Dadi Tegene Legese, Bekele Bayu Begashaw, Kasaye Habtamu Kebebe, Nigussie Tadesse
Department of public health, Collage of Health Science, Mizan-Tepi University, Tepi, Ethiopia.
, Mizan Teferi, Ethiopia.
BMC Health Serv Res. 2018 Oct 1;18(1):748. doi: 10.1186/s12913-018-3559-y.
Every family expect to have a healthy mother and new born baby after pregnancy. Especially for parents, pregnancy is a time of great anticipation. Access to maternal and child health care insures safer pregnancy and its outcome. MWHs is one the strategy. The objective was to synthesize the best available evidence on effectiveness of maternity waiting homes on the reduction of maternal mortality and stillbirth in developing countries.
Before conducting this review non-occurrences of the same review is verified. To avoid introduction of bias because of errors, two independent reviewers appraised each article. Maternal death and stillbirth were the primary outcomes. Review Manager 5 were used to produce a random-effect meta-analysis. Grade Pro software were used to produce risk of bias summary and summary of findings.
In developing countries, maternity waiting homes users were 80% less likely to die than non-users (OR = 0. 20, 95% CI [0.08, 0.49]) and there was 73% less occurrence of stillbirth among users (OR = 0.27, 95% CI [0.09, 0.82]). In Ethiopia, there was a 91% reduction of maternal death among maternity waiting homes users unlike non-users (OR = 0.09, 95% CI [0.04, 0.19]) and it contributes to the reduction of 83% stillbirth unlike non-users (OR = 0.17, 95% CI [0.05, 0.58]).
Maternity waiting home contributes more than 80% to the reduction of maternal death among users in developing countries and Ethiopia. Its contribution for reduction of stillbirth is good. More than 70% of stillbirth is reduced among the users of maternity waiting homes. In Ethiopia maternity waiting homes contributes to the reduction of more than two third of stillbirths.
每个家庭都期望孕期后能有一位健康的母亲和新生儿。尤其是对于父母来说，怀孕是一个充满期待的时期。获得母婴保健服务可确保孕期及分娩结果更安全。产妇候产之家是其中一项策略。目的是综合关于发展中国家产妇候产之家在降低孕产妇死亡率和死产率方面有效性的最佳现有证据。
在进行本综述之前，先核实是否有相同综述的未发表情况。为避免因错误引入偏倚，由两位独立的评审员对每篇文章进行评估。孕产妇死亡和死产是主要结局。使用Review Manager 5进行随机效应荟萃分析。使用Grade Pro软件生成偏倚风险总结和结果总结。
在发展中国家，产妇候产之家的使用者死亡可能性比非使用者低80%（比值比=0.20，95%置信区间[0.08, 0.49]），使用者中死产发生率低73%（比值比=0.27，95%置信区间[0.09, 0.82]）。在埃塞俄比亚，产妇候产之家的使用者孕产妇死亡比非使用者减少了91%（比值比=0.09，95%置信区间[0.04, 0.19]），与非使用者相比，死产减少了83%（比值比=0.17，95%置信区间[0.05, 0.58]）。
产妇候产之家对发展中国家和埃塞俄比亚使用者中孕产妇死亡减少的贡献率超过80%。其对减少死产的贡献良好。产妇候产之家的使用者中死产减少了70%以上。在埃塞俄比亚，产妇候产之家有助于减少超过三分之二的死产。
