{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T00:01:18Z","timestamp":1793664078028,"version":"4.5.1"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Multidrug\u2010resistant tuberculosis (MDR\u2010TB) is a major global public health concern. However, there is a dearth of literature on whether MDR\u2010TB and its medications impact maternal and perinatal outcomes, and when such evidence exists the findings are conflicting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This systematic review and meta\u2010analysis aimed to examine the impact of MDR\u2010TB and its medications during pregnancy on maternal and perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>PubMed, Scopus and Web of Science databases were searched from earliest to February 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Records were screened based on pre\u2010defined selection criteria and assessed for quality by two independent reviewers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>A meta\u2010analysis was performed using the random effects model to calculate pooled prevalence for each outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Of the 72 records identified, 12 were included in the systematic review and meta\u2010analysis, consisting of 174 pregnant women with MDR\u2010TB and 110 adverse outcomes. Maternal death, pregnancy loss, preterm birth and low birthweight were the most common maternal and perinatal adverse outcomes reported in the studies. The overall pooled prevalence was 7.5% (95% CI 3.2\u201312.8) for maternal death, 10.6% (95% CI 6.0\u201316.3) for pregnancy loss, 12.9% (95% CI 0.0\u201338.0) for preterm birth and 23.7% (95% CI 17.0\u201331.0) for low birthweight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings suggest that MDR\u2010TB is associated with a high risk of adverse maternal and perinatal outcomes, but these should be interpreted cautiously because the evidence is largely preliminary. Adequately powered prospective cohort studies are urgently required to corroborate these findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Multidrug\u2010resistant tuberculosis may increase the risk of adverse maternal and perinatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16573","type":"journal-article","created":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T13:26:11Z","timestamp":1602941171000},"page":"1125-1133","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Multidrug\u2010resistant tuberculosis during pregnancy and adverse birth outcomes: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"128","author":[{"given":"KA","family":"Alene","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Curtin University Bentley WA Australia"},{"name":"Wesfarmers Centre of Vaccines and Infectious Diseases Telethon Kids Institute Nedlands WA Australia"},{"name":"Institute of Public Health, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2083-4585","authenticated-orcid":false,"given":"A","family":"Jegnie","sequence":"additional","affiliation":[{"name":"UWA School of Agriculture and Environment, The University of Western Australia Crawley WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3022-5230","authenticated-orcid":false,"given":"AA","family":"Adane","sequence":"additional","affiliation":[{"name":"Institute of Public Health, College of Medicine and Health Sciences University of Gondar Gondar Ethiopia"},{"name":"Telethon Kids Institute The University of Western Australia Nedlands WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201909-1874ST"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1101\/cshperspect.a017863"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60257-7"},{"key":"e_1_2_7_5_1","article-title":"WHO consolidated guidelines on drug\u2010resistant tuberculosis treatment. 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