Evidence map›Paper›PMID 41121160›Full record

SynthesisBMC pediatrics2025

Incidence of neonatal asphyxia and associated risk factors: a systematic review and cumulative meta-analysis.

Yuanping Wang, Shanshan Xiao, Suqin Zhang, Chunbo Qiu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Observational
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

4 authors.

Yuanping WangDepartment of Obstetrics, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, 315010, China.
Shanshan XiaoDepartment of Obstetrics, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, 315010, China.
Suqin ZhangDepartment of Obstetrics, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, 315010, China.
Chunbo QiuDepartment of Gynecology, The First Affiliated Hospital of Ningbo University, No. 247 Renmin Road, Jiangbei District, Ningbo, Zhejiang, 315010, China. qiuchunbo0311@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyze the incidence of neonatal asphyxia and its associated related risk factors and provide reference for reducing the incidence and mortality of neonatal asphyxia.

methodsPubMed, Web of Science, CNKI, and Wanfang were searched for cross-sectional/case-control studies (inception-December 31, 2024). After dual-independent screening (PROSPERO: CRD420251118897), 18 studies (n = 737,839 neonates) were included. Quality was assessed using AHRQ. Random/fixed-effects models were applied based on I² thresholds. Temporal trends were explored via sequential meta-analysis by publication year. Sensitivity and publication bias analyses were conducted.

resultsA total of 18 studies was included, involving 737,839 neonates, and the overall quality of the literature was acceptable. The combined incidence of neonatal asphyxia and its 95% CI was 7% (5%, 8%). Factors associated with neonatal asphyxia included instrumental delivery, primiparity, preterm birth, and low birth weight. The pooled ORs and 95% CIs for meta-analyzed risk factors of neonatal asphyxia (instrument-assisted delivery, primiparity, preterm birth, and low birth weight) were 3.10 (1.79, 5.38), 3.51 (2.15, 5.74), 2.18 (1.54, 3.09), and 2.85 (2.33, 3.49), respectively. According to the order of publication, cumulative Meta-analysis showed that the OR values and 95% CI of instrumental delivery, primiparity, preterm birth, and low birth evolved had a trend over time.

conclusionThe incidence of neonatal asphyxia remains an important public health concern. Findings suggest that neonates born following instrumental delivery, or with primiparity, preterm birth, or low birth weight could be considered for more careful monitoring.

Indexed as

Asphyxia NeonatorumFemaleHumansIncidenceInfant, Low Birth WeightInfant, NewbornPregnancyRisk FactorsCumulative meta-analysisNeonatal asphyxiaNeonatesRisk factors

Identifiers

PMID41121160
PMCPMC12542287

What OpenQuestion holds

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Registered trials

None linked

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.