Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis

Autores
Cormick, Gabriela; Betran, Ana Pilar; Ciapponi, Agustín; Hall, David R.; Hofmyer, G. Justus
Año de publicación
2016
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Women with a history of pre-eclampsia have a higher risk of developing pre-eclampsia in subsequent pregnancies. However, the role of the inter-pregnancy interval on this association is unclear. Objective: To explore the effect of inter-pregnancy interval on the risk of recurrent pre-eclampsia or eclampia. Search strategy: MEDLINE, EMBASE and LILACS were searched (inception to July 2015). Selection criteria: Cohort studies assessing the risk of recurrent pre-eclampsia in the immediate subsequent pregnancy according to different birth intervals. Data collection and analysis: Two reviewers independently performed screening, data extraction, methodological and quality assessment. Meta-analysis of adjusted odds ratios (aOR) with 95 % confidence intervals (CI) was used to measure the association between various interval lengths and recurrent pre-eclampsia or eclampsia. Main results: We identified 1769 articles and finally included four studies with a total of 77,561 women. The meta-analysis of two studies showed that compared to inter-pregnancy intervals of 2-4 years, the aOR for recurrent pre-eclampsia was 1.01 [95 % CI 0.95 to 1.07, I2 0 %] with intervals of less than 2 years and 1.10 [95 % CI 1.02 to 1.19, I2 0 %] with intervals longer than 4 years. Conclusion: Compared to inter-pregnancy intervals of 2 to 4 years, shorter intervals are not associated with an increased risk of recurrent pre-eclampsia but longer intervals appear to increase the risk. The results of this review should be interpreted with caution as included studies are observational and thus subject to possible confounding factors.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Betran, Ana Pilar. World Health Organization; Suiza
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Hall, David R.. Stellenbosch University; Sudáfrica. Tygerberg Hospital; Sudáfrica
Fil: Hofmyer, G. Justus. University of the Witwatersrand; Sudáfrica. University of Fort Hare; Sudáfrica. Walter Sisulu University; Sudáfrica
Materia
BIRTH INTERVAL
BIRTH SPACING
ECLAMPSIA
HYPERTENSIVE DISORDERS OF PREGNANCY
INTER-PREGNANCY INTERVAL
META-ANALYSIS
PRE-ECLAMPSIA
RECURRENCE
SYSTEMATIC REVIEW
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/47097
Acceder
id CONICETDig_18a5bddbfecd666688bb79ebc5e0f275
oai_identifier_str oai:ri.conicet.gov.ar:11336/47097
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysisCormick, GabrielaBetran, Ana PilarCiapponi, AgustínHall, David R.Hofmyer, G. JustusBIRTH INTERVALBIRTH SPACINGECLAMPSIAHYPERTENSIVE DISORDERS OF PREGNANCYINTER-PREGNANCY INTERVALMETA-ANALYSISPRE-ECLAMPSIARECURRENCESYSTEMATIC REVIEWhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Women with a history of pre-eclampsia have a higher risk of developing pre-eclampsia in subsequent pregnancies. However, the role of the inter-pregnancy interval on this association is unclear. Objective: To explore the effect of inter-pregnancy interval on the risk of recurrent pre-eclampsia or eclampia. Search strategy: MEDLINE, EMBASE and LILACS were searched (inception to July 2015). Selection criteria: Cohort studies assessing the risk of recurrent pre-eclampsia in the immediate subsequent pregnancy according to different birth intervals. Data collection and analysis: Two reviewers independently performed screening, data extraction, methodological and quality assessment. Meta-analysis of adjusted odds ratios (aOR) with 95 % confidence intervals (CI) was used to measure the association between various interval lengths and recurrent pre-eclampsia or eclampsia. Main results: We identified 1769 articles and finally included four studies with a total of 77,561 women. The meta-analysis of two studies showed that compared to inter-pregnancy intervals of 2-4 years, the aOR for recurrent pre-eclampsia was 1.01 [95 % CI 0.95 to 1.07, I2 0 %] with intervals of less than 2 years and 1.10 [95 % CI 1.02 to 1.19, I2 0 %] with intervals longer than 4 years. Conclusion: Compared to inter-pregnancy intervals of 2 to 4 years, shorter intervals are not associated with an increased risk of recurrent pre-eclampsia but longer intervals appear to increase the risk. The results of this review should be interpreted with caution as included studies are observational and thus subject to possible confounding factors.Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Betran, Ana Pilar. World Health Organization; SuizaFil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Hall, David R.. Stellenbosch University; Sudáfrica. Tygerberg Hospital; SudáfricaFil: Hofmyer, G. Justus. University of the Witwatersrand; Sudáfrica. University of Fort Hare; Sudáfrica. Walter Sisulu University; SudáfricaBioMed Central2016-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/47097Cormick, Gabriela; Betran, Ana Pilar; Ciapponi, Agustín; Hall, David R.; Hofmyer, G. Justus; Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis; BioMed Central; Reproductive Health; 13; 1; 7-2016; 1-100968-80801742-4755CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-016-0197-xinfo:eu-repo/semantics/altIdentifier/doi/10.1186/s12978-016-0197-xinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:55:46Zoai:ri.conicet.gov.ar:11336/47097instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:55:46.67CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
title Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
spellingShingle Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
Cormick, Gabriela
BIRTH INTERVAL
BIRTH SPACING
ECLAMPSIA
HYPERTENSIVE DISORDERS OF PREGNANCY
INTER-PREGNANCY INTERVAL
META-ANALYSIS
PRE-ECLAMPSIA
RECURRENCE
SYSTEMATIC REVIEW
title_short Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
title_full Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
title_fullStr Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
title_full_unstemmed Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
title_sort Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis
dc.creator.none.fl_str_mv Cormick, Gabriela
Betran, Ana Pilar
Ciapponi, Agustín
Hall, David R.
