{"title":"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。","authors":"Gizachew Yilak, Biruk Beletew Abate, Alemu Birara Zemariam, Addis Wondmagegn Alamaw, Eyob Shitie Lake, Mulat Ayele, Alemayehu Sayih Belay, Befkad Derese Tilahun","doi":"10.1186/s12978-024-01893-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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 I<sup>2</sup> 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.</p><p><strong>Results: </strong>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; I<sup>2</sup> = 100%; P < 0.001). no formal education (AOR = 1.889; 95% CI 1.261-2.517; I<sup>2</sup> = 3.42%; P = 0.41), never used contraceptive methods (AOR = 3.38; 95% CI 2.41-4.35; I<sup>2</sup> = 44.9%; P = 0.027), breastfeeding duration of less than 24 months (AOR = 6.69; 95% CI 4.77-8.52; I<sup>2</sup> = 95.5%; P = 0.00), having a preceding female child (AOR = 1.45; 95% CI 0.88-2.015; I<sup>2</sup> = 16.4%; P = 0.301), and experiencing fetal complication (AOR = 3.55; 95% CI 1.986-5.122; I<sup>2</sup> = 0%; P = 0.482).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"21 1","pages":"168"},"PeriodicalIF":3.6000,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580512/pdf/","citationCount":"0","resultStr":"{\"title\":\"Magnitude, determinants, and complications of short inter pregnancy intervals among pregnant mothers in Ethiopia: a systematic review and meta-analysis.\",\"authors\":\"Gizachew Yilak, Biruk Beletew Abate, Alemu Birara Zemariam, Addis Wondmagegn Alamaw, Eyob Shitie Lake, Mulat Ayele, Alemayehu Sayih Belay, Befkad Derese Tilahun\",\"doi\":\"10.1186/s12978-024-01893-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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 I<sup>2</sup> 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.</p><p><strong>Results: </strong>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; I<sup>2</sup> = 100%; P < 0.001). no formal education (AOR = 1.889; 95% CI 1.261-2.517; I<sup>2</sup> = 3.42%; P = 0.41), never used contraceptive methods (AOR = 3.38; 95% CI 2.41-4.35; I<sup>2</sup> = 44.9%; P = 0.027), breastfeeding duration of less than 24 months (AOR = 6.69; 95% CI 4.77-8.52; I<sup>2</sup> = 95.5%; P = 0.00), having a preceding female child (AOR = 1.45; 95% CI 0.88-2.015; I<sup>2</sup> = 16.4%; P = 0.301), and experiencing fetal complication (AOR = 3.55; 95% CI 1.986-5.122; I<sup>2</sup> = 0%; P = 0.482).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":20899,\"journal\":{\"name\":\"Reproductive Health\",\"volume\":\"21 1\",\"pages\":\"168\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2024-11-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580512/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Reproductive Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12978-024-01893-z\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12978-024-01893-z","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Magnitude, determinants, and complications of short inter pregnancy intervals among pregnant mothers in Ethiopia: a systematic review and meta-analysis.
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.
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.
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