Impact of Birth Preparedness and Complication Readiness Interventions on Birth with a Skilled Attendant: A Systematic Review

Abstract Background Maternal mortality remains a major challenge to health systems worldwide. Although most pregnancies and births are uneventful, approximately 15% of all pregnant women develop potentially life-threatening complications. Childbirth at home in this context can be acutely threatening, particularly in developing countries where emergency care and transportation are less available. Therefore, this systematic review and meta-analysis aimed to assess the prevalence of home childbirth and its associated factors among women in Ethiopia at their last childbirth. Method For this review, we used the standard PRISMA checklist guideline. This search included all published and unpublished observational studies written only in English language and conducted in Ethiopia. PubMed/Medline, Hinari, EMBASE, Google Scholar, Science Direct, Scopus, Web of Science (WoS), ProQuest, Cochrane Library, African Journals Online, Ethiopian’s university research repository online library were used. Based on the adapted PICO principles, different search terms were applied to achieve and access the essential articles from February 1–30, 2020. The overall selected search results were 40 studies. Microsoft Excel was used for data extraction and Stata version 11.0 (Stata Corporation, College Station, Texas, USA) for data analysis. The quality of individual studies was appraised by using the Joanna Briggs Institute (JBI) quality appraisal checklist. The heterogeneity of the studies was assessed by the Cochrane Q and I2 test. With the evidence of heterogeneity, subgroup analysis and sensitivity analysis were computed. The pooled prevalence of childbirth at home and the odds ratio (OR) with a 95% confidence interval was presented using forest plots. Result Seventy-one thousand seven hundred twenty-four (71, 724) mothers who gave at least one birth were recruited in this study. The estimated prevalence of childbirth at home in Ethiopia was 66.7% (95%CI: 61.56–71.92, I2 = 98.8%, p-value < 0.001). Being from a rural area (adjusted odds ratio (AOR) 6.48, 95% confidence interval (CI): 3.48–12.07), being uneducated (AOR = 5.90, 95% CI: 4.42–7.88), not pursuing antenatal (ANC) visits at all (AOR = 4.57(95% CI: 2.42–8.64), having 1–3 ANC visits only (AOR = 4.28, 95% CI: 3.8–8.26), no birth preparedness and complication readiness plan (AOR = 5.60, 95% CI: 6.68–8.25), no media access (AOR = 3.46, 95% CI: 2.27–5.27), having poor knowledge of obstetric complications (AOR = 4.16: 95% CI: 2.84–6.09), and walking distance more than 2 hours to reach the nearest health facility (AOR = 5.12, 95% CI: 2.94–8.93) were the factors associated with giving childbirth at home. Conclusion The pooled prevalence of childbirth at home was high in Ethiopia. Being from a rural area, being uneducated, not pursuing ANC visits at all, having 1–3 ANC visits only, no media access, having poor knowledge of obstetric complications, not having a birth preparedness and complication readiness plan, and walking time greater than 2 hours to reach the nearest health facility increased the probability of childbirth at home in Ethiopia.

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BIRTH PREPAREDNESS AND COMPLICATION READINESS OF WOMEN IN NIGERIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

10.1101/2021.11.03.21265854 ◽

2021 ◽

Author(s):

Margaret Omowaleola Akinwaare ◽

Oyeninhun Abimbola Oluwatosin ◽

Olalekan A Uthman ◽

Elizabeth Ike

Keyword(s):

Systematic Review ◽

Maternal Death ◽

Meta Analysis ◽

Significant Heterogeneity ◽

Birth Preparedness ◽

Complication Readiness ◽

Middle Income ◽

The Sustainable Development ◽

Danger Signs ◽

Pooled Prevalence

Introduction Globally, efforts are being made to reduce the menace of maternal death in order to achieve the sustainable development goal. Maternal death has been associated with inadequate birth preparedness and complication readiness especially in the low and middle income countries. Therefore, this review assessed birth preparedness and complication readiness in Nigeria. Methods A systematic review and meta-analysis of published research articles on birth preparedness and complication readiness in Nigeria was done using PubMed, EMBASE and MEDLINE databases. All published articles from inception to November, 2018 were included in the review. A total of 8913 published articles were identified from electronic search, a total of 4440 studies were included in this review, while only 12 articles met the inclusion criteria and were included in the meta-analysis. Results The pooled prevalence of Good BPCR for all studies yielded an estimate of 58.7% (95% CI 43.9 to 72.7%). The I2 statistic was 98%, indicating statistically significant heterogeneity among the studies. The percentage of women with good birth preparedness and complication readiness increases with increasing year of publication, such that women tended to be more aware good birth preparedness and complication readiness in recent years. More than half of the women had knowledge of obstetric danger signs (52.0%, 95% CI 39.5 to 64.4%, 10 studies), arranged for transportation (59.5%, 95% CI 36.2 to 80.7, 11 studies) or saved money (63.4%, 95% CI 44.7 to 80.2%, 11 studies) as part of the BPCR. Conclusion Women in Nigeria are better prepared for birth preparedness and complication readiness in recent years. Therefore, interventions to promote more adequate birth preparedness and complication readiness among women is recommended.

