Maternal and fetal complications associated with systemic lupus erythematosus: An updated meta-analysis of the most recent studies (2017-2019)

Medicine
Wen Rong He, Hua Wei

Abstract

Recent guidelines provide better treatment and management of pregnancy in women with systemic lupus erythematosus (SLE). In this analysis, we aimed to systematically assess the maternal and fetal complications associated with SLE using the most recent studies (2017-2019) to obtain an updated result of the present situation. http://www.clinicaltrials.gov, MEDLINE, Cochrane Central, Web of Science, EMBASE, and Google Scholar were searched for English based studies comparing maternal and fetal complications in pregnant women with versus without SLE. Maternal and fetal complications were the endpoints in this analysis. The RevMan software 5.3 (latest version) was the most suitable analytical software for this analysis. Data were represented by risk ratio (RR) with 95% confidence interval (CI). A total number of eight million eight hundred and twelve thousand two hundred seventy-two (8,812,272) participants were included in this analysis, consisting of 9696 SLE-associated pregnancy. Based on an analysis of recently published studies (2017-2019), pre-eclampsia/eclampsia was significantly higher in pregnant women with SLE (RR: 3.38, 95% CI: 3.15-3.62; P = .00001). SLE was also associated with an increased risk of stillbirth (RR: 16.49...Continue Reading

References

Sep 7, 2016·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Carolien N H AbheidenJohanna I P de Vries
Oct 1, 2016·Annual Review of Medicine·Lisa R Sammaritano
May 10, 2017·Autoimmunity Reviews·Fjodor A Yousef YengejRuth D E Fritsch-Stork
Jun 9, 2017·International Journal of Rheumatic Diseases·Victoria Manzano-GameroSpanish Autoimmune Diseases Study Group (GEAS)
Dec 2, 2017·Paediatric and Perinatal Epidemiology·Rachel A Bender IgnacioBeth A Mueller
Feb 23, 2018·Oman Medical Journal·Reem AbdwaniIbrahim Al-Zakwani
Apr 18, 2018·Pediatric Rheumatology Online Journal·Nicole LingEmily von Scheven
May 29, 2019·Seminars in Respiratory and Critical Care Medicine·Jennifer R Hannah, David P D'Cruz

Citations

Dec 19, 2020·Neurology. Neuroimmunology and Neuroinflammation·Tania KümpfelKerstin Hellwig
Aug 18, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg

Methods Mentioned

BETA
Cesarean section

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