Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Afr Health Sci. 2021 Sep;21(3):1321-1333. doi: 10.4314/ahs.v21i3.43.
Preterm birth is a public health concern globally. In low- and middle-income countries, like Ethiopia, preterm birth is under reported and underestimated. Therefore, this systematic review and meta-analysis assessed the pooled prevalence and associated risk factors for preterm birth in Ethiopia.
In this review the databases used were PubMed, Google scholar, EMBASE, HINARI and African journal online. Publication bias was checked using a funnel plot and Eggers test.
A total of 30 studies were included in this systematic review and meta-analysis. The overall pooled prevalence of preterm birth in Ethiopia was 11.4% (95% CI; 9.04, 13.76). On pooled analysis, preterm birth was associated with pregnancy-induced hypertension being HIV-positive, premature rupture of membrane, rural residence, the mother having a history of abortion, multiple pregnancies, and anemia during pregnancy.
The national prevalence of preterm birth in Ethiopia was low. Early identifying those pregnant women who are at risk of the above determinants and proving quality healthcare and counsel them how to prevent preterm births, which decrease the rate of preterm birth and its consequences. So, both governmental and non-governmental health sectors work on the minimization of these risk factors.
早产是全球公共卫生关注的问题。在埃塞俄比亚等低收入和中等收入国家，早产的报告和估计不足。因此，本系统评价和荟萃分析评估了埃塞俄比亚早产的汇总患病率和相关危险因素。
在本次综述中，使用的数据库包括 PubMed、Google Scholar、EMBASE、HINARI 和 African Journal Online。使用漏斗图和 Eggers 检验检查发表偏倚。
共有 30 项研究纳入本系统评价和荟萃分析。埃塞俄比亚早产的总体汇总患病率为 11.4%（95%CI；9.04，13.76）。荟萃分析显示，早产与妊娠高血压、HIV 阳性、胎膜早破、农村居住、有流产史、多胎妊娠和孕期贫血有关。
埃塞俄比亚早产的全国患病率较低。早期识别有上述决定因素风险的孕妇，并提供优质的医疗保健和咨询，以预防早产，可以降低早产率及其后果。因此，政府和非政府卫生部门都致力于最大限度地减少这些危险因素。
