The frequency of maternal morbidity: A systematic review of systematic reviews.
The frequency of maternal morbidity: A systematic review of systematic reviews.
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母体发病率的频率：系统评价的系统评价。
DOI：
10.1002/ijgo.12468
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
Filippi V
中科院分区：
文献类型：
--
作者：
Gon G;Leite A;Calvert C;Woodd S;Graham WJ;Filippi V
对孕产妇发病负担的估计并不完整。对孕产妇状况的系统评价进行系统评价，以便：(1) 提供最新的频率估计； (2) 确定哪些条件没有可靠的估计； (3) 审查现有评论的质量。我们检索了 Embase、MEDLINE 和 CINAHL，结合了妊娠术语、频率（例如患病率、发病率）、出版物类型以及 121 种病症中每种病症的具体术语。我们纳入了同行评审的系统评价，旨在估计世卫组织孕产妇疾病清单中至少一种疾病的发生频率，估计值来自至少两个国家。我们根据状况、地区和怀孕/产后期提出了频率估计及其不确定性范围。我们还评估并提供有关系统评价质量的信息。在找到的 11 930 条评论中，选择了 48 条评论，并添加了 1 条评论。我们从 49 篇评论中提取了 34 条直接频率估计和 60 条间接频率估计，涵盖 35 种情况。世界卫生组织清单上 71% 的病症尚未得到审查。提取的估计值显示，产前和产后的孕产妇发病率很高。评论的质量存在一些差距。值得注意的是，三分之一的估计仅基于基于设施的研究。作为研究重点，有几种情况需要进行高质量的系统评价。这项研究强调，在怀孕-产后连续过程中，孕产妇发病率很高，而进行高质量的系统评价是一个优先研究空白。
Estimates of the burden of maternal morbidity are patchy. To conduct a systematic review of systematic reviews of maternal conditions to: (1) make available the most up‐to‐date frequency estimates; (2) identify which conditions do not have reliable estimates; and (3) scrutinize the quality of the available reviews. We searched Embase, MEDLINE, and CINAHL, combining terms for pregnancy, frequency (e.g. prevalence, incidence), publication type, and specific terms for each of 121 conditions. We included peer‐reviewed systematic reviews aiming to estimate the frequency of at least one of the conditions in WHO's list of maternal morbidities, with estimates from at least two countries. We present the frequency estimates with their uncertainty bounds by condition, region, and pregnancy/postpartum period. We also assess and present information on the quality of the systematic reviews. Out of 11 930 found, 48 reviews were selected and one more was added. From 49 reviews we extracted 34 direct and 60 indirect frequency estimates covering 35 conditions. No review was available for 71% of the conditions on the WHO list. The extracted estimates show substantial maternal morbidity, spanning the time before and beyond childbirth. There were several gaps in the quality of the reviews. Notably, one‐third of the estimates were based only on facility‐based studies. Good‐quality systematic reviews are needed for several conditions, as a research priority. This study highlights that substantial maternal morbidity occurs along the pregnancy–postpartum continuum, and that conducting quality systematic reviews is a priority research gap.
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影响因子：
3.1
作者：
Chou, Doris;Tuncalp, Oezge;Say, Lale
通讯作者：
Say, Lale
DOI：
10.1111/1471-0528.12629
发表时间：
2014-03-01
影响因子：
5.8
作者：
Abalos, E.;Cuesta, C.;Souza, J. P.
通讯作者：
Souza, J. P.
影响因子：
1.3
作者：
Cheung, W. M. C.;Hawkes, A.;Weeks, A. D.
通讯作者：
Weeks, A. D.
影响因子：
12.8
作者：
Grekin, Rebecca;O'Hara, Michael W.
通讯作者：
O'Hara, Michael W.
影响因子：
5.1
作者：
Guariguata, L.;Linnenkamp, U.;Cho, N. H.
通讯作者：
Cho, N. H.