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Table 3 Results of the pooled OR, heterogeneity and publication bias detection

From: Incidence, temporal trends and risk factors of puerperal infection in Mainland China: a meta-analysis of epidemiological studies from recent decade (2010–2020)

Risk factors

Heterogeneity test

OR (95% CI)

Number of included studies

Fail-safe numberc

Harbord’s modified test

Intercept

P value

Before childbirth

 Elder

P = 0.79, I2 = 0%a

1.20 (0.99, 1.45)b

7

-

-

-

 Gestational hypertension

P < 0.01, I2 = 90%

2.14 (1.77, 2.58)

8

399

6.67

< 0.01

 GDM

P < 0.01, I2 = 84%

1.82 (1.52, 2.17)

8

253

4.96

< 0.01

 Primipara

P = 0.62, I2 = 0%a

0.81 (0.67, 0.97)

6

4

2.26

0.07

 Multiple pregnancy

P = 0.12, I2 = 48%a

1.44 (0.91, 2.25)b

4

-

-

-

 Genital tract inflammation

P = 0.15, I2 = 43%a

2.51 (2.09, 3.02)

9

275

-2.68

0.14

 AP

P = 0.14, I2 = 43%a

2.28 (2.01, 2.59)

15

808

0.49

0.63

During childbirth

 Premature delivery

P = 0.20, I2 = 32%a

1.21 (0.93, 1.57)b

6

-

-

-

 Caesarean section

P < 0.01, I2 = 77%

2.03 (1.80, 2.29)

19

580

0.79

0.61

 Operative vaginal delivery

P = 0.15, I2 = 44%a

1.23 (0.94, 1.62)b

4

-

-

-

 Episiotomy

P = 0.41, I2 = 0%a

2.64 (1.76, 3.94)

4

35

2.19

0.09

 PROM

P < 0.01, I2 = 86%

2.54 (2.23, 2.89)

19

1165

5.31

0.01

 Prolonged labor

P = 0.12, I2 = 48%a

1.32 (1.10, 1.57)

8

41

-2.00

0.44

After childbirth

 Placenta remnant

P = 0.25, I2 = 23%a

2.59 (1.94, 3.48)

7

118

2.05

0.23

 Postpartum hemorrhage

P = 0.65, I2 = 0%a

2.43 (2.13, 2.77)

18

1151

1.30

0.05

  1. aNo significant heterogeneity existed among included studies (P > 0.10 and I2 < 50%)
  2. bThe pooled OR value has no statistical significance (P > 0.01)
  3. cThe number of studies required to reverse the effects are calculated on the condition of P = 0.05