Abstract:
:This systematic review and meta-analysis was designed to investigate whether maternal psychological stress and recent life events are associated with an increased risk of miscarriage. A literature search was conducted to identify studies reporting miscarriage in women with and without history of exposure to psychological stress (the only exposure considered). The search produced 1978 studies; 8 studies were suitable for analysis. A meta-analysis was performed using a random-effects model with effect sizes weighted by the sampling variance. The risk of miscarriage was significantly higher in women with a history of exposure to psychological stress (OR 1.42, 95% CI 1.19-1.70). These findings remained after controlling for study type (cohort and nested case-control study OR 1.33 95% CI 1.14-1.54), exposure types (work stress OR 1.27, 95% CI 1.10-1.47), types of controls included (live birth OR 2.82 95% CI: 1.64-4.86). We found no evidence that publication bias or study heterogeneity significantly influenced the results. Our finding provides the most robust evidence to date, that prior psychological stress is harmful to women in early pregnancy.
journal_name
Sci Repjournal_title
Scientific reportsauthors
Qu F,Wu Y,Zhu YH,Barry J,Ding T,Baio G,Muscat R,Todd BK,Wang FF,Hardiman PJdoi
10.1038/s41598-017-01792-3subject
Has Abstractpub_date
2017-05-11 00:00:00pages
1731issue
1issn
2045-2322pii
10.1038/s41598-017-01792-3journal_volume
7pub_type
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