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Hepatitis C and pregnancy outcomes: a systematic review protocol
Stephanie Parent1, Kate Salters1,2, Lindila Awendila1
1British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, British Columbia, Canada.
BMJ Open
|December 24, 2018
Summary
This systematic review examines pregnancy outcomes for women with hepatitis C (HCV). It synthesizes current literature to inform clinical guidelines and improve care for pregnant individuals with HCV.
Area of Science:
- Hepatology
- Obstetrics
- Public Health
Background:
- Hepatitis C (HCV) affects many women of childbearing age.
- While vertical transmission is known, HCV's impact on pregnancy outcomes remains unclear.
- Newer, effective HCV treatments necessitate understanding pregnancy outcomes.
Purpose of the Study:
- To systematically review and synthesize literature on pregnancy outcomes associated with maternal HCV infection.
- To investigate specific outcomes such as preterm birth, gestational diabetes, and hypertension.
- To provide a baseline for evaluating HCV treatment safety and efficacy in pregnant women.
Main Methods:
- Systematic review of articles from major databases (MEDLINE, EMBASE, etc.) and grey literature.
- Inclusion of studies on pregnancy outcomes like gestational diabetes and cesarean delivery.
- Quality assessment using the Newcastle-Ottawa Scale and independent data extraction.
Main Results:
- The review synthesizes existing literature on pregnancy outcomes in women with HCV.
- Findings will highlight risks and associations between HCV and various pregnancy complications.
- Data synthesis will address equivocal findings in previous studies.
Conclusions:
- This review will consolidate evidence on pregnancy outcomes for women with HCV.
- Results will inform clinical practice, policy-making, and guideline development.
- The findings aim to support optimal care for pregnant individuals living with HCV.
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