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A202434), Jiangsu Provincial Maternal and Child Health Research Institute Fund (no. KYXM(2025)002), Jiangsu Pharmaceutical Association-New Voice in Pharmacy (no. 202495114), Development Fund of KangDa college of Nanjing medical university (no. KD2024KYJJ294), Scientific Research Project of Nantong Municipal Health and Family Planning Commission (no. MS2024038, MS2024023), and Research Project on Medical Innovation for Chinese Youth. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"Not applicable. Since meta-analysis is a form of secondary research that involves the synthesis of published literature data without direct collection of original human subject data or interventions, it generally does not require ethics approval.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Not applicable","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"Not applicable","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Code Availability"}},{"value":"The authors declare that they have no competing financial interests in this study.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}},{"value":"Conceptualization\u2014Long-Xun Zhu. Data curation\u2014Pan-Feng Feng, Xiang-Fan Chen, Nan Sheng, and Yong Chen. Funding acquisition\u2014Pan-Feng Feng. All authors have read and approved the final manuscript.","order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Author Contributions"}},{"value":"The data that support the findings of this study are available from the corresponding author upon reasonable request.","order":9,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data availability"}}]}}