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Birth preparedness and complication readiness among pregnant women in Ethiopia: a systematic review and Meta-analysis

Reproductive Health ◽

10.1186/s12978-018-0624-2 ◽

2018 ◽

Vol 15 (1) ◽

Cited By ~ 6

Author(s):

Abadi Kidanemariam Berhe ◽

Achenef Asmamaw Muche ◽

Gedefaw Abeje Fekadu ◽

Getachew Mullu Kassa

Keyword(s):

Systematic Review ◽

Pregnant Women ◽

Meta Analysis ◽

Birth Preparedness ◽

Complication Readiness

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A protocol for a systematic review of birth preparedness and complication readiness programs

Systematic Reviews ◽

10.1186/2046-4053-2-11 ◽

2013 ◽

Vol 2 (1) ◽

Cited By ~ 9

Author(s):

Andrea Solnes Miltenburg ◽

Yadira Roggeveen ◽

Marianne van Elteren ◽

Laura Shields ◽

Joske Bunders ◽

...

Keyword(s):

Systematic Review ◽

Birth Preparedness ◽

Complication Readiness

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Male involvement in birth preparedness and complication readiness in Ethiopia: A Systematic review and Meta-analysis

10.21203/rs.3.rs-55935/v2 ◽

2020 ◽

Author(s):

Chilot kassa Mekonnen ◽

Hailemichael Kindie Abate ◽

Negesu Gizaw Demessie

Keyword(s):

Systematic Review ◽

Low Income ◽

Meta Analysis ◽

Random Effect ◽

Random Effect Model ◽

Male Involvement ◽

Outcome Variable ◽

Birth Preparedness ◽

Complication Readiness ◽

Pooled Prevalence

Abstract Background: Male involvement during pregnancy, labor and post-partum care has been shown to improve positive maternal and newborn outcomes. Nevertheless, it continues to be low, especially in low income countries. One of the reasons is the lack of birth preparedness and complication readiness, which is recognized as the most cost-effective and achievable components of safe motherhood programs around the world. Thus, this systematic review and meta-analysis study tried to determine the pooled prevalence of male involvement in birth preparedness and complication readiness (BP/CR) and its associated factors in Ethiopia. Methods: Searching of the primary articles was completed by PubMed/MEDLINE, EMBASE, CINAHAL, and Google Scholar, HINARI portal which includes the SCOPUS, African Index Medicus, and African Journals Online Database. The data was extracted by using a standard data extraction checklist that developed according to Joanna Briggs Institute (JBI).For assessing heterogeneity across the studies I2 statistics was used. The Funnel plot asymmetry and Egger’s tests were used to check the presence of publication bias. A random effect model was used to estimate the pooled proportion of male involvement. Odds Ratio (OR) with the 95% confidence interval was also used to determine the association of identified factors with the outcome variable. Result: From a total of 614, primary studies 8 were eligible for inclusion in the final systematic Review and meta-analysis. The pooled estimate of male involvement in birth preparedness and complication readiness was found to be 40.17% [95%CI (24.01-56.33). Conclusion: The pooled prevalence of male involvement in birth preparedness and complication readiness was relatively low. Thus, Minister of Health with its stake holders better to give emphasis on community awareness programs so as to increase male involvement for birth preparedness and complication readiness.

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Male involvement in Birth Preparedness and Complication Readiness in Ethiopia: A Systematic Review and Meta-analysis

10.21203/rs.3.rs-55935/v1 ◽

2020 ◽

Author(s):

Chilot kassa Mekonnen ◽

Hailemichael Kindie Abate ◽

Negesu Gizaw Demessie

Keyword(s):

Systematic Review ◽

Low Income ◽

Post Partum ◽

Meta Analysis ◽

Random Effect Model ◽

Male Involvement ◽

Outcome Variable ◽

Birth Preparedness ◽

Complication Readiness ◽

Pooled Prevalence

Abstract Background: Maternal death may occur from complications while a woman is pregnant, during labor and post-partum period. Birth preparedness and complication readiness during pregnancy period prominently increase positive maternal as well as child health outcomes. Male involvement in pregnancy, labor and post-partum care has been shown to improve maternal and newborn outcomes. Nevertheless, it continues to be low, especially in low income countries. One of the reasons is the lack of birth preparedness and complication readiness, which is recognized as the most cost-effective and achievable components of safe motherhood programs around the world. Thus, this systematic review and meta-analysis study tried to determine the pooled prevalence of male involvement in birth preparedness and complication readiness (BP/CR) and its associated factors in Ethiopia. Methods: Searching of the primary articles was completed by PubMed/MEDLINE, EMBASE, CINAHAL, and Google Scholar, HINARI portal which includes the SCOPUS, African Index Medicus, and African Journals Online Database. The data was extracted by using a standard data extraction checklist that developed according to Joanna Briggs Institute (JBI).For assessing heterogeneity across the studies I2 statistics was used. The Funnel plot asymmetry and Egger’s tests were used to check the presence of publication bias. A random effect model was used to estimate the pooled prevalence of male involvement in birth preparedness and complication readiness. Odds Ratio (OR) with the 95% confidence interval was also used to determine the association of identified factors with the outcome variable. Statistical analysis was conducted using STATA version 11 software.Result: From a total of 614, primary studies with (sample participants 3413), 8 were eligible for inclusion in the final systematic Review and meta-analysis. The pooled estimate of male involvement in birth preparedness and complication readiness was found to be 40.17% [95%CI (24.01-56.33) Conclusion: The pooled prevalence of male involvement in birth preparedness and complication readiness was relatively low. Thus, Minister of Health with its stake holders better to give emphasis on community awareness programs so as to increase male involvement for birth preparedness and complication readiness.

