Epidemiology of intrapartum stillbirth and associated factors among women who gave childbirth in Ethiopia: systematic review and meta-analysis.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-09-10 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1432729
Eskinder Israel, Awoke Abraham, Mihiret Tesfaw, Temesgen Geta, Melkamu Worku Kercho, Samson Dubale, Tagese Yakob, Endale Jambo, Eshetu Elfios
{"title":"Epidemiology of intrapartum stillbirth and associated factors among women who gave childbirth in Ethiopia: systematic review and meta-analysis.","authors":"Eskinder Israel, Awoke Abraham, Mihiret Tesfaw, Temesgen Geta, Melkamu Worku Kercho, Samson Dubale, Tagese Yakob, Endale Jambo, Eshetu Elfios","doi":"10.3389/fgwh.2024.1432729","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Stillbirth always resulted in a multi-dimensional impact from the individual level to the country level at large. It causes psychological depression, social stigmatization, and decreased quality of life for women. Despite several studies conducted in Ethiopia, no national pooled estimates were done. Therefore, this systematic review and meta-analysis sought to assess intrapartum stillbirth and associated factors among women who had childbirth in Ethiopia using the available published evidence.</p><p><strong>Methods: </strong>The current review included studies conducted in Ethiopia. The databases used primarily were Medline/PubMed, Google Scholar, Scopus, Web of Science, Ethiopian University Repository Online, CINAHL, African Journals Online and Cochrane Library. All cross-sectional studies conducted in English and met eligibility criteria were included in the final review. A random-effects meta-analysis was performed. Data extraction and analysis were also performed using Microsoft Excel and STATA version 14 software respectively.</p><p><strong>Results: </strong>In the current review, eleven studies were included, and their quality was assessed before being chosen for the final review. The pooled prevalence of intrapartum stillbirth among women who had childbirth in Ethiopia was 9.21% [95% CI (7.03%, 11.39%); <i>I</i> <sup>2</sup> = 90.2, <i>P</i> = 0.000]. Women with a previous history of stillbirth [OR = 5.14, 95% CI (3.53-6.75), <i>I</i> <sup>2</sup> = 60.0%, <i>p </i>= 0.04] and had no use of antenatal care {[OR = 0.43, 95% CI (0.18-0.68) <i>I</i> <sup>2</sup> = 85.3%, <i>p</i> = 0.001]} were significantly associated with intrapartum stillbirth among women who gave childbirth.</p><p><strong>Conclusions: </strong>Nearly one-tenth of women who had childbirth in Ethiopia had an intrapartum SB. Revitalizing the existing health extension package particularly family health services with emphasis on focused antenatal care and counselling as well as with prompt referral system would reduce intrapartum SB. This review calls for the need to assess the quality of ANC provision and tailor targeted interventions to best improve the service quality.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1432729"},"PeriodicalIF":2.3000,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424998/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in global women's health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fgwh.2024.1432729","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Stillbirth always resulted in a multi-dimensional impact from the individual level to the country level at large. It causes psychological depression, social stigmatization, and decreased quality of life for women. Despite several studies conducted in Ethiopia, no national pooled estimates were done. Therefore, this systematic review and meta-analysis sought to assess intrapartum stillbirth and associated factors among women who had childbirth in Ethiopia using the available published evidence.

Methods: The current review included studies conducted in Ethiopia. The databases used primarily were Medline/PubMed, Google Scholar, Scopus, Web of Science, Ethiopian University Repository Online, CINAHL, African Journals Online and Cochrane Library. All cross-sectional studies conducted in English and met eligibility criteria were included in the final review. A random-effects meta-analysis was performed. Data extraction and analysis were also performed using Microsoft Excel and STATA version 14 software respectively.

Results: In the current review, eleven studies were included, and their quality was assessed before being chosen for the final review. The pooled prevalence of intrapartum stillbirth among women who had childbirth in Ethiopia was 9.21% [95% CI (7.03%, 11.39%); I 2 = 90.2, P = 0.000]. Women with a previous history of stillbirth [OR = 5.14, 95% CI (3.53-6.75), I 2 = 60.0%, p = 0.04] and had no use of antenatal care {[OR = 0.43, 95% CI (0.18-0.68) I 2 = 85.3%, p = 0.001]} were significantly associated with intrapartum stillbirth among women who gave childbirth.

Conclusions: Nearly one-tenth of women who had childbirth in Ethiopia had an intrapartum SB. Revitalizing the existing health extension package particularly family health services with emphasis on focused antenatal care and counselling as well as with prompt referral system would reduce intrapartum SB. This review calls for the need to assess the quality of ANC provision and tailor targeted interventions to best improve the service quality.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
埃塞俄比亚产妇产后死胎的流行病学及相关因素:系统回顾和荟萃分析。
背景:死胎总是造成从个人到国家的多方面影响。它会导致妇女心理抑郁、社会耻辱感和生活质量下降。尽管在埃塞俄比亚进行了多项研究,但没有进行全国性的汇总估算。因此,本系统综述和荟萃分析试图利用现有已发表的证据,对埃塞俄比亚产妇的产后死产及相关因素进行评估:本综述包括在埃塞俄比亚进行的研究。主要使用的数据库有 Medline/PubMed、Google Scholar、Scopus、Web of Science、Ethiopian University Repository Online、CINAHL、African Journals Online 和 Cochrane Library。所有以英语进行且符合资格标准的横断面研究均被纳入最终综述。进行了随机效应荟萃分析。数据提取和分析也分别使用 Microsoft Excel 和 STATA 14 版软件进行:在本次综述中,共纳入了 11 项研究,并对这些研究的质量进行了评估,然后将其选入最终综述。在埃塞俄比亚分娩的妇女中,产后死胎的总发生率为 9.21% [95% CI (7.03%, 11.39%);I 2 = 90.2,P = 0.000]。既往有死胎史的妇女[OR = 5.14,95% CI (3.53-6.75),I 2 = 60.0%,P = 0.04]和未使用产前护理的妇女{[OR = 0.43,95% CI (0.18-0.68) I 2 = 85.3%,P = 0.001]}与分娩妇女的产中死胎显著相关:结论:在埃塞俄比亚,近十分之一的产妇在产后出现过死胎。振兴现有的保健推广一揽子计划,特别是家庭保健服务,强调重点产前护理和咨询以及及时转诊制度,将减少产后死产。本审查报告呼吁有必要评估产前护理服务的质量,并制定有针对性的干预措施,以最好地提高服务质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
3.70
自引率
0.00%
发文量
0
审稿时长
13 weeks
期刊最新文献
s-CAPE trauma recovery program: the need for a holistic, trauma- and violence-informed domestic violence framework. Insights into perceptions, responses, and challenges experienced by women and girls' survivors of sexual violence and their communities in rural Guinea, 2020. Safe limits on work hours for the nursing profession: a rapid evidence review. An analysis of virtual triage utilization by pregnant women prior to and during the COVID-19 pandemic. What factors influence women's empowerment in Ethiopia? A multilevel analysis of Ethiopia's demographic and health survey data.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1