Magnitude, determinants, and complications of short inter pregnancy intervals among pregnant mothers in Ethiopia: a systematic review and meta-analysis.

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Reproductive Health Pub Date : 2024-11-21 DOI:10.1186/s12978-024-01893-z

Gizachew Yilak, Biruk Beletew Abate, Alemu Birara Zemariam, Addis Wondmagegn Alamaw, Eyob Shitie Lake, Mulat Ayele, Alemayehu Sayih Belay, Befkad Derese Tilahun

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引用次数: 0

Abstract

Introduction: Maternal and child mortality remains a major public health concern in Ethiopia. Improving the practice of short inter-pregnancy intervals is a key strategy to reduce neonatal and maternal mortality. Several primary studies conducted in Ethiopia have revealed the practice short inter-pregnancy interval. However, inconsistencies among these studies have been observed, and no review has been conducted to report the combined magnitude, determinants, and complications. Therefore, this review aims to estimate the national magnitude, determinants, and complications of short inter-pregnancy intervals among pregnant mothers in Ethiopia.

Methods: Following the PRISMA standards, we systematically reviewed and meta-analyzed articles from PubMed, Cochrane Library, and Google Scholar that investigated the magnitude, determinants, and complications of a short inter-pregnancy interval. The Q and I² tests were used to assess heterogeneity across studies. We utilized a weighted inverse variance random effects model to evaluate the national magnitude and effect size of linked covariates. To examine publication bias, we employed a funnel plot and Egger's regression test. A sensitivity analysis was also performed to determine the impact of the studies.

Results: The analysis included a total of twenty-six studies. The pooled magnitude of a short inter-pregnancy interval in Ethiopia was found to be 44.054% (95% CI 32.735-55.372; I² = 100%; P < 0.001). no formal education (AOR = 1.889; 95% CI 1.261-2.517; I² = 3.42%; P = 0.41), never used contraceptive methods (AOR = 3.38; 95% CI 2.41-4.35; I² = 44.9%; P = 0.027), breastfeeding duration of less than 24 months (AOR = 6.69; 95% CI 4.77-8.52; I² = 95.5%; P = 0.00), having a preceding female child (AOR = 1.45; 95% CI 0.88-2.015; I² = 16.4%; P = 0.301), and experiencing fetal complication (AOR = 3.55; 95% CI 1.986-5.122; I² = 0%; P = 0.482).

Conclusion: A substantial number of women in Ethiopia continue to have a short inter-pregnancy interval. To address this issue, it is crucial to focus on empowering women through education and raising awareness about the importance of spacing pregnancies adequately. Efforts should be made to improve breastfeeding practices, promoting the recommended duration of at least 24 months.

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埃塞俄比亚孕妇怀孕间隔短的程度、决定因素和并发症：系统回顾和荟萃分析。

导言：孕产妇和儿童死亡率仍然是埃塞俄比亚的一个主要公共卫生问题。改进缩短孕间隔的做法是降低新生儿和孕产妇死亡率的关键策略。在埃塞俄比亚进行的几项初步研究揭示了缩短孕间隔的做法。然而，这些研究的结果并不一致，也没有综述报告其综合规模、决定因素和并发症。因此，本综述旨在估算埃塞俄比亚孕产妇怀孕间隔过短的全国规模、决定因素和并发症：按照 PRISMA 标准，我们对 PubMed、Cochrane 图书馆和谷歌学术中研究孕间隔短的程度、决定因素和并发症的文章进行了系统回顾和荟萃分析。我们使用 Q 检验和 I2 检验来评估不同研究之间的异质性。我们使用了加权反方差随机效应模型来评估相关协变量的全国范围和效应大小。为了检查发表偏倚，我们采用了漏斗图和 Egger 回归检验。我们还进行了敏感性分析，以确定研究的影响：分析共包括 26 项研究。结果：分析共纳入 26 项研究，发现埃塞俄比亚怀孕间隔短的总体比例为 44.054%（95% CI 32.735-55.372；I2 = 100%；P 2 = 3.42%；P = 0.41），从未使用过避孕方法（AOR = 3.38；95% CI 2.41-4.35；I2 = 44.9%；P = 0.027），母乳喂养时间少于 24 个月（AOR = 6.69；95% CI 4.77-8.52；I2 = 95.5%；P = 0.00），前一胎为女性（AOR = 1.45；95% CI 0.88-2.015；I2 = 16.4%；P = 0.301），以及胎儿并发症（AOR = 3.55；95% CI 1.986-5.122；I2 = 0%；P = 0.482）：结论：埃塞俄比亚仍有大量妇女的孕间隔时间较短。要解决这一问题，关键是要通过教育和提高对适当间隔怀孕重要性的认识来增强妇女的能力。应努力改善母乳喂养的做法，推广至少 24 个月的建议期限。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.00

自引率

5.90%

发文量

220

审稿时长

>12 weeks

期刊介绍： Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.