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Maternal Parity and the Risk of Congenital Heart Defects in Offspring: A Dose-Response Meta-Analysis of Epidemiological Observational Studies

Author

Listed:
  • Yu Feng
  • Di Yu
  • Tao Chen
  • Jin Liu
  • Xing Tong
  • Lei Yang
  • Min Da
  • Shutong Shen
  • Changfeng Fan
  • Song Wang
  • Xuming Mo

Abstract

Background: Epidemiological studies have reported conflicting results regarding maternal parity and the risk of congenital heart defects (CHDs). However, a meta-analysis of the association between maternal parity and CHDs in offspring has not been conducted. Methods: We searched MEDLINE and EMBASE for articles catalogued between their inception and March 8, 2014; we identified relevant published studies that assessed the association between maternal parity and CHD risk. Two authors independently assessed the eligibility of the retrieved articles and extracted data from them. Study-specific relative risk estimates were pooled by random-effects or fixed-effects models. From the 11272 references, a total of 16 case-control studies and 3 cohort studies were enrolled in this meta-analysis. Results: The overall relative risk of CHD in parous versus nulliparous women was 1.01 (95% CI, 0.97–1.06; Q = 32.34; P = 0.006; I2 = 53.6%). Furthermore, we observed a significant association between the highest versus lowest parity number, with an overall RR = 1.20 (95% CI, 1.10–1.31; (Q = 74.61, P

Suggested Citation

  • Yu Feng & Di Yu & Tao Chen & Jin Liu & Xing Tong & Lei Yang & Min Da & Shutong Shen & Changfeng Fan & Song Wang & Xuming Mo, 2014. "Maternal Parity and the Risk of Congenital Heart Defects in Offspring: A Dose-Response Meta-Analysis of Epidemiological Observational Studies," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-9, October.
  • Handle: RePEc:plo:pone00:0108944
    DOI: 10.1371/journal.pone.0108944
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