Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.

<h4>Background</h4>As the studies show, in every minute in the world, 380 women become pregnant and 190 face unplanned or unwanted pregnancies; 110 experience pregnancy-related complications, and one woman dies from a pregnancy-related cause. Preconception care is one of the proven strat...

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Autores principales:	Tiwabwork Tekalign, Tesfanesh Lemma, Mulualem Silesh, Eyasu Alem Lake, Mistire Teshome, Tesfaye Yitna, Nefsu Awoke
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/14c17c1fd5b14837a7783f8db45b4d73
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spelling	oai:doaj.org-article:14c17c1fd5b14837a7783f8db45b4d732021-12-02T20:06:30ZMothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.1932-620310.1371/journal.pone.0254935https://doaj.org/article/14c17c1fd5b14837a7783f8db45b4d732021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254935https://doaj.org/toc/1932-6203<h4>Background</h4>As the studies show, in every minute in the world, 380 women become pregnant and 190 face unplanned or unwanted pregnancies; 110 experience pregnancy-related complications, and one woman dies from a pregnancy-related cause. Preconception care is one of the proven strategies for the reduction in mortality and decreases the risk of adverse health effects for the woman, fetus, and neonate by optimizing maternal health services and improves woman's health. Therefore, this study aimed to estimate the pooled prevalence of utilization of preconception of care and associated factors in Africa.<h4>Methods</h4>Systematic search of published studies done on PubMed, EMBASE, MEDLINE, Cochrane, Scopus, Web of Science CINAHL, and manually on Google Scholar. This meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of studies was assessed by the modified Newcastle-Ottawa Scale (NOS). Meta-analysis was carried out using a random-effects method using the STATA™ Version 14 software.<h4>Result</h4>From 249,301 obtained studies, 28 studies from 3 African regions involving 13067 women included in this Meta-analysis. The overall pooled prevalence of utilization of preconception care among pregnant women in Africa was found to be 18.72% (95% CI: 14.44, 23.00). Knowledge of preconception care (P = <0.001), preexisting medical condition (P = 0.045), and pregnancy intention (P = 0.016) were significantly associated with the utilization of preconception care.<h4>Conclusion</h4>The results of this meta-analysis indicated, as one of best approaches to improve birth outcomes, the utilization of preconception care is significantly low among mothers in Africa. Therefore, health care organizations should work on strategies to improve preconception care utilization.Tiwabwork TekalignTesfanesh LemmaMulualem SileshEyasu Alem LakeMistire TeshomeTesfaye YitnaNefsu AwokePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254935 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tiwabwork Tekalign Tesfanesh Lemma Mulualem Silesh Eyasu Alem Lake Mistire Teshome Tesfaye Yitna Nefsu Awoke Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
description	<h4>Background</h4>As the studies show, in every minute in the world, 380 women become pregnant and 190 face unplanned or unwanted pregnancies; 110 experience pregnancy-related complications, and one woman dies from a pregnancy-related cause. Preconception care is one of the proven strategies for the reduction in mortality and decreases the risk of adverse health effects for the woman, fetus, and neonate by optimizing maternal health services and improves woman's health. Therefore, this study aimed to estimate the pooled prevalence of utilization of preconception of care and associated factors in Africa.<h4>Methods</h4>Systematic search of published studies done on PubMed, EMBASE, MEDLINE, Cochrane, Scopus, Web of Science CINAHL, and manually on Google Scholar. This meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of studies was assessed by the modified Newcastle-Ottawa Scale (NOS). Meta-analysis was carried out using a random-effects method using the STATA™ Version 14 software.<h4>Result</h4>From 249,301 obtained studies, 28 studies from 3 African regions involving 13067 women included in this Meta-analysis. The overall pooled prevalence of utilization of preconception care among pregnant women in Africa was found to be 18.72% (95% CI: 14.44, 23.00). Knowledge of preconception care (P = <0.001), preexisting medical condition (P = 0.045), and pregnancy intention (P = 0.016) were significantly associated with the utilization of preconception care.<h4>Conclusion</h4>The results of this meta-analysis indicated, as one of best approaches to improve birth outcomes, the utilization of preconception care is significantly low among mothers in Africa. Therefore, health care organizations should work on strategies to improve preconception care utilization.
format	article
author	Tiwabwork Tekalign Tesfanesh Lemma Mulualem Silesh Eyasu Alem Lake Mistire Teshome Tesfaye Yitna Nefsu Awoke
author_facet	Tiwabwork Tekalign Tesfanesh Lemma Mulualem Silesh Eyasu Alem Lake Mistire Teshome Tesfaye Yitna Nefsu Awoke
author_sort	Tiwabwork Tekalign
title	Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
title_short	Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
title_full	Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
title_fullStr	Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
title_full_unstemmed	Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
title_sort	mothers' utilization and associated factors of preconception care in africa, a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/14c17c1fd5b14837a7783f8db45b4d73
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Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.

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