Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis

Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis

Abstract Despite remarkable progress in the reduction of under-five mortality; perinatal mortality is the major public health problem in Africa. In Ethiopia, the study findings on perinatal mortality and its predictors were inconsistent. Therefore, this systematic review and meta-analysis estimated...

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Autores principales: Melaku Desta, Tadesse Yirga Akalu, Yoseph Merkeb Alamneh, Asmare Talie, Addisu Alehegn Alemu, Zenaw Tessema, Desalegn Yibeltal, Alehegn Aderaw Alamneh, Daniel Bekele Ketema, Wondimeneh Shibabaw Shiferaw, Temesgen Getaneh
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/6a57785a7e6649f5aca8f74ee1f956a1
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spelling oai:doaj.org-article:6a57785a7e6649f5aca8f74ee1f956a12021-12-02T17:13:16ZPerinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis10.1038/s41598-021-98996-52045-2322https://doaj.org/article/6a57785a7e6649f5aca8f74ee1f956a12021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98996-5https://doaj.org/toc/2045-2322Abstract Despite remarkable progress in the reduction of under-five mortality; perinatal mortality is the major public health problem in Africa. In Ethiopia, the study findings on perinatal mortality and its predictors were inconsistent. Therefore, this systematic review and meta-analysis estimated the pooled perinatal mortality, and its association with antenatal care visit, maternal tetanus toxoid immunization, and partograph monitoring. International databases like PubMed, SCOPUS, Google Scholar and Science Direct were systematically searched. I squared statistics was used to determine the levels of heterogeneity across studies and the pooled estimate was computed using a random-effect model. The meta-analysis showed that a pooled prevalence of perinatal mortality in Ethiopia was 6.00% (95% CI 5.00%, 7.00%). The highest proportion of perinatal mortality was a stillbirth, 5.00% (95% CI 4.00%, 7.00%). Women who had antenatal care visit [OR = 0.20 (95% CI 0.12, 0.34)], maternal tetanus toxoid immunization [OR = 0.43 (95% CI 0.24, 0.77)] and partograph monitoring [POR = 0.22 (95% CI 0.06, 0.76)] reduced the risk of perinatal mortality. Whereas, previous history of perinatal mortality [POR = 7.95 (95% CI 5.59, 11.30)] and abortion history (POR = 2.02 (95% CI 1.18, 3.46)) significantly increased the risk of perinatal mortality. Therefore, antenatal care visit, maternal tetanus toxoid vaccination uptake, and partograph utilization should be an area of improvements to reduce perinatal mortality.Melaku DestaTadesse Yirga AkaluYoseph Merkeb AlamnehAsmare TalieAddisu Alehegn AlemuZenaw TessemaDesalegn YibeltalAlehegn Aderaw AlamnehDaniel Bekele KetemaWondimeneh Shibabaw ShiferawTemesgen GetanehNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-17 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Melaku Desta
Tadesse Yirga Akalu
Yoseph Merkeb Alamneh
Asmare Talie
Addisu Alehegn Alemu
Zenaw Tessema
Desalegn Yibeltal
Alehegn Aderaw Alamneh
Daniel Bekele Ketema
Wondimeneh Shibabaw Shiferaw
Temesgen Getaneh
Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis
description Abstract Despite remarkable progress in the reduction of under-five mortality; perinatal mortality is the major public health problem in Africa. In Ethiopia, the study findings on perinatal mortality and its predictors were inconsistent. Therefore, this systematic review and meta-analysis estimated the pooled perinatal mortality, and its association with antenatal care visit, maternal tetanus toxoid immunization, and partograph monitoring. International databases like PubMed, SCOPUS, Google Scholar and Science Direct were systematically searched. I squared statistics was used to determine the levels of heterogeneity across studies and the pooled estimate was computed using a random-effect model. The meta-analysis showed that a pooled prevalence of perinatal mortality in Ethiopia was 6.00% (95% CI 5.00%, 7.00%). The highest proportion of perinatal mortality was a stillbirth, 5.00% (95% CI 4.00%, 7.00%). Women who had antenatal care visit [OR = 0.20 (95% CI 0.12, 0.34)], maternal tetanus toxoid immunization [OR = 0.43 (95% CI 0.24, 0.77)] and partograph monitoring [POR = 0.22 (95% CI 0.06, 0.76)] reduced the risk of perinatal mortality. Whereas, previous history of perinatal mortality [POR = 7.95 (95% CI 5.59, 11.30)] and abortion history (POR = 2.02 (95% CI 1.18, 3.46)) significantly increased the risk of perinatal mortality. Therefore, antenatal care visit, maternal tetanus toxoid vaccination uptake, and partograph utilization should be an area of improvements to reduce perinatal mortality.
format article
author Melaku Desta
Tadesse Yirga Akalu
Yoseph Merkeb Alamneh
Asmare Talie
Addisu Alehegn Alemu
Zenaw Tessema
Desalegn Yibeltal
Alehegn Aderaw Alamneh
Daniel Bekele Ketema
Wondimeneh Shibabaw Shiferaw
Temesgen Getaneh
author_facet Melaku Desta
Tadesse Yirga Akalu
Yoseph Merkeb Alamneh
Asmare Talie
Addisu Alehegn Alemu
Zenaw Tessema
Desalegn Yibeltal
Alehegn Aderaw Alamneh
Daniel Bekele Ketema
Wondimeneh Shibabaw Shiferaw
Temesgen Getaneh
author_sort Melaku Desta
title Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis
title_short Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis
title_full Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis
title_fullStr Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis
title_full_unstemmed Perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in Ethiopia: a meta-analysis
title_sort perinatal mortality and its association with antenatal care visit, maternal tetanus toxoid immunization and partograph utilization in ethiopia: a meta-analysis
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/6a57785a7e6649f5aca8f74ee1f956a1
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