Hofmyer, G. Justus
author Cormick, Gabriela
author_facet Cormick, Gabriela
Betran, Ana Pilar
Ciapponi, Agustín
Hall, David R.
Hofmyer, G. Justus
author_role author
author2 Betran, Ana Pilar
Ciapponi, Agustín
Hall, David R.
Hofmyer, G. Justus
author2_role author
author
author
author
dc.subject.none.fl_str_mv BIRTH INTERVAL
BIRTH SPACING
ECLAMPSIA
HYPERTENSIVE DISORDERS OF PREGNANCY
INTER-PREGNANCY INTERVAL
META-ANALYSIS
PRE-ECLAMPSIA
RECURRENCE
SYSTEMATIC REVIEW
topic BIRTH INTERVAL
BIRTH SPACING
ECLAMPSIA
HYPERTENSIVE DISORDERS OF PREGNANCY
INTER-PREGNANCY INTERVAL
META-ANALYSIS
PRE-ECLAMPSIA
RECURRENCE
SYSTEMATIC REVIEW
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Women with a history of pre-eclampsia have a higher risk of developing pre-eclampsia in subsequent pregnancies. However, the role of the inter-pregnancy interval on this association is unclear. Objective: To explore the effect of inter-pregnancy interval on the risk of recurrent pre-eclampsia or eclampia. Search strategy: MEDLINE, EMBASE and LILACS were searched (inception to July 2015). Selection criteria: Cohort studies assessing the risk of recurrent pre-eclampsia in the immediate subsequent pregnancy according to different birth intervals. Data collection and analysis: Two reviewers independently performed screening, data extraction, methodological and quality assessment. Meta-analysis of adjusted odds ratios (aOR) with 95 % confidence intervals (CI) was used to measure the association between various interval lengths and recurrent pre-eclampsia or eclampsia. Main results: We identified 1769 articles and finally included four studies with a total of 77,561 women. The meta-analysis of two studies showed that compared to inter-pregnancy intervals of 2-4 years, the aOR for recurrent pre-eclampsia was 1.01 [95 % CI 0.95 to 1.07, I2 0 %] with intervals of less than 2 years and 1.10 [95 % CI 1.02 to 1.19, I2 0 %] with intervals longer than 4 years. Conclusion: Compared to inter-pregnancy intervals of 2 to 4 years, shorter intervals are not associated with an increased risk of recurrent pre-eclampsia but longer intervals appear to increase the risk. The results of this review should be interpreted with caution as included studies are observational and thus subject to possible confounding factors.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Betran, Ana Pilar. World Health Organization; Suiza
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Hall, David R.. Stellenbosch University; Sudáfrica. Tygerberg Hospital; Sudáfrica
Fil: Hofmyer, G. Justus. University of the Witwatersrand; Sudáfrica. University of Fort Hare; Sudáfrica. Walter Sisulu University; Sudáfrica
description Background: Women with a history of pre-eclampsia have a higher risk of developing pre-eclampsia in subsequent pregnancies. However, the role of the inter-pregnancy interval on this association is unclear. Objective: To explore the effect of inter-pregnancy interval on the risk of recurrent pre-eclampsia or eclampia. Search strategy: MEDLINE, EMBASE and LILACS were searched (inception to July 2015). Selection criteria: Cohort studies assessing the risk of recurrent pre-eclampsia in the immediate subsequent pregnancy according to different birth intervals. Data collection and analysis: Two reviewers independently performed screening, data extraction, methodological and quality assessment. Meta-analysis of adjusted odds ratios (aOR) with 95 % confidence intervals (CI) was used to measure the association between various interval lengths and recurrent pre-eclampsia or eclampsia. Main results: We identified 1769 articles and finally included four studies with a total of 77,561 women. The meta-analysis of two studies showed that compared to inter-pregnancy intervals of 2-4 years, the aOR for recurrent pre-eclampsia was 1.01 [95 % CI 0.95 to 1.07, I2 0 %] with intervals of less than 2 years and 1.10 [95 % CI 1.02 to 1.19, I2 0 %] with intervals longer than 4 years. Conclusion: Compared to inter-pregnancy intervals of 2 to 4 years, shorter intervals are not associated with an increased risk of recurrent pre-eclampsia but longer intervals appear to increase the risk. The results of this review should be interpreted with caution as included studies are observational and thus subject to possible confounding factors.
publishDate 2016
dc.date.none.fl_str_mv 2016-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/47097
Cormick, Gabriela; Betran, Ana Pilar; Ciapponi, Agustín; Hall, David R.; Hofmyer, G. Justus; Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis; BioMed Central; Reproductive Health; 13; 1; 7-2016; 1-10
0968-8080
1742-4755
CONICET Digital
CONICET
url http://hdl.handle.net/11336/47097
identifier_str_mv Cormick, Gabriela; Betran, Ana Pilar; Ciapponi, Agustín; Hall, David R.; Hofmyer, G. Justus; Inter-pregnancy interval and risk of recurrent pre-eclampsia: systematic review and meta-analysis; BioMed Central; Reproductive Health; 13; 1; 7-2016; 1-10
0968-8080
1742-4755
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-016-0197-x
info:eu-repo/semantics/altIdentifier/doi/10.1186/s12978-016-0197-x
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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