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Maternal periodontal disease and risk of preeclampsia: A meta-analysis

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Summary

Research on the association between maternal periodontal disease and the risk of preeclampsia has generated inconsistent results. This meta-analysis was conducted to evaluate the association between maternal periodontal disease and the risk of preeclampsia. A literature search of PubMed and Embase was performed to identify relevant papers published before March 2013. Only observational studies that assessed maternal periodontal disease and the risk of preeclampsia were selected. Patients’ periodontal status was examined at different time points during pregnancy or after delivery (at 14–32 weeks of gestation, within 48 h prior to or within 5 days after delivery). Pooled odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated for cases and controls. Cases were defined as women with concurrent hypertension and proteinuria after 20 weeks of gestation. Eleven studies involving 1118 women with preeclampsia and 2798 women without preeclampsia were identified and analyzed. Women with periodontal disease before 32 weeks of gestation had a 3.69-fold higher risk of developing preeclampsia than their counterparts without periodontal disease (OR=3.69; 95% CI=2.58–5.27). Periodontal disease within 48 h prior to delivery was associated with a 2.68-fold higher risk of preeclampsia (OR=2.68; 95% CI=1.39–5.18). Pregnant women with periodontal disease within 5 days after delivery had a 2.22-fold higher risk of preeclampsia than women without periodontal disease (OR=2.22; 95% CI=1.16–4.27). In conclusion, this meta-analysis suggests that maternal periodontal disease is an independent predictor of preeclampsia.

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Authors and Affiliations

  1. Department of Stomatology, the First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    Xi Huang  (黄 希), Jian Liu  (刘 健), Li Hua  (华 立) & Zi-li Ge  (葛自力)

  2. Department of Gynaecology and Obstetrics, the First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    Juan Wang  (王 娟) & Ting Hu  (胡 婷)

  3. Department of Otorhinolaryngology, the First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    Dan Zhang  (张 丹)

Authors
  1. Xi Huang  (黄 希)
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  2. Juan Wang  (王 娟)
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  3. Jian Liu  (刘 健)
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  4. Li Hua  (华 立)
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  5. Dan Zhang  (张 丹)
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  6. Ting Hu  (胡 婷)
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  7. Zi-li Ge  (葛自力)
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Correspondence to Zi-li Ge  (葛自力).

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Huang, X., Wang, J., Liu, J. et al. Maternal periodontal disease and risk of preeclampsia: A meta-analysis. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 34, 729–735 (2014). https://doi.org/10.1007/s11596-014-1343-8

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  • DOI: https://doi.org/10.1007/s11596-014-1343-8

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