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Non-medical determinants of perinatal health: protocol for a systematic review with meta-analysis.


ABSTRACT:

Introduction

Research focusing on the associations between non-medical determinants and unfavourable perinatal health outcomes is increasing. Despite increasing knowledge on this theme, it still remains unclear to what extent social, environmental and lifestyle factors contribute to these unfavourable outcomes. Therefore, we aim to provide a systematic review, preferably with meta-analysis, in order to provide insight into the associations between non-medical determinants and perinatal mortality, preterm birth and being small for gestational age (SGA).

Methods and analysis

Observational studies performed in European countries studying the associations between non-medical determinants and unfavourable perinatal health outcomes will be included. Primary outcomes of interest are perinatal mortality, preterm birth and SGA. To retrieve potential eligible articles, a systematic literature search was performed in the following online databases on 5 October 2018: MEDLINE, Embase, Web of Science, Cochrane and Google Scholar. Additionally, a reference list check and citation search will be performed. Data of the included articles will be extracted using a standardised and piloted data extraction form. Risk of bias will be assessed using the Newcastle-Ottawa Scale. The study selection and data extraction process will be performed by two reviewers independently. Disagreements will be resolved through discussion with a third reviewer. The pooled effects will be calculated separately for each association found between one of the outcome measures and the non-medical determinants using a random effects model. Heterogeneity of the studies will be assessed using the I2 statistic.

Ethics and dissemination

No ethical approval is necessary for a systematic review with meta-analysis. The findings will be published in a peer-reviewed journal.

Prospero registration number

CRD42018056105.

SUBMITTER: Daalderop LA 

PROVIDER: S-EPMC6773282 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

Non-medical determinants of perinatal health: protocol for a systematic review with meta-analysis.

Daalderop Leonie A LA   de Groot Marjolein W MW   van der Meer Lindsey L   Steegers Eric A P EAP   Bertens Loes C M LCM  

BMJ open 20190927 9


<h4>Introduction</h4>Research focusing on the associations between non-medical determinants and unfavourable perinatal health outcomes is increasing. Despite increasing knowledge on this theme, it still remains unclear to what extent social, environmental and lifestyle factors contribute to these unfavourable outcomes. Therefore, we aim to provide a systematic review, preferably with meta-analysis, in order to provide insight into the associations between non-medical determinants and perinatal m  ...[more]

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