Sun, Oct 12, 2025
Volume 33, Issue 3 (6-2023)
JHNM 2023, 33(3): 176-182 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jenabi E, Khazaei S, Aghababaei S. Previous Cesarean Section and the Risk of Preeclampsia: A Meta-analysis. JHNM 2023; 33 (3) :176-182
URL: http://hnmj.gums.ac.ir/article-1-2179-en.html
URL: http://hnmj.gums.ac.ir/article-1-2179-en.html
1- Assistant Professor, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Assistant Professor, School of Health, Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- Associate Professor, School of Nursing and Midwifery, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran ,aghababaii@yahoo.com
2- Assistant Professor, School of Health, Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- Associate Professor, School of Nursing and Midwifery, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran ,
Abstract: (1014 Views)
Introduction: Preeclampsia is a common pregnancy complication with the multisystem variable disorder. Yet, the literature has not been systematically reviewed for the relationship between previous cesarean section and the risk of preeclampsia.
Objective: This study aimed to identify the relationship between previous cesarean delivery and the risk of preeclampsia.
Materials and Methods: This study was a systematic review and meta-analysis. PubMed, Scopus, ProQuest, and Web of Sciences were searched to identify eligible observational studies until May 25, 2019. The odds ratio (OR) and 95% confidence intervals (CI) were calculated as random effect estimates of association among studies. The quality of the included studies was examined based on the Newcastle-Ottawa scale.
Results: This study included 7 eligible articles (2 studies with a case-control design, 4 with a cohort design, and 1 with a cross-sectional design). The meta-analysis results showed an increased risk of preeclampsia in the women with previous cesarean section compared to women without cesarean section (OR=1.28, 95% CI, 1.15%-1.41%, P=0.001), I2=37.2%. The quality of all studies except one study was high based on the Newcastle-Ottawa scale. The subgroup analysis was conducted based on the adjusted form of studies. The crude and adjusted studies were 1.29 (95% CI, 0.13%-2.46%, P=0.2) and 1.29 (95% CI, 1.22%-1.36%, P=0.001), respectively.
Conclusion: These findings showed that previous cesarean section is a risk factor for preeclampsia. Therefore, education programs and interventions should be considered to reduce elective cesarean section on maternal requests.
Objective: This study aimed to identify the relationship between previous cesarean delivery and the risk of preeclampsia.
Materials and Methods: This study was a systematic review and meta-analysis. PubMed, Scopus, ProQuest, and Web of Sciences were searched to identify eligible observational studies until May 25, 2019. The odds ratio (OR) and 95% confidence intervals (CI) were calculated as random effect estimates of association among studies. The quality of the included studies was examined based on the Newcastle-Ottawa scale.
Results: This study included 7 eligible articles (2 studies with a case-control design, 4 with a cohort design, and 1 with a cross-sectional design). The meta-analysis results showed an increased risk of preeclampsia in the women with previous cesarean section compared to women without cesarean section (OR=1.28, 95% CI, 1.15%-1.41%, P=0.001), I2=37.2%. The quality of all studies except one study was high based on the Newcastle-Ottawa scale. The subgroup analysis was conducted based on the adjusted form of studies. The crude and adjusted studies were 1.29 (95% CI, 0.13%-2.46%, P=0.2) and 1.29 (95% CI, 1.22%-1.36%, P=0.001), respectively.
Conclusion: These findings showed that previous cesarean section is a risk factor for preeclampsia. Therefore, education programs and interventions should be considered to reduce elective cesarean section on maternal requests.
Article Type : Research |
Subject:
General
Received: 2023/06/11 | Accepted: 2023/06/20 | Published: 2023/06/20
Received: 2023/06/11 | Accepted: 2023/06/20 | Published: 2023/06/20
Send email to the article author
| Rights and permissions | |
 | This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
