 years: a systematic review and meta-analysis

Assess influencing factors for placenta accreta in pregnant women documented in recent literature. A systematic review and meta-analysis were conducted based on English- and Chinese-language articles published from January 2014 to June 2019. Articles were retrieved from the following Chinese databas...

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Published inThe journal of maternal-fetal & neonatal medicine Vol. 35; no. 11; p. 2166
Main Authors Hou, Yi-Ping, Lommel, Lisa, Wiley, James, Zhou, Xi-Hong, Yao, Min, Liu, Sai, Peng, Jin-Li
Format Journal Article
LanguageEnglish
Published England 03.06.2022
Subjects
China
Female
Humans
Hypertension
Male
Odds Ratio
Placenta Accreta - epidemiology
Placenta Accreta - etiology
Pregnancy
Risk Factors
China
Placenta accreta
influencing factors
postpartum hemorrhage
meta-analysis
cesarean section
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Summary:Assess influencing factors for placenta accreta in pregnant women documented in recent literature. A systematic review and meta-analysis were conducted based on English- and Chinese-language articles published from January 2014 to June 2019. Articles were retrieved from the following Chinese databases, CNKI, Wanfang Data, China Science and Technology Journal Database, CBM and English databases, PubMed, Web of Science, the Cochrane Library and Embase. Eleven studies with 2,152,014 cases were included in the meta-analysis. The odds ratios of influencing factors were as follows: hypertension 2.51 (95% CI, 1.50-4.20), multifetal gestations 1.90 (95% CI, 1.26-2.88), male fetus 0.79 (95% CI, 0.74-0.84), and low socioeconomic status 0.51 (95% CI, 0.37-0.71). Evidence from English- and Chinese-language literature indicates that hypertension and multifetal gestations are risk factors for placenta accreta, while male fetus and low socioeconomic status are protective factors.
ISSN:1476-4954
DOI:10.1080/14767058.2020.1779215