2026-10-09T22:25:00Z https://api.figshare.com/v2/oai

oai:figshare.com:article/34039011 2026-10-01T05:01:13Z category_427 portal_316 item_type_3 month_year_10_2026

Supplementary file 1_The impact of armed conflict exposure on preterm birth, stillbirth, and neonatal anthropometric measures: a systematic review and meta-analysis.docx Amani N. Alansari (19743643) Alhan F. Sabbah (25152351) Amani Salim (2371435) Bejoy Varghese (18001666) Kalpana Singh (3838960) Alaa Ahmed Elshanbary (11967181) Public Health and Health Services not elsewhere classified armed conflict birth weight meta-analysis neonatal outcomes preterm birth Objectives<p>To assess the association between armed conflict exposure and neonatal outcomes, including preterm birth, stillbirth, neonatal mortality, and anthropometric measures.</p>Methods<p>We conducted this systematic review following PRISMA guidelines. PubMed, EMBASE, Web of Science, and SCOPUS were searched from inception to January 2026. Studies examining neonatal outcomes among populations exposed to armed conflict, compared with non-exposed or pre-war populations were included. Meta-analyses were conducted using RevMan 5.4 software.</p>Results<p>Seven studies encompassing diverse conflict settings met the inclusion criteria. No significant associations were observed for preterm birth (OR 0.80, 95% CI 0.61–1.05), stillbirth (OR 0.98, 95% CI 0.93–1.05), or neonatal mortality (OR 1.07, 95% CI 0.73–1.56) after accounting for heterogeneity. Conflict-exposed neonates had higher birth weight (MD 1.56 kg, 95% CI 0.55–2.56) and head circumference (MD 0.60 cm, 95% CI 0.47–0.74).</p>Conclusion<p>The absence of adverse associations should not be interpreted as evidence of protection. These findings highlight methodological limitations in conflict epidemiology and the urgent need for community-based surveillance systems capturing outcomes among vulnerable populations unable to access healthcare during armed conflicts.</p> 2026-10-01T05:01:13Z Dataset Dataset 10.3389/ijph.2026.1609784.s001 https://figshare.com/articles/dataset/Supplementary_file_1_The_impact_of_armed_conflict_exposure_on_preterm_birth_stillbirth_and_neonatal_anthropometric_measures_a_systematic_review_and_meta-analysis_docx/34039011 CC BY 4.0