Open AccessPreterm birth and its associated factors in Ethiopia: a systematic review and meta- analysis
Author(s) -
Fikadu Waltengus,
Fentahun Yenealem Beyene,
Azimeraw Arega Tesfu,
Simachew Animen Bantie,
Getnet Gedefaw Azeze
Publication year - 2021
Publication title -
african health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.391
H-Index - 44
eISSN - 1729-0503
pISSN - 1680-6905
DOI - 10.4314/ahs.v21i3.43
Subject(s) - medicine , meta analysis , premature birth , abortion , residence , childbirth , pregnancy , obstetrics , publication bias , systematic review , developing country , low birth weight , pediatrics , demography , medline , gestation , sociology , biology , political science , law , economics , genetics , economic growth
Background: Preterm birth is a public health concern globally. In low- and middle-income countries, like Ethiopia, preterm birth is under reported and underestimated. Therefore, this systematic review and meta-analysis assessed the pooled preva- lence and associated risk factors for preterm birth in Ethiopia.
Methods: In this review the databases used were PubMed, Google scholar, EMBASE, HINARI and African journal online. Publication bias was checked using a funnel plot and Eggers test.
Results: A total of 30 studies were included in this systematic review and meta-analysis. The overall pooled prevalence of preterm birth in Ethiopia was 11.4% (95% CI; 9.04, 13.76). On pooled analysis, preterm birth was associated with pregnan- cy-induced hypertension being HIV-positive, premature rupture of membrane, rural residence, the mother having a history of abortion, multiple pregnancies, and anemia during pregnancy.
Conclusion: The national prevalence of preterm birth in Ethiopia was low. Early identifying those pregnant women who are at risk of the above determinants and proving quality healthcare and counsel them how to prevent preterm births, which decrease the rate of preterm birth and its consequences. So, both governmental and non-governmental health sectors work on the minimization of these risk factors.
Keywords: Prevalence; pre-term birth; determinants; systematic review; meta-analysis; Ethiopia.