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Maternal chorioamnionitis and neurodevelopmental outcomes in preterm and very preterm neonates: A meta-analysis

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  • Dongqiong Xiao
  • Tingting Zhu
  • Yi Qu
  • Xiaoyun Gou
  • Qun Huang
  • Xihong Li
  • Dezhi Mu

Abstract

Context: No consensus exists regarding the association between maternal chorioamnionitis and neurodevelopmental outcomes in preterm and very preterm neonates. Objectives: To investigate whether maternal chorioamnionitis affects neurodevelopmental outcomes and to identify the factors that may explain these effects. Data sources: We used Ovid Medline, EMBASE and Web of Science to conduct a meta-analysis of studies published in English before August 25, 2017, with titles or abstracts that discussed an association between maternal chorioamnionitis and mental/motor development. Study selection: Among the 603 initially identified studies, we selected those that addressed an association between maternal chorioamnionitis and mental/motor development according to our preselected inclusion criteria as follows: (1) the study compared infants with and without exposure to maternal chorioamnionitis and (2) the neurodevelopmental outcome was followed up using the Bayley Scales of Infant Development 2nd edition. Data synthesis: Our meta-analysis included 10 studies. According to a random effect model, infants with maternal chorioamnionitis exposure had poorer mental development (d = -2.25 [95%CI, -4.33, -0.17], p

Suggested Citation

  • Dongqiong Xiao & Tingting Zhu & Yi Qu & Xiaoyun Gou & Qun Huang & Xihong Li & Dezhi Mu, 2018. "Maternal chorioamnionitis and neurodevelopmental outcomes in preterm and very preterm neonates: A meta-analysis," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-14, December.
  • Handle: RePEc:plo:pone00:0208302
    DOI: 10.1371/journal.pone.0208302
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    1. Dongqiong Xiao & Yi Qu & Lan Huang & Yan Wang & Xihong Li & Dezhi Mu, 2018. "Association between maternal overweight or obesity and cerebral palsy in children: A meta-analysis," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-13, October.
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