Effectiveness of birth preparedness interventions on maternal and neonatal outcomes in low- and middle-income countries: A systematic review and meta-analysis

IF 1.6 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2025-09-10 DOI:10.1111/jjns.70023

Phyu Phyu Tun, Nattasit Katchamat, Etsuko Nishimura, Edward Barroga, Erika Ota

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Abstract

Aim

We aimed to assess the impact of birth preparedness interventions among pregnant women on the improvement of their maternal and neonatal outcomes in low- and middle-income countries.

Methods

Randomized controlled trials from 2007 to 2023 that assessed birth preparedness interventions for pregnant women living in such countries were reviewed after searching on PubMed, CENTRAL, Embase, and CINAHL databases. This systematic review followed the Preferred Reporting Items for the Systematic Reviews and Meta-Analysis standards. The database searches yielded 7405 articles. Nine trials were eligible for inclusion.

Results

The meta-analysis revealed a statistically significant variation in perinatal mortality (participants = 3573; studies = 2; risk ratio = 0.58; 95% confidence interval = [0.47, 0.73]; I² = 0%, moderate certainty of evidence) and a significant difference in the initiation of breastfeeding (participants = 8743; studies = 3; risk ratio = 1.89; 95% confidence interval [CI] = [1.50, 2.39]; I² = 96%, low certainty of evidence).

Conclusion

Our systematic review showed that birth preparedness interventions significantly reduced perinatal mortality and increased breastfeeding initiation, as well as produced a positive impact on infant birth weight (grams) and age of gestation at birth (weeks). Future randomized controlled trials on birth preparedness interventions should be conducted and effectively promoted to enhance the health of mothers and neonates in low- and middle-income countries.

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低收入和中等收入国家分娩准备干预措施对孕产妇和新生儿结局的有效性：系统回顾和荟萃分析。

目的：我们旨在评估中低收入国家孕妇分娩准备干预措施对改善其孕产妇和新生儿结局的影响。方法：检索PubMed、CENTRAL、Embase和CINAHL数据库后，回顾2007年至2023年评估这些国家孕妇分娩准备干预措施的随机对照试验。本系统评价遵循系统评价和荟萃分析标准的首选报告项目。数据库搜索产生了7405篇文章。9项试验符合纳入条件。结果：meta分析显示围产期死亡率差异有统计学意义（参与者= 3573，研究= 2，风险比= 0.58,95%可信区间= [0.47,0.73];I2 = 0%，证据确定性中等），开始母乳喂养差异有统计学意义（参与者= 8743，研究= 3，风险比= 1.89,95%可信区间[CI] = [1.50, 2.39]; I2 = 96%，证据确定性低）。结论：我们的系统综述显示，分娩准备干预措施显著降低了围产期死亡率，增加了母乳喂养的开始，并对婴儿出生体重（克）和出生时妊娠年龄（周）产生了积极影响。今后应开展并有效促进有关分娩准备干预措施的随机对照试验，以增进中低收入国家母亲和新生儿的健康。

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

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.