Unveiling Maternal Mortality Challenges in a Resource Limited Setting, Ethiopia: A Systematic Literature Review

Idahosa Izedonmwen, Joy Oghogho Izedonmwen
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Abstract

By combining data from five carefully chosen studies completed between 2014 and 2023, this systematic review aims to assess maternal mortality rates, risk factors, and related variables in Ethiopia.A thorough search of electronic databases was done, including PubMed, Scopus, and Google Scholar. Utilizing predetermined criteria, eligible studies were found, which led to the inclusion of studies carried out in various Ethiopian regions. A thorough quality assessment was done to make sure the chosen studies were reliable. Maternal mortality rates, primary and secondary risk variables, and systemic, socioeconomic, and cultural factors influencing maternal mortalities were all extracted from the data from these studies.In Ethiopia, the research found large regional variations in maternal mortality rates, with obstructed labor, postpartum hemorrhage, and hypertensive disorders of pregnancy emerging as the main risk factors. Disparities in education, age, living in remote areas, and restricted access to antenatal care services were secondary concerns. Notably, limited antenatal care services, rural residence, young maternal age, and a lack of education were linked to increased maternal death rates.The ongoing problem of maternal mortality in Ethiopia is highlighted by this systematic review. Even though there have been gains, particularly in metropolitan areas, there are still significant regional differences. Increasing access to high-quality healthcare, especially in rural areas, boosting education, and increasing the use of antenatal care are just a few of the multidimensional initiatives needed to address maternal mortality. In order to minimize maternal mortality and ultimately move Ethiopia closer to achieving Sustainable Development Goal 3, comprehensive and targeted policies must be put in place.
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揭示产妇死亡率的挑战在资源有限的设置,埃塞俄比亚:系统的文献综述
通过结合2014年至2023年间完成的五项精心挑选的研究的数据,本系统综述旨在评估埃塞俄比亚的孕产妇死亡率、风险因素和相关变量。对PubMed、Scopus、谷歌Scholar等电子数据库进行了全面的检索。利用预先确定的标准,找到了符合条件的研究,从而纳入了在埃塞俄比亚各个地区进行的研究。进行了彻底的质量评估,以确保所选研究的可靠性。从这些研究的数据中提取了孕产妇死亡率、主要和次要风险变量以及影响孕产妇死亡率的系统性、社会经济和文化因素。在埃塞俄比亚,研究发现孕产妇死亡率存在很大的地区差异,难产、产后出血和妊娠期高血压疾病成为主要的危险因素。教育、年龄、生活在偏远地区以及获得产前保健服务受限等方面的差异是次要问题。值得注意的是,产前保健服务有限、居住在农村、产妇年龄小以及缺乏教育与产妇死亡率上升有关。本系统综述强调了埃塞俄比亚持续存在的孕产妇死亡率问题。尽管有所进步,尤其是在大都市地区,但仍存在显著的地区差异。增加获得高质量保健的机会,特别是在农村地区,促进教育和增加产前保健的使用,这些只是解决孕产妇死亡率所需的多层面举措中的一小部分。为了尽量减少孕产妇死亡率并最终使埃塞俄比亚更接近实现可持续发展目标3,必须制定全面和有针对性的政策。
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