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Prevalence and associated factors of maternal near miss in Ethiopia: a Systematic review and meta-analysis.
Last modified: 2020-02-08
Abstract
Abstract
Background: - Maternal mortality in Ethiopia is unacceptably high and one of the highest in the world. Maternal near-miss is defined as a woman who nearly dies, but survives with a complication during pregnancy, childbirth or within 42 days of postpartum. It is a crucial indicator of maternal morbidity and mortality. Findings from few studies were inconsistent and there is a need to systematically pool existing data to determine the magnitude of maternal near-miss and factors contributing to it.
Methods: -We identified articles through electronic databases such as Medline, Hinari, Pub Med, Cochrane library, the Web of Science and Google Scholar. Accordingly, we identified 476 published and one unpublished articles and 11 studies were include in final systematic review and meta analysis. Data were extracted using a standardized data extraction checklist and the analysis was conducted using STATA version 14.The Cochrane Q test statistic and I 2 tests were used to assess heterogeneity.
Results: -The overall magnitude of maternal near-miss in Ethiopia was 12.57 % (95%CI: 10.26–14.88). Sub-group analyses showed the highest prevalence was 30.18 % (95% CI: 27.74, 32.63)) in Amhara region. Maternal near-miss was significantly associated with presence of antenatal care (OR=0.33; 95%, CI: 0.22-0.49), rural residence (OR=2.7; 95%, CI: 1.39-5.26), no education (OR=2.48; 95%, CI: 1.58-3.89) and being non married (OR=1.69; 95%, CI: 1.03-2.78)
Conclusion: -The prevalence of maternal near-miss in Ethiopia is relatively high, although its trend is decreasing from time to time. Socio-demographic factors and healthcare practices contributed to maternal near miss. Appropriate obstetric care for every mother is required to prevent maternal near-miss.
Key words: - maternal near-miss, associated factors, Ethiopia.
Background: - Maternal mortality in Ethiopia is unacceptably high and one of the highest in the world. Maternal near-miss is defined as a woman who nearly dies, but survives with a complication during pregnancy, childbirth or within 42 days of postpartum. It is a crucial indicator of maternal morbidity and mortality. Findings from few studies were inconsistent and there is a need to systematically pool existing data to determine the magnitude of maternal near-miss and factors contributing to it.
Methods: -We identified articles through electronic databases such as Medline, Hinari, Pub Med, Cochrane library, the Web of Science and Google Scholar. Accordingly, we identified 476 published and one unpublished articles and 11 studies were include in final systematic review and meta analysis. Data were extracted using a standardized data extraction checklist and the analysis was conducted using STATA version 14.The Cochrane Q test statistic and I 2 tests were used to assess heterogeneity.
Results: -The overall magnitude of maternal near-miss in Ethiopia was 12.57 % (95%CI: 10.26–14.88). Sub-group analyses showed the highest prevalence was 30.18 % (95% CI: 27.74, 32.63)) in Amhara region. Maternal near-miss was significantly associated with presence of antenatal care (OR=0.33; 95%, CI: 0.22-0.49), rural residence (OR=2.7; 95%, CI: 1.39-5.26), no education (OR=2.48; 95%, CI: 1.58-3.89) and being non married (OR=1.69; 95%, CI: 1.03-2.78)
Conclusion: -The prevalence of maternal near-miss in Ethiopia is relatively high, although its trend is decreasing from time to time. Socio-demographic factors and healthcare practices contributed to maternal near miss. Appropriate obstetric care for every mother is required to prevent maternal near-miss.
Key words: - maternal near-miss, associated factors, Ethiopia.