撒哈拉以南非洲地区产妇在设施内分娩时使用陪产服务及其相关因素。系统回顾与荟萃分析。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
SAGE Open Medicine Pub Date : 2024-09-29 eCollection Date: 2024-01-01 DOI:10.1177/20503121241272572
Mogos Beya Gudeta, Negga Assefa, Yadeta Dessie Bacha, Merhawi Gebremedhin Tekle, Feysel Mohammed Hussen, Astawus Alemayehu, Abraham Negash, Kabtamu Nigussie
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引用次数: 0

摘要

导言:陪产是提高产妇和新生儿护理质量及效果的一种策略。它是一种低成本、有效的护理方式,可在医疗机构的整个分娩过程中为产妇提供循证护理。世卫组织建议,陪伴分娩可以由家庭成员、配偶、朋友和朵拉提供。他们通过抚摸、按摩、温水擦浴、鼓励活动、促进液体摄入和排出、提供有关分娩状况的信息和应对策略建议等方式为产妇提供舒适感,并为产妇及其护理人员提供沟通渠道,从而帮助降低全球和地区的产妇和新生儿死亡率。尽管有这样的益处,但在研究领域还没有对这一主题进行过系统回顾和荟萃分析研究。因此,本研究可提供撒哈拉以南非洲地区产妇在设施内分娩时使用陪产服务的总体情况及相关因素:采用系统综述和荟萃分析指南的首选报告项目进行了系统综述和荟萃分析。数据库包括 PubMed 和 Medline、Cochrane 图书馆、direct science、google scholar 以及 2010 年至 2023 年撒哈拉以南非洲地区各种灰色文献/电子邮件。采用 DerSimonian-Laird 方法的加权反方差随机效应模型来估算出生陪伴的汇总利用率,并计算 Cochrane Q 检验、I 2 和 p 值以检测异质性。使用 Egger 检验和漏斗图检测发表偏倚的证据。我们进行了亚组分析、敏感性分析和元回归,以确定异质性的来源。研究方案已在 PROSPERO 数据库 "CRD42024503048 "中注册:在撒哈拉以南非洲地区,在医疗机构分娩的产妇使用陪产服务的比例为 34%(95% CI:26-42,I 2 = 98.90%,P I 2 = 10.36%),出现产科并发症的比例为(AOR = 2.55,95% CI:1.69-3.4,I 2 = 0%)、希望分娩陪伴(AOR = 2.46,95% CI:1.17-3.74,I 2 = 38.46%)和是黄金段(AOR = 2.51,95% CI:1.83-3.19,I 2 = 0%)与分娩陪伴的集中利用率显著相关:结论:在撒哈拉以南非洲地区的医疗机构中分娩的产妇很少使用陪产服务。与使用陪产服务有关的因素包括初产妇、接受过产前护理、孕期有并发症以及希望得到陪产服务。管理团队和医护人员必须在产前护理期间主动向产妇宣传陪产的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilization of birth companionship and its associated factors among laboring mothers during facilities birth in sub-Saharan Africa. Systematic review and meta-analysis.

Introduction: Birth companionship is one strategy for improving maternal and neonatal quality of care, as well as their outcomes. It is a low-cost and effective care that provide mothers with evidence-based practices throughout labor and delivery in health facilities. WHO has suggested that birth companionship can be given by a family member, spouse, friend, and doula. They support laboring mothers by offering comfort via touch, massage, warm baths, encouraging mobility, promoting fluid intake and output, supplying information about the status of labor and suggestions for coping strategies, and providing a communication channel between mothers and their caregivers that helps to reduce mother and newborn mortality on a globally and regionally. Despite this benefit, no systematic review and meta-analysis studies have been conducted on this topic in study area. Therefore, this study may give the pooled utilization and associated factors of birth companionship among laboring mothers during facility birth in Sub-Saharan Africa.

Methods and materials: A systematic review and meta-analysis was conducted using preferred reporting items for systematic review and meta-analysis guidelines. Data base such as PubMed with Medline, Cochrane library, direct science, google scholar and different gray works of literature/email were used on the utilization of birth companionship and associated factors of studies from 2010 to 2023 in sub-Saharan Africa. A weighted inverse variance random effect model with DerSimonian-Laird method was used to estimate pooled utilization of birth companionship Cochrane Q-test, I 2, and p-value were computed to detect heterogeneity. Egger test and funnel plot were used to detect the evidence of publication bias. We did subgroup analysis, sensitivity analysis, and meta regression to identify source heterogeneity. The protocol has been registered in PROSPERO database "CRD42024503048."

Results: In sub-Saharan Africa, laboring mothers giving delivery in a facility utilized birth companionship at a rate of 34% (95% CI: 26-42, I 2 = 98.90%, p < 0.01). Subgroup analysis revealed that South Africa had the largest pooled utilization of birth companionship (49%), while Rwanda had the lowest (14.5%). Having ANC (AOR = 2.69, 95% CI: 1.66-3.73, I 2 = 10.36%), having an obstetric complication (AOR = 2.55, 95% CI: 1.69-3.4, I 2 = 0%), desiring birth companionship (AOR = 2.46, 95% CI: 1.17-3.74, I 2 = 38.46%), and being prime para (AOR = 2.51, 95% CI: 1.83-3.19, I 2 = 0%) were significantly associated with pooled utilization of birth companionship.

Conclusions: There is low pooled utilization of birth companionship among laboring mothers giving delivery in an institution in sub-Saharan Africa. Factors linked to the use of birth companionship included being primipara, having antenatal care, having complications during pregnancy, and desiring companionship. The management team and healthcare personnel must take the initiative to educate mothers during antenatal care about the benefits of having a birth companion.

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SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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