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Arteriovenous Malformation Hemorrhage in Pregnancy: A Systematic Review and Meta-Analysis

Author

Listed:
  • Ruhana Che Yusof

    (Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia)

  • Mohd Noor Norhayati

    (Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia)

  • Yacob Mohd Azman

    (Medical Development Division, Ministry of Health, Level 7, Block E1, Parcel E, Federal Government Administrative Centre, Putrajaya 62590, Malaysia)

Abstract

Hemorrhage of arteriovenous malformation (AVM) is a rare condition during pregnancy. This study was proposed to pool the proportion of AVM hemorrhage per pregnancy. A systematic review and meta-analysis with three databases were performed to review the studies published until April 2022. The Newcastle Ottawa Scale was used for risk assessment of data quality. The meta-analysis was conducted by a generic inverse variance of double arcsine transformation with a random model using Stata software. Twelve studies were included in this review. The pooled proportion of AVM hemorrhage per pregnancy was 0.16 (95% CI: 0.08, 0.26). The subgroup analyses were carried out based on world regions and study designs, and the study duration with the highest proportion of each subgroup was Europe [0.35 (95% CI: 0.02, 0.79)], with retrospective review [0.18 (95% CI: 007, 0.32)] and 10 to 20 years of study duration [0.37 (95% CI: 0.06, 0.77)]. The AVM hemorrhage per pregnancy in this review was considered low. However, the conclusion must be carefully interpreted since this review had a small study limitation.

Suggested Citation

  • Ruhana Che Yusof & Mohd Noor Norhayati & Yacob Mohd Azman, 2022. "Arteriovenous Malformation Hemorrhage in Pregnancy: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13183-:d:941074
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    References listed on IDEAS

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    1. Sonia Sharmin & Kypros Kypri & Masuma Khanam & Monika Wadolowski & Raimondo Bruno & Richard P. Mattick, 2017. "Parental Supply of Alcohol in Childhood and Risky Drinking in Adolescence: Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 14(3), pages 1-17, March.
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