Impact of body mass index on outcomes of cervical cerclage: a systematic review and meta-analysis.

IF 3.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Obesity Facts Pub Date : 2024-11-27 DOI:10.1159/000542543

Lihua Yang, Hua Yang

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Abstract

Introduction: The purpose of the review was to examine the impact of maternal body mass index (BMI) on outcomes of cervical cerclage for cervical insufficiency.

Methods: This prospectively registered review (CRD42024512436) searched PubMed, Embase, Scopus, and Web of Science for comparative studies published before 6th March 2024. Maternal and neonatal outcomes of females undergoing cerclage were compared based on BMI.

Results: Seven studies were included. Pooled data showed that the risk of preterm birth (<37 weeks) was significantly increased in the obese vs non-obese group (OR: 1.32 95% CI: 1.15, 1.51 I2=36%). Gestation age at delivery in weeks was also found to be significantly lower in the obese group (MD: -2.47 95% CI: -4.83, -0.12 I2=96%). There was no significant difference in the risk of preterm premature rupture of membranes and chorioamnionitis between the two groups. Still, the rate of cesarean sections was significantly higher in the obese group. Neonatal birth weight in grams was not found to be significantly different between obese and non-obese groups but the risk of NICU admission was significantly increased in the obese group.

Conclusion: Low-quality evidence indicates that obesity may lead to an increased risk of PTB in women undergoing cervical cerclage. The risk of cesarean section and NICU admission is also increased in obese females.

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体重指数对宫颈环扎术结果的影响：系统回顾和荟萃分析。

导言：本综述旨在研究产妇体重指数（BMI）对宫颈环扎术治疗宫颈机能不全结果的影响：该前瞻性注册综述（CRD42024512436）检索了PubMed、Embase、Scopus和Web of Science在2024年3月6日之前发表的对比研究。根据 BMI 比较了接受宫颈环扎术的产妇和新生儿的预后：结果：共纳入七项研究。汇总数据显示，早产风险（结论：低质量的证据表明，肥胖可能导致早产：低质量的证据表明，肥胖可能导致接受宫颈环扎术的女性发生早产的风险增加。肥胖女性剖宫产和入住新生儿重症监护室的风险也会增加。

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来源期刊

Obesity Facts 医学-内分泌学与代谢

CiteScore

6.80

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.