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Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-2812-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Daniel Bekele Ketema ◽

Cheru Tesema Leshargie ◽

Getiye Dejenu Kibret ◽

Moges Agazhe Assemie ◽

Pammla Petrucka ◽

...

Keyword(s):

Systematic Review ◽

Pregnant Women ◽

Maternal Education ◽

Meta Analysis ◽

Birth Preparedness ◽

Complication Readiness

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Male partners' participation in birth preparedness and complication readiness in global south: systematic review and meta-analysis

10.21203/rs.3.rs-33614/v1 ◽

2020 ◽

Author(s):

Minyahil Tadesse Boltena ◽

Abraham Sahlemichael Kebede ◽

Ziad El-Khatib ◽

Benedict Oppong Asamoah ◽

Andualem Tadesse Boltena ◽

...

Keyword(s):

Systematic Review ◽

Health Outcomes ◽

Pregnant Women ◽

Meta Analysis ◽

Random Effect ◽

Global South ◽

Birth Preparedness ◽

Male Partners ◽

Complication Readiness ◽

Nursing Mothers

Abstract Background: The lower priority given for involving male partners in birth preparedness and complication readiness contributes to the poor maternal and neonatal health outcomes. Male partners in low- and middle-income countries determine women’s access to and affordability of health services and directly influence their health outcomes. This systematic review and meta-analysis determine the pooled magnitude of the male partner’s participation in birth preparedness and complication readiness in the global south.Methods: Literature published in the English language from 2004 to 2019 was retrieved using appropriate search terms on Google Scholar, PubMed/MEDLINE, CINHAL, Scopus, and Embase. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. A pooled statistical meta-analysis was conducted using STATA Version 14.0 software. The heterogeneity and publication bias were assessed using the I2 statistics and Egger’s test, respectively. Duval and Tweedie's nonparametric trim and fill analysis using the random-effect analysis. The Random effects model was used to estimate the summary prevalence of BPCR and the corresponding 95% confidence intervals (CI). Results: 12 studies and 4210 participants were included. The overall pooled result showed 52.3% of male partners of pregnant women and nursing mothers were prepared for birth and its complications. Forty-nine percent of male partners saved money for delivery and 40.5% of them identified skilled birth attendants, and 55% of male partners saved money for birth or its complication. Only 42.1% of male partners arranged transportation and 59.8% of them identified the place of birth. Only 18.9% of male partners identified a potential blood donor for emergency cases of childbirth and postpartum complication.Conclusions: A low proportion of male partners of pregnant women and nursing mothers were prepared for childbirth and its complications. Countries in the global south region should review their health care policies and design strategies to improve the birth preparedness and complication readiness practice among male partners of pregnant women and nursing mothers.

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Proposed Framework for Making Focused Antenatal Care Services Accessible: A Review of the Nigerian Setting

ISRN Obstetrics and Gynecology ◽

10.5402/2011/253964 ◽

2011 ◽

Vol 2011 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

John Ekabua ◽

Kufre Ekabua ◽

Charles Njoku

Keyword(s):

Antenatal Care ◽

Maternal Mortality ◽

Traditional Approach ◽

Maternal Mortality Ratio ◽

Teaching Hospitals ◽

Care Group ◽

Birth Preparedness ◽

Skilled Attendant ◽

Complication Readiness ◽

Focused Antenatal Care

The aim of this paper is to propose a framework for making antenatal care an effective strategy in reducing the high maternal mortality ratio in Nigeria. On-site visits to five teaching hospitals were carried out between 2006 and 2008 to assess the practice of antenatal care. Group discussions with 200 parturients on their awareness of birth preparedness/complication readiness were conducted, in October, 2008. The findings of this study are discussed in line with the proposed practice of focused antenatal care. The practice of antenatal care in all the hospitals visited was the traditional approach based on earlier European models. Awareness of birth preparedness/complication readiness, by parturients, as a goal-directed intervention during antenatal care was low (21.5%). To reduce maternal deaths through antenatal care, it is critical to link care with detecting and treating causes of maternal mortality by a skilled attendant.

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