The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis
Background: Antenatal care (ANC) is one of the renowned reproductive health care, and adequate antenatal care utilization averts adverse feto-maternal outcomes. Many fragmented studies were conducted on the effect of ANC on maternal near-miss events in Ethiopia but no single evidence was present. He...
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doaj-f51d648bbdeb47af9f6f630604da86c92020-12-19T05:06:53ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912020-01-0113100246The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysisEbisa Turi0Ginenus Fekadu1Bedasa Taye2Gemechu Kejela3Markos Desalegn4Getu Mosisa5Worku Etafa6Reta Tsegaye7Dawit Simegnew8Temesgen Tilahun9Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; Corresponding authors at: Department of Public Health, Institute of Health Sciences, Wollega University, P.O. Box 395, Nekemte, Ethiopia.Department of Pharmacy, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haromaya University, Harar, EthiopiaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaSchool of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaSchool of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaSchool of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaDepartment of Pharmacy, College of Health and Medical Sciences, Bule Hora University, Bule Hora, EthiopiaDepartment of Obstetrics and Gynecology, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaBackground: Antenatal care (ANC) is one of the renowned reproductive health care, and adequate antenatal care utilization averts adverse feto-maternal outcomes. Many fragmented studies were conducted on the effect of ANC on maternal near-miss events in Ethiopia but no single evidence was present. Hence, the aim of this study was a need to systematically pool existing data to determine the effect of ANC on Maternal Near Miss (MNM) events. Methods: We systematically reviewed and meta-analyzed studies reporting the associations between ANC and maternal near-miss events in Ethiopia through an electronic search from databases including Medline, PubMed, and Web of Science. A random-effects model was used to calculate the pooled estimate with a 95% confidence interval (CI) in STATA 14.1 version. Heterogeneity and publication bias of the included studies were assessed using Cochran's Q, I2, and meta-bias statistics. Results: A total of nine studies with 5990 of participants were included. The pooled estimate by the random-effects model was 0.28 (95% CI: 0.19, 0.40) for mothers who received at least one antenatal care visit by a skilled provider as compared to mothers who did not receive any visits. Conclusion: This systematic review and meta-analysis found a statistically significant effect of ANC on maternal near-miss events in Ethiopia. About three fourth of maternal near-miss events will be averted by at least one ANC visit. Hence, in order to accelerate progress towards the reduction of maternal deaths and achieve the sustainable development goals, all pregnant women should receive antenatal care during pregnancy.http://www.sciencedirect.com/science/article/pii/S2214139120301232Antenatal careMaternal near-missEthiopia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ebisa Turi Ginenus Fekadu Bedasa Taye Gemechu Kejela Markos Desalegn Getu Mosisa Worku Etafa Reta Tsegaye Dawit Simegnew Temesgen Tilahun |
spellingShingle |
Ebisa Turi Ginenus Fekadu Bedasa Taye Gemechu Kejela Markos Desalegn Getu Mosisa Worku Etafa Reta Tsegaye Dawit Simegnew Temesgen Tilahun The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis International Journal of Africa Nursing Sciences Antenatal care Maternal near-miss Ethiopia |
author_facet |
Ebisa Turi Ginenus Fekadu Bedasa Taye Gemechu Kejela Markos Desalegn Getu Mosisa Worku Etafa Reta Tsegaye Dawit Simegnew Temesgen Tilahun |
author_sort |
Ebisa Turi |
title |
The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis |
title_short |
The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis |
title_full |
The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis |
title_fullStr |
The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis |
title_full_unstemmed |
The impact of antenatal care on maternal near-miss events in Ethiopia: A systematic review and meta-analysis |
title_sort |
impact of antenatal care on maternal near-miss events in ethiopia: a systematic review and meta-analysis |
publisher |
Elsevier |
series |
International Journal of Africa Nursing Sciences |
issn |
2214-1391 |
publishDate |
2020-01-01 |
description |
Background: Antenatal care (ANC) is one of the renowned reproductive health care, and adequate antenatal care utilization averts adverse feto-maternal outcomes. Many fragmented studies were conducted on the effect of ANC on maternal near-miss events in Ethiopia but no single evidence was present. Hence, the aim of this study was a need to systematically pool existing data to determine the effect of ANC on Maternal Near Miss (MNM) events. Methods: We systematically reviewed and meta-analyzed studies reporting the associations between ANC and maternal near-miss events in Ethiopia through an electronic search from databases including Medline, PubMed, and Web of Science. A random-effects model was used to calculate the pooled estimate with a 95% confidence interval (CI) in STATA 14.1 version. Heterogeneity and publication bias of the included studies were assessed using Cochran's Q, I2, and meta-bias statistics. Results: A total of nine studies with 5990 of participants were included. The pooled estimate by the random-effects model was 0.28 (95% CI: 0.19, 0.40) for mothers who received at least one antenatal care visit by a skilled provider as compared to mothers who did not receive any visits. Conclusion: This systematic review and meta-analysis found a statistically significant effect of ANC on maternal near-miss events in Ethiopia. About three fourth of maternal near-miss events will be averted by at least one ANC visit. Hence, in order to accelerate progress towards the reduction of maternal deaths and achieve the sustainable development goals, all pregnant women should receive antenatal care during pregnancy. |
topic |
Antenatal care Maternal near-miss Ethiopia |
url |
http://www.sciencedirect.com/science/article/pii/S2214139120301232 |
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