School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, School of Medicine and Public Health, the University of Newcastle, Newcastle, Australia.
Syst Rev. 2019 Feb 25;8(1):63. doi: 10.1186/s13643-019-0979-7.
According to the 2015 World Health Organization report, globally, an estimated 10.7 million mothers died from 1990 to 2015 due to obstetric complications. This report showed that almost all global maternal deaths (99%) occurred in developing countries and two thirds of these deaths took place in sub-Saharan Africa where the majority of women lack knowledge about obstetric danger signs. In Ethiopia, in several research reports, it has been indicated that women have poor knowledge about obstetric danger signs. Although several studies have been conducted to assess women's knowledge of obstetric danger signs, to date, no systematic review has been conducted in Ethiopia. Therefore, this review is aimed at synthesising the existing literature about women's knowledge of obstetric danger signs.
We systematically searched for articles from MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, Web of Science, Scopus, Google Scholar and Maternity and Infant Care databases. A combination of search terms including 'knowledge' or 'awareness' or 'information' and 'pregnancy danger signs' or 'obstetric danger signs' or 'obstetric warning signs' and 'Ethiopia' was used to locate appropriate articles. Two reviewers conducted article screening and data abstraction independently. Observational studies published in English and conducted in Ethiopia to date were assessed for quality using the adapted Newcastle Ottawa Scale for cross-sectional studies. The PRISMA checklist was used to present the findings of this systematic review.
From the 215 articles initially screened by abstracts and titles, 12 studies fulfilled the inclusion criteria. All the studies reported women's knowledge of obstetric danger signs during pregnancy, ten articles reported on the level of knowledge during delivery and eight studies reported on the level of knowledge of danger signs during the postpartum period. The pooled random effect meta-analysis level of women's knowledge about obstetric danger signs during pregnancy, delivery and postpartum was 48%, 43% and 32%, respectively. Maternal age, education, income, health service use, distance from facility and women's autonomy were reported in several studies as determinants of women's knowledge of obstetric danger signs.
Women's knowledge about obstetric danger signs in Ethiopia was very poor, which could hamper access to obstetric care when women encounter obstetric complications. Counselling services during antenatal care and community-based health information dissemination about obstetric danger signs should be strengthened.
PROSPERO CRD42017077000.
根据 2015 年世界卫生组织的报告，全球范围内，估计有 1070 万母亲死于 1990 年至 2015 年的产科并发症。该报告显示，几乎所有全球产妇死亡（99%）发生在发展中国家，其中三分之二发生在撒哈拉以南非洲，那里大多数妇女缺乏对产科危险信号的了解。在埃塞俄比亚，在几项研究报告中指出，妇女对产科危险信号的了解很差。尽管已经进行了几项研究来评估妇女对产科危险信号的了解，但迄今为止，在埃塞俄比亚还没有进行系统的审查。因此，本综述旨在综合现有文献，了解妇女对产科危险信号的了解。
我们系统地从 MEDLINE、 Cumulative Index to Nursing and Allied Health Literature、Embase、Web of Science、Scopus、Google Scholar 和 Maternity and Infant Care 数据库中搜索文章。使用了包括“知识”或“意识”或“信息”和“妊娠危险信号”或“产科危险信号”或“产科警告信号”和“埃塞俄比亚”的组合搜索词来定位合适的文章。两名审查员独立进行文章筛选和数据提取。使用改编的纽卡斯尔-渥太华量表对横断面研究进行质量评估，评估迄今为止以英文发表并在埃塞俄比亚进行的观察性研究。使用 PRISMA 清单呈现系统评价的结果。
从最初通过摘要和标题筛选的 215 篇文章中，有 12 篇研究符合纳入标准。所有研究都报告了妇女在怀孕期间对产科危险信号的了解，其中 10 篇文章报告了分娩期间的知识水平，8 篇文章报告了产后期间危险信号的知识水平。对妊娠、分娩和产后期间妇女对产科危险信号的知识的汇总随机效应荟萃分析水平分别为 48%、43%和 32%。几项研究报告了产妇年龄、教育、收入、卫生服务利用、距离设施和妇女自主权等因素是妇女对产科危险信号知识的决定因素。
埃塞俄比亚妇女对产科危险信号的了解非常差，这可能会阻碍妇女在遇到产科并发症时获得产科护理。应加强产前保健期间的咨询服务，并在社区开展关于产科危险信号的健康信息传播。
PROSPERO CRD42017077000。
Zotero 插件