Evidence map›Paper›PMID 39425056›Full record

SynthesisBMC pregnancy and childbirth2024

The association between maternal anemia and neonatal anemia: a systematic review and meta-analysis.

Bokang Zhao, Mengxing Sun, Tianchen Wu, Jiaxin Li, Huifeng Shi, Yuan Wei

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bokang ZhaoPeking University Health Science Center, Beijing, China.
Mengxing SunDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.
Tianchen WuDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.
Jiaxin LiDepartment of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.
Huifeng Shi *Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China. nsxm@pku.edu.cn.
Yuan Wei *Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China. weiyuanbysy@163.com.

Funding

National Key Research and Development Program of China 2021YFC2700700
6 · The paper itself

Abstract

importanceNeonatal anemia has a long-term effect on children's growth and development. Anemia during pregnancy is also the most widespread nutritional deficiency among pregnant women in the world; If it leads to anemia in newborns, it will affect a wide range of people and be a public health problem worthy of attention.

objectiveTo study the relationship between maternal anemia during pregnancy and neonatal hemoglobin levels. DATA SOURCES: PubMed, Web of science, Scopus, MEDLINE, Embase, ProQuest, Dissertations & Theses Global, The Cochrane Library, China Biology Medicine Database, Chinese CNKI Database, and Chinese Wanfang Database were systematically searched from inception to August 31, 2022. STUDY SELECTION: The meta-analysis included all original studies which pertain to   cohort studies, case-control studies or cross-sectional studies that investigated the relationship between maternal anemia during pregnancy and neonatal hemoglobin levels. DATA EXTRACTION AND SYNTHESIS: Hemoglobin level of both anemic and non-anemic  pregnant mothers and their paired newborns were pooled from the selected studies. The random-effects model was used to assess the risk of getting a lower neonatal hemoglobin level between mothers with and without pregnant anemia. Data analyses were performed from September 5, 2022, to March 10, 2023. MAIN OUTCOMES AND MEASURES: Maternal anemia during pregnancy is a risk factor of lower neonatal hemoglobin levels.

resultsThe initial search yielded 4267 records of which 116 articles underwent full-text evaluation, which identified 18 articles and a total of 1873 patients that were included. The findings of the meta-analysis showed a significant difference between the two groups(MD=-1.38; 95%CI:[-1.96,-0.80]. p<0.01), while the co-effect showed that the neonatal hemoglobin value of anemic mothers was 1.38g/dL lower than that of non-anemic mothers(-1.96,-0.80), suggesting a correlation between maternal anemia lower neonatal hemoglobin levels. CONCLUSIONS AND RELEVANCE: This systematic review and meta-analysis demonstrated that maternal anemia during pregnancy were associated with a lower level of newborn hemoglobin levels. This may enable a better understanding of neonatal anemia and provide guidance towards future development of nutritional supplementation during pregnancy and the prediction of postpartum outcomes.

trial registrationPROSPERO Identifier: CRD42022352759.

Indexed as

AnemiaAnemia, NeonatalHemoglobinsPregnancy Complications, HematologicFemaleHumansInfant, NewbornPregnancyRisk FactorsHemoglobinsInfantsIron deficiencyMaternal anemiaNutrition

Identifiers

PMID39425056
PMCPMC11488222

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.