Table 6

Meta-regression by disease genotype, country gross national income, and quality of study reporting

Odds ratiosP value (χ2)P value (LR test*)
HbSSHbSCNonspecified SCD
Disease genotype      
 Maternal mortality  No deaths    
 Preeclampsia 2.7 (1.8-3.9) 1.9 (1.1-3.2) 2.6 (2.4-2.8)  .43* 
 Stillbirth 4.0 (2.8-5.6) 1.9 (1.04-3.4) 3.7 (2.8-4.9)  .04* 
 Preterm delivery 2.2 (1.8-2.7) 1.2 (0.8-1.6) 1.6 (1.4-1.7)  .0007* 
 Small for gestational age infants 4.0 (3.1-5.2) 1.6 (0.79-3.1) 1.5 (1.2-1.8)  <.001 
Country gross national income GNI ≥ $30 000     
 Maternal mortality 0.15 (0.02-0.86)   <.001  
 Preeclampsia 0.59 (0.24-1.42)   .24  
 Stillbirth 0.28 (0.14-0.55)   <.001  
 Preterm delivery 0.78 (0.40-1.51)   .46  
 Small for gestational age infants 0.89 (0.42-1.92)   .77  
Quality of study reporting High quality Low quality    
 Maternal mortality 23.2 (13.5-40.1) 11.2 (8.2-15.4)  <.001  
 Preeclampsia 3.1 (2.8-3.4) 2.0 (1.7-2.2)  <.001  
 Stillbirth 6.5 (3.7-11.6) 3.2 (2.6-4.1)  .03  
 Preterm delivery 2.7 (2.1-3.4) 1.5 (1.4-1.6)  <.001  
 Small for gestational age infants 3.9 (3.0-5.0) 1.5 (1.2-1.8)  <.001  
Odds ratiosP value (χ2)P value (LR test*)
HbSSHbSCNonspecified SCD
Disease genotype      
 Maternal mortality  No deaths    
 Preeclampsia 2.7 (1.8-3.9) 1.9 (1.1-3.2) 2.6 (2.4-2.8)  .43* 
 Stillbirth 4.0 (2.8-5.6) 1.9 (1.04-3.4) 3.7 (2.8-4.9)  .04* 
 Preterm delivery 2.2 (1.8-2.7) 1.2 (0.8-1.6) 1.6 (1.4-1.7)  .0007* 
 Small for gestational age infants 4.0 (3.1-5.2) 1.6 (0.79-3.1) 1.5 (1.2-1.8)  <.001 
Country gross national income GNI ≥ $30 000     
 Maternal mortality 0.15 (0.02-0.86)   <.001  
 Preeclampsia 0.59 (0.24-1.42)   .24  
 Stillbirth 0.28 (0.14-0.55)   <.001  
 Preterm delivery 0.78 (0.40-1.51)   .46  
 Small for gestational age infants 0.89 (0.42-1.92)   .77  
Quality of study reporting High quality Low quality    
 Maternal mortality 23.2 (13.5-40.1) 11.2 (8.2-15.4)  <.001  
 Preeclampsia 3.1 (2.8-3.4) 2.0 (1.7-2.2)  <.001  
 Stillbirth 6.5 (3.7-11.6) 3.2 (2.6-4.1)  .03  
 Preterm delivery 2.7 (2.1-3.4) 1.5 (1.4-1.6)  <.001  
 Small for gestational age infants 3.9 (3.0-5.0) 1.5 (1.2-1.8)  <.001  

The P value for the likelihood ratio (LR) test is for a comparison between the HbSS and HbSC group results.

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