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Maternal Height and the Risk of Preterm Birth and Low Birth Weight: A Systematic Review and Meta-Analyses
Authors:Zhen Han  Olha Lutsiv  Sohail Mulla  Sarah D. McDonald
Affiliation:1. Department of Obstetrics and Gynecology, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an, Shaanxi Province, People’s Republic of China;2. Faculty of Health Sciences, McMaster University, Hamilton ON;3. Division of Maternal-Fetal Medicine, Departments of Obstetrics and Gynecology, Diagnostic Imaging, and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton ON;1. Department of Obstetrics and Gynecology, University of Toronto, Toronto, Canada;2. Department of Psychiatry, University of Toronto, Toronto, Canada;3. University Health Network, Toronto, Canada;1. Global Women''s Institute, The George Washington University, Washington, DC, USA;2. Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland;3. Department of Gender Violence and Rights, International Center for Research on Women, Washington, DC, USA
Abstract:
ObjectivePreterm birth (PTB) and low birth weight (LBW) are the leading causes of neonatal morbidity and mortality, but the effect of maternal height on these outcomes continues to be debated. Our objective was to determine the relationships between maternal height and PTB and LBW.Data SourcesMedline and EMBASE were searched from their inceptions.Study SelectionStudies with a reference group that assessed the effect of maternal height on PTB (< 37 weeks) and LBW (< 2500 grams) in singletons were included.Data ExtractionData were extracted independently by two reviewers.Data SynthesisFifty-six studies were included involving 333 505 women. In the cohort studies, the unadjusted risk of PTB in short-statured women was increased (relative risk [RR] 1.23; 95% CI 1.11 to 1.37), as was the unadjusted risk of LBW (RR 1.81; 95% CI 1.47 to 2.23), although not all of the studies with adjusted data found the same association. Maternal tall stature was not associated with PTB (unadjusted RR 0.97; 95% CI 0.82 to 1.14), although LBW was decreased (unadjusted RR 0.56; 95% CI 0.46 to 0.69), but not in the adjusted data.ConclusionFrom our complete systematic review and metaanalyses, to our knowledge the first in this area, we conclude that short-statured women have higher unadjusted risks of PTB and LBW and tall women have approximately one half the unadjusted risk of LBW of women of reference height.
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