Bekele Bayu Begashaw, Dadi Tegene Legese, Tesfaye Thomas
Department of Public Health, College of Health Sciences, Mizan Tepi University, Mizan Aman Street, 260, Mizan Aman, Ethiopia.
Arba Minch College of Health Sciences, Arba Minch, Ethiopia.
BMC Res Notes. 2019 Jan 14;12(1):13. doi: 10.1186/s13104-019-4056-z.
A proper uptake of maternity waiting homes (MWHs) is important to improve maternal and child health (MCH). The aim of this review is to generate the best existing evidences concerning the MWHs utilization and its impact on perinatal mortality (PNM) among pregnant mothers in Africa. Both relevant quantitative and qualitative studies, investigated and reported from databases were explored. Meta-analysis of the studies was displayed by tables and forest plots. The Stata version 14 was used with the fixed effect model and 95% confidence interval.
In this review, a total of 68,805 births were recorded in this review. About 1.6% and 7.2% PNM occurred among non-exposed and exposed mothers respectively. Fifty percent of the studies showed there is a significant association between MWHs use and PNM. Meta-analysis revealed that utilizing MWHs have a significant effect in a reducing PNM by 82.5% (80.4%-84.5%), I = 96.5%. Therefore, use of MWHs has a potential to reduce PNM among pregnant mothers. The review revealed that MWHs relevance to achieving sustainable development goals (SDGs) concerning reducing newborn mortality. Therefore, the utilization rate of MWHs must be enhanced to achieve SDGs.
适当利用产妇候产之家（MWHs）对于改善母婴健康（MCH）至关重要。本综述的目的是生成有关非洲孕妇对MWHs的利用情况及其对围产期死亡率（PNM）影响的现有最佳证据。对数据库中调查和报告的相关定量和定性研究进行了探索。研究的荟萃分析通过表格和森林图展示。使用Stata 14版本，采用固定效应模型和95%置信区间。
在本综述中，共记录了68805例分娩。未暴露和暴露母亲的PNM发生率分别约为1.6%和7.2%。50%的研究表明，使用MWHs与PNM之间存在显著关联。荟萃分析显示，利用MWHs对降低PNM有显著效果，降低幅度为82.5%（80.4%-84.5%），I=96.5%。因此，使用MWHs有可能降低孕妇的PNM。该综述表明，MWHs与实现关于降低新生儿死亡率的可持续发展目标（SDGs）相关。因此，必须提高MWHs的利用率以实现可持续发展目标。
