埃塞俄比亚女性对现有分娩服务的满意度：一项系统评价与荟萃分析。
Women's satisfaction with existing labour and delivery services in Ethiopia: a systematic review and meta-analysis.
作者信息
Demis Asmamaw, Getie Addisu, Wondmieneh Adam, Bimerew Melaku, Alemnew Birhan, Gedefaw Getnet
机构信息
Nursing, Woldia University, Woldia, Ethiopia.
Medical Laboratory Sciences, Woldia University, Woldia, Ethiopia.
出版信息
BMJ Open. 2020 Jul 23;10(7):e036552. doi: 10.1136/bmjopen-2019-036552.
OBJECTIVE
To estimate the pooled prevalence of women's satisfaction with existing labour and delivery services in Ethiopia.
DESIGN
Systematic review and meta-analysis.
METHODS
MEDLINE/PubMed, Scopus, Hinari, Google Scholar and web of science electronic databases were searched for the study. This meta-analysis included nineteen cross-sectional studies. Cochrane I statistics were used to check the heterogeneity of the studies. Subgroup and sensitivity analysis were conducted with the evidence of heterogeneity. Egger test with funnel plot were used to investigate publication bias.
RESULT
Nineteen studies were included in the systematic review and meta-analysis. The overall prevalence of women's satisfaction with existing labour and delivery services in Ethiopia was 70.54% (95% CI 60.94 to 80.15). Having informal education of the women (adjusted OR (AOR)=2.19; 95% CI 1.47 to 3.25), time to be seen by the healthcare providers within 20 min (AOR=2.97; 95% CI 2.11 to 4.19), receiving free service (AOR=5.01; 95% CI 2.87 to 8.75), keeping women privacy (AOR=2.84; 95% CI 1.46 to 5.55), planned delivery in the health institution (AOR=2.85; 95% CI 1.99 to 4.07), duration of labour within 12 hours (AOR=2.55; 95% CI 1.70 to 3.81) and have not antenatal care follow-up (AOR=4.03; 95% CI 2.21 to 7.35) were factors associated with women satisfaction with labour and delivery services in Ethiopia.
CONCLUSION
The pooled prevalence of women's satisfaction with existing labour and delivery services was high. Informal education of the women, antenatal care follow-up, planned delivery in the health institution, keeping women privacy, getting free service, time to be seen by the healthcare providers and duration of labour were factors associated with women's satisfaction during labour and delivery services. This finding is important to design strategic policies and to prevent emergency neonatal and women complications during the childbirth and postpartum periods.
PROSPERO REGISTRATION NUMBER
CRD42020149217.
目的
评估埃塞俄比亚妇女对现有分娩服务满意度的合并患病率。
设计
系统评价与荟萃分析。
方法
检索MEDLINE/PubMed、Scopus、Hinari、谷歌学术和科学网电子数据库以查找相关研究。该荟萃分析纳入了19项横断面研究。采用Cochrane I统计量检查研究的异质性。根据异质性证据进行亚组分析和敏感性分析。使用带漏斗图的Egger检验来调查发表偏倚。
结果
19项研究纳入了系统评价和荟萃分析。埃塞俄比亚妇女对现有分娩服务的总体满意度患病率为70.54%（95%置信区间60.94至80.15）。妇女接受过非正规教育（调整后的比值比（AOR）=2.19；95%置信区间1.47至3.25）、在20分钟内见到医护人员（AOR=2.97；95%置信区间2.11至4.19）、接受免费服务（AOR=5.01；95%置信区间2.87至8.75）、保护妇女隐私（AOR=2.84；95%置信区间1.46至5.55）、在医疗机构计划分娩（AOR=2.85；95%置信区间1.99至4.07）、分娩时长在12小时内（AOR=2.55；95%置信区间1.70至3.81）以及未进行产前检查随访（AOR=4.03；95%置信区间2.21至7.35）是与埃塞俄比亚妇女对分娩服务满意度相关的因素。
结论
妇女对现有分娩服务满意度的合并患病率较高。妇女的非正规教育、产前检查随访、在医疗机构计划分娩、保护妇女隐私、获得免费服务、见到医护人员的时间以及分娩时长是与分娩服务期间妇女满意度相关的因素。这一发现对于制定战略政策以及预防分娩和产后期间的新生儿急症和妇女并发症具有重要意义。
国际前瞻性系统评价注册编号
CRD42020149217。
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