Evidence map›Paper›PMID 42657024›Full record

ReviewHealth science reports2026

Global Burden of Meconium-Stained Amniotic Fluid: A Systematic Review and Meta-Analysis of Prevalence With Descriptive Synthesis of Determinants.

Shervin Tabrizian, Tiba Mirzarahimi, Mojgan Mirghafourvand, Mahsan Nabighadim

Abstract readReview
In one paragraph

Review in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shervin TabrizianDepartment of Gynecology and Obstetrics, Faculty of Medicine Ardabil University of Medical Sciences Ardabil Iran.
Tiba MirzarahimiDepartment of Gynecology and Obstetrics, Faculty of Medicine Ardabil University of Medical Sciences Ardabil Iran.
Mojgan MirghafourvandSocial Determinants of Health Research Center Tabriz University of Medical Sciences Tabriz Iran.
Mahsan NabighadimStudent Research Committee, Faculty of Medicine Ardabil University of Medical Sciences Ardabil Iran.ORCID https://orcid.org/0000-0003-4016-255X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Meconium-stained amniotic fluid (MSAF) is a common intrapartum finding associated with adverse perinatal outcomes. Comprehensive global estimates of its prevalence and determinants are lacking. This systematic review and meta-analysis aimed to estimate the global pooled prevalence of MSAF and classify its associated factors. Methods: We searched Ovid MEDLINE, Scopus, Web of Science, Embase, Cochrane Library, SID, and Google Scholar up to January 1, 2026, for observational studies reporting MSAF prevalence or associated factors. Pooled prevalence with 95% CI was calculated using a random-effects model with Logit transformation. The Knapp-Hartung adjustment and 95% prediction interval were applied. Heterogeneity was quantified using Results: Fifty-one studies were included (44 for prevalence; 1,414,705 births). The global pooled prevalence was 13.0% (95% CI: 10.8-15.6%; prediction interval: 6.9-23.1%; Conclusion: MSAF affects one in eight pregnancies globally, with a higher burden in low-income settings. Four-domain classification identifies actionable targets-intrapartum monitoring failures and health-system barriers-for quality improvement. Meconium consistency grading offers a simple risk stratification tool. Addressing these factors, particularly in resource-limited settings, can reduce preventable perinatal morbidity and align with global health equity goals.

Indexed as

global healthmeconium‐stained amniotic fluidmeta‐analysisperinatal outcomesprevalencerisk factors

Identifiers

PMID42657024
PMCPMC13508583

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.