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Association between earthquakes and perinatal outcomes: A systematic review and meta-analysis.
Wada, Yoshimitsu; Watanabe, Jun; Yamamoto, Norio; Kubota, Takafumi; Kamijo, Kyosuke; Hirano, Daishi; Takahashi, Hironori; Fujiwara, Hiroyuki.
Afiliación
  • Wada Y; Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
  • Watanabe J; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
  • Yamamoto N; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
  • Kubota T; Department of Surgery, Division of Gastroenterological, General and Transplant Surgery, Jichi Medical University, Tochigi, Japan.
  • Kamijo K; Center for Community Medicine, Jichi Medical University, Tochigi, Japan.
  • Hirano D; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
  • Takahashi H; Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
  • Fujiwara H; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
Int J Gynaecol Obstet ; 166(1): 228-237, 2024 Jul.
Article en 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 AND

ANALYSIS:

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. MAIN

RESULTS:

We included 2 607 405 women in 13 studies. Earthquakes may not increase preterm birth (nine studies, 1 761 760

participants:

OR 1.10, 95% confidence interval [CI] 0.98-1.24, low certainty of evidence) or low birth weight (seven studies, 1 753 891

participants:

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recién Nacido de Bajo Peso / Resultado del Embarazo / Nacimiento Prematuro / Terremotos Tipo de estudio: Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: Int J Gynaecol Obstet Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recién Nacido de Bajo Peso / Resultado del Embarazo / Nacimiento Prematuro / Terremotos Tipo de estudio: Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: Int J Gynaecol Obstet Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos