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Effects of Consuming Date Fruits (Phoenix Dactylifera Linn) on Gestation, Labor, and Delivery: An Updated Systematic Review and Meta-Analysis of Clinical Trials Publisher Pubmed



Nasiri M1, 2 ; Gheibi Z3 ; Miri A4 ; Rahmani J5, 6 ; Asadi M7 ; Sadeghi O8, 9 ; Maleki V10 ; Khodadost M11, 12
Authors
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Authors Affiliations
  1. 1. Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran
  2. 2. Student Research Committee, Department of Surgical Technology, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
  3. 3. Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  4. 4. Department of Nutrition, School of Health, Zabol University of Medical Sciences, Zabol, Iran
  5. 5. Department of Clinical Nutrition and Dietetics, School of Nutritional and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. Department of Nursing, Abadan School of Medical Sciences, Abadan, Iran
  8. 8. Students, ’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Department of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran
  11. 11. Larestan University of Medical Sciences, Larestan, Iran
  12. 12. Gerash University of Medical Sciences, Gerash, Iran

Source: Complementary Therapies in Medicine Published:2019


Abstract

Background: Recent studies have shown that consumption of date fruits during pregnancy and also postpartum period might affect some pregnancy outcomes. We performed an updated systematic review and meta-analysis about the effects of consuming date fruits on gestation, labor, and delivery. Methods: Two researchers independently searched the online databases of PubMed, Scopus, Web of Science, Embase, Google Scholar, and EBSCO up to January 2019 for clinical trials examining the effects of date fruits consumption on any types of gestation, labor, and delivery outcomes. A fixed-effects model or random-effects models were applied to pool data, where appropriate. Quality assessment was done by Jadad scale. Results: In total, 11 and 8 studies were included in the systematic review and meta-analysis. Meta-analysis revealed that date fruit consumption significantly reduced gestation duration (pooled effect size: −0.30, 95% CI: −0.45, −0.15; P < 0.001), increased cervical dilation on admission (pooled effect size: 0.94, 95% CI: 0.88, 1.00; P < 0.001), and shorten duration of first stage of labor (pooled effect size: −50.09, 95% CI: −72.25, −27.93; P < 0.001). Also, it was revealed that date fruit consumption significantly reduced duration of second stage of labor in fixed-effects model (pooled effect size: −9.85, 95% CI: −14.00, −5.70; P < 0.001); however, this effect was not significant in random-effects analysis (pooled effect size: −11.27, 95% CI: −28.23, −5.68; P = 0.193). Conclusions: Date fruits intake seems to reduce gestation duration and duration of the first stage of labor, and also increase cervical dilation on admission. © 2019 Elsevier Ltd