Lupus & antiphospholipid syndrome

Maternal and infant outcomes of pregnancy associated with anti-SSA/RO antibodies: a systematic review and meta-analysis

Pediatr Rheumatol Online JPublished Systematic review and meta-analysis

Authors' conclusion

Cumulative analysis of data from real-world studies confirmed adverse pregnancy outcomes of women with anti-SSA/RO

Study context

Population
Pregnancies in women with anti-SSA/RO antibodies; PubMed, Cochrane, Embase and Web of Science records
Participants
1,675 participants1,920 pregnancies
Outcome
Rates of maternal and infant outcomes of pregnancy with anti-SSA/RO
Methodological detailspooled incidence rates, subgroup analysis
  • Pooled incidence rates
  • Subgroup analysis

Pooled result

As reported in the abstract

Maternal: termination of pregnancy
4%
Maternal: spontaneous abortion
5%
Maternal: preterm labor
26%
Maternal: cesarean operation
50%
Fetal: perinatal death
4%
Fetal: intrauterine growth retardation
3%
Fetal: endocardial fibroelastosis
6%
Fetal: dilated cardiomyopathy
6%
Fetal: congenital heart block
7%
Fetal: congenital heart block recurrence
12%
Fetal: cutaneous neonatal lupus erythematosus
19%
Fetal: hepatobiliary disease
12%
Fetal: hematological manifestations
16%

Further pooled results

Congenital heart block prevalence (subgroup analysis)

Diagnostic method and study region found to affect heterogeneity to some extent

Original publication

Maternal and infant outcomes of pregnancy associated with anti-SSA/RO antibodies: a systematic review and meta-analysis. Pediatr Rheumatol Online J. Published 4 March 2023. doi:10.1186/s12969-023-00803-0

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