Abdollahpour Sedigheh, Khadivzadeh Talat, Shafeei Mahla, Arian Mahdieh
Department of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):495-502. doi: 10.4103/ijnmr.ijnmr_299_23. eCollection 2024 Sep-Oct.
Preeclampsia is a major contributor to maternal morbidity and mortality. A previous systematic review was carried out in Iran in 2014. Due to the importance of this issue, a current evaluation is necessary after ten years. This research was performed to determine the prevalence of preeclampsia and eclampsia in Iran.
Adhering to the PRISMA guideline, we searched English databases including Web of Science, PubMed, Scopus, and Persian databases including SID, Magiran, and IranMedex on August 20, 2023, to identify studies reporting the prevalence of preeclampsia or eclampsia in Iran. Employing a focused term strategy and eligibility criteria, we ultimately included 55 studies in this review. After conducting a thorough evaluation, the CMAV3 software was utilized to analyze the data using the random effects model and calculate pooled results.
The overall prevalence of preeclampsia among Iranian mothers was 5.3%, while eclampsia accounted for 0.1% of live births. Notably, preeclampsia rates have risen since 2015, whereas eclampsia rates have declined over time. Single-variable meta-regression results indicated a negative correlation between age and preeclampsia.
Preeclampsia is increasing among Iranian mothers, requiring an investigation into its risk factors, including maternal age, and consequently, high-risk pregnancies. Conversely, the decreasing occurrence of eclampsia indicates an enhancement in the quality of care following a preeclampsia diagnosis.
子痫前期是孕产妇发病和死亡的主要原因。2014年在伊朗进行了一项先前的系统评价。鉴于这个问题的重要性，十年后进行当前评估很有必要。本研究旨在确定伊朗子痫前期和子痫的患病率。
遵循PRISMA指南，我们于2023年8月20日检索了包括科学网、PubMed、Scopus在内的英文数据库以及包括SID、Magiran和IranMedex在内的波斯文数据库，以识别报告伊朗子痫前期或子痫患病率的研究。采用重点术语策略和纳入标准，我们最终在本评价中纳入了55项研究。在进行全面评估后，使用CMAV3软件通过随机效应模型分析数据并计算合并结果。
伊朗母亲中子痫前期的总体患病率为5.3%，而子痫占活产的0.1%。值得注意的是，自2015年以来子痫前期发病率有所上升，而子痫发病率则随时间下降。单变量meta回归结果表明年龄与子痫前期呈负相关。
伊朗母亲中子痫前期发病率在上升，需要对其危险因素进行调查，包括产妇年龄，以及由此导致的高危妊娠。相反，子痫发病率的下降表明子痫前期诊断后护理质量有所提高。
