دورية أكاديمية

Magnitude of postpartum hemorrhage and associated factors among women who gave birth in Ethiopia: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Magnitude of postpartum hemorrhage and associated factors among women who gave birth in Ethiopia: a systematic review and meta-analysis.
المؤلفون: Tolossa T; Department of Public Health, Institutes of Health Sciences, Wollega University, P.O.BOX: 395, Nekemte, Ethiopia. yadanotolasa@gmail.com., Fetensa G; Department of Nursing, School of Nursing and Midwifery, Wollega University, Nekemte, Ethiopia.; Department of Health Behavior and society, Faculty of public Health, Jimma medical center, Jimma University, Jimma, Ethiopia., Zewde EA; Department of Biomedical Science, College of Health Sciences, Debretabor University, Debretabor, Ethiopia., Besho M; Department of Midwifery, School of Nursing and Midwifery, Wollega University, Nekemte, Ethiopia., Jidha TD; College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
المصدر: Reproductive health [Reprod Health] 2022 Sep 21; Vol. 19 (1), pp. 194. Date of Electronic Publication: 2022 Sep 21.
نوع المنشور: Journal Article; Meta-Analysis; Review; Systematic Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101224380 Publication Model: Electronic Cited Medium: Internet ISSN: 1742-4755 (Electronic) Linking ISSN: 17424755 NLM ISO Abbreviation: Reprod Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2004-
مواضيع طبية MeSH: Postpartum Hemorrhage*/epidemiology , Postpartum Hemorrhage*/etiology, Ethiopia/epidemiology ; Female ; Humans ; Parturition ; Pregnancy ; Prenatal Care ; Prevalence
مستخلص: Background: Postpartum hemorrhage (PPH) is the leading cause of maternal mortality and morbidity worldwide, particularly in resource-limited countries such as Ethiopia. Findings from a few studies were inconsistent and inconclusive. Therefore, this study aimed to estimates the pooled magnitude of PPH and factors associated with PPH among women who gave birth in Ethiopia.
Methods: Electronic databases such as Medline, Pub Med, Cochrane library, the Web of Science, and Google Scholar were used to search for articles. The search period for articles was conducted from 15th August 2021 to 15th November 2021. Data were extracted using a standardized data extraction checklist and the analyses were conducted using Stata version 14. The Cochrane Q test statistic and I 2 statistics were used to assessing heterogeneity. To estimate the pooled magnitude of postpartum hemorrhage, a random-effects model was fitted. Association between PPH and independent variables was reported in odds ratio (OR) with 95% confidence interval (CI). Visual assessment of publication bias was assessed using a funnel plot and Egger's test was used to check the significant presence of publication bias.
Results: A total of 876 studies were identified from several databases and nine studies fulfilled eligibility criteria and were included in the meta-analysis. The pooled magnitude of PPH in Ethiopia was 11.14% (95% CI 7.21, 15.07). The current meta-analysis revealed that lack of antenatal care follow-up (ANC) (OR = 6.52, 95% CI 2.87, 14.81), being multipara (OR = 1.88, 95% CI 1.25, 2.85), and having the previous history of PPH (OR = 7.59, 95% CI 1.88, 30.55) were found to be significantly associated with PPH.
Conclusion: In Ethiopia the magnitude of PPH was high, and lack of ANC up follow-up, being multipara, and having a previous history of PPH were risk factors for postpartum hemorrhage. Thus, improving antenatal care follow-up is needed to decrease the magnitude of postpartum hemorrhage.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Associated systematic factors; Ethiopia; Postpartum hemorrhage; Systematic review
Local Abstract: [plain-language-summary] Postpartum hemorrhage (PPH) is the leading cause of maternal mortality and morbidity worldwide, particularly in resource-limited countries such as Ethiopia. Findings from a few studies were inconsistent and inconclusive. Therefore, this study aimed to estimate the pooled magnitude of PPH and factors associated with PPH among women who gave birth in Ethiopia.Electronic databases such as Medline, Pub Med, Cochrane library, the Web of Science, and Google Scholar were used to search for articles. Data were extracted using a standardized data extraction checklist and the analyses were conducted using Stata version 14. The Cochrane Q test statistic and I 2 statistics were used to assessing heterogeneity. To estimate the pooled magnitude of postpartum hemorrhage, a random-effects model was fitted. Association between PPH and independent variables was reported in odds ratio (OR) with 95% confidence interval (CI).The pooled magnitude of PPH in Ethiopia was 11.14% (95% CI 7.21, 15.07). The current meta-analysis revealed that lack of antenatal care follow-up (ANC) (OR = 6.52, 95% CI 2.87, 14.81), being multipara (OR = 1.88, 95% CI 1.25, 2.85), and having the previous history of PPH (OR = 7.59, 95% CI 1.88, 30.55) were found to be significantly associated with PPH.In Ethiopia the magnitude of PPH was high, and lack of ANC follow-up, being multipara, and having the previous history of PPH were risk factors for postpartum hemorrhage. Thus, improving antenatal care follow-up is needed to decrease the magnitude of postpartum hemorrhage.
تواريخ الأحداث: Date Created: 20220921 Date Completed: 20220923 Latest Revision: 20220924
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9490897
DOI: 10.1186/s12978-022-01498-4
PMID: 36131345
قاعدة البيانات: MEDLINE
الوصف
تدمد:1742-4755
DOI:10.1186/s12978-022-01498-4