埃塞俄比亚女性对分娩的恐惧及其预测因素：一项系统综述和荟萃分析。
Ethiopian women's tokophobia of childbirth and its predictors: a systematic review and meta-analysis.
作者信息
Assimamaw Nega Tezera, Gonete Almaz Tefera, Angaw Dessie Abebaw, Techane Masresha Asmare, Kelkay Mengistu Mekonnen, Terefe Bewuketu
机构信息
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Front Glob Womens Health. 2024 Aug 2;5:1334103. doi: 10.3389/fgwh.2024.1334103. eCollection 2024.
BACKGROUND
Fear of childbirth is recognized as a growing problem in developing countries, including Ethiopia. The impact of this fear on women's reproductive choices and decisions is significant. Therefore, the systematic review and meta-analysis will help to consolidate the existing research on childbirth-related fear in Ethiopia. Synthesizing the findings and providing a pooled prevalence estimate, can contribute to a better understanding of the scale of the problem in the country.
OBJECTIVE
This systematic review and meta-analysis assessed the pooled prevalence of childbirth-related fear and its associated factors among pregnant mothers in Ethiopia.
METHODS
PubMed, Google Scholar, and African Journals Online were searched for included articles. A weighted inverse-variance random-effects model was used to estimate the prevalence of childbirth-related fear. Variations in the pooled estimates of the prevalence were adjusted through subgroup analysis according to the specific region where the study was conducted. Funnel plot and Egger's regression test were used to check for publication bias. STATA version 14 statistical software was used for meta-analysis.
RESULTS
A total of 2,015 pregnant mothers were included. The combined prevalence of fear of childbirth among pregnant mothers was found to be 21% (95% CI: 19-22; = 0.00%, value < 0.001). Based on the subgroup analysis, the prevalence of fear of childbirth among pregnant mothers was 24% in SNNPRs, 25% in Oromia, and 11% in Addis Ababa.
CONCLUSION
The findings of the meta-analysis indicating a high prevalence of fear of childbirth among pregnant mothers in Ethiopia and identifying associated risk factors highlight the importance of addressing this issue within the healthcare system. Integrating prevention-based services for mothers with