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
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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.

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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。
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3.70
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审稿时长
13 weeks
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