The intergenerational association of preterm birth: A systematic review and meta-analysis

Abdulbasit Seid, Miranda S. Cumpston, Kedir Y. Ahmed, Habtamu Mellie Bizuayehu, Subash Thapa, Teketo Kassaw Tegegne, Abel F. Dadi, Daniel Bogale Odo, Desalegn Markos Shifti, Sewunet Admasu Belachew, Getiye Dejenu Kibret, Daniel Bekele Ketema, Zemenu Yohannes Kassa, Erkihun Amsalu, Meless G. Bore, Tahir Ahmed Hassen

Research output: Contribution to journalReview articlepeer-review

52 Downloads (Pure)

Abstract

Background

Around half of preterm births lack identifiable causes, indicating the need for further investigation to understand preterm birth risk factors. Existing studies on the intergenerational association of preterm birth showed inconsistency in effect size and direction. 

Objective

This systematic review and meta-analysis aimed to review existing studies and provide comprehensive evidence on the intergenerational association of preterm births. 

Search Strategy

We searched MEDLINE, Embase and Maternity and Infant Care databases, from the inception of each database to 04 April 2024. 

Selection Criteria

Eligibility criteria included studies that reported on women who had given birth and had recorded information about a family history of preterm birth in one or both of the child's biological parents. 

Data Collection and Analysis

Data were extracted by two independent reviewers. A random-effects model was used to compute pooled estimates using odds ratios. 

Main Results: 

Sixteen eligible studies with a total of 2 271 612 mothers were included. The findings indicated a 1.44 (OR = 1.44, 95% CI: 1.34, 1.54) fold increase in odds of giving preterm births among women who were born preterm. Additionally, having a sibling born preterm (OR = 1.53, 95% CI: 1.24, 1.87) and having a partner born preterm (OR = 1.12, 95% CI: 1.01, 1.25) were associated with increased likelihood of giving preterm births among women. 

Conclusion: 

The study revealed that women with a family history of preterm birth face an increased risk of giving preterm births. Screening pregnant women for a family history of preterm birth is essential, with those having a positive family history requiring closer follow-up.

Original languageEnglish
Pages (from-to)18-26
Number of pages9
JournalBJOG: an International Journal of Obstetrics and Gynaecology
Volume132
Issue number1
Early online date7 Aug 2024
DOIs
Publication statusPublished - Jan 2025

Fingerprint

Dive into the research topics of 'The intergenerational association of preterm birth: A systematic review and meta-analysis'. Together they form a unique fingerprint.

Cite this