Faculty of Heath Sciences, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Curtin School of Population Health, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
Matern Child Health J. 2022 Sep;26(9):1800-1810. doi: 10.1007/s10995-021-03286-1. Epub 2022 Jan 3.
Evidence indicates that a significant proportion of women drink alcohol during pregnancy. Studies have also suggested that prenatal alcohol consumption was associated with a wide range of adverse outcomes. To the best of our knowledge, this is the first systematic review and meta-analysis aimed to systematically summarize the available evidence on the epidemiology of alcohol consumption among pregnant women in Ethiopia and suggest evidence based recommendations for future clinical practice.
This systematic review and meta-analysis was followed the PRISMA guidelines. PubMed, SCOPUS and EMBASE databases were searched to identify relevant articles that assessed alcohol consumption among pregnant women in Ethiopia. The Comprehensive Meta-Analysis software version 3.0 was used to conduct a meta-analysis using the random-effect model. Cochran's Q- and I-tests were used to assess the heterogeneity of the included studies.
A total of 6361 pregnant women from fifteen primary studies were included in the final analysis. The pooled prevalence estimate of alcohol consumption among pregnant women in Ethiopia was found to be 14.1%. The pooled prevalence of alcohol consumption among pregnant women in Ethiopia was reported to be lower in the studies that used the standardized alcohol consumption assessment tools (9.4%) when compared to the studies that did not use standardized tools (17%). The pooled prevalence of alcohol consumption among pregnant women ranged between 12.8% and 15.5% in leave-one-out sensitivity analysis.
A considerable number of women in Ethiopia consume alcohol during pregnancy. Therefore, early identification and intervention strategies are highly recommended.
有证据表明，相当一部分孕妇在怀孕期间饮酒。研究还表明，产前饮酒与广泛的不良后果有关。据我们所知，这是第一项旨在系统总结埃塞俄比亚孕妇饮酒流行病学的系统评价和荟萃分析，并为未来的临床实践提供基于证据的建议。
本系统评价和荟萃分析遵循 PRISMA 指南。使用 PubMed、SCOPUS 和 EMBASE 数据库搜索评估埃塞俄比亚孕妇饮酒情况的相关文章。使用 Comprehensive Meta-Analysis 软件版本 3.0 使用随机效应模型进行荟萃分析。使用 Cochran's Q-和 I-检验评估纳入研究的异质性。
最终分析共纳入了来自 15 项初级研究的 6361 名孕妇。埃塞俄比亚孕妇饮酒的 pooled 患病率估计为 14.1%。与未使用标准化工具的研究相比，使用标准化酒精摄入评估工具的研究报告的 pooled 患病率（9.4%）更低（17%）。在逐个剔除敏感性分析中，孕妇饮酒 pooled 患病率在 12.8%至 15.5%之间。
埃塞俄比亚相当多的女性在怀孕期间饮酒。因此，强烈建议早期识别和干预策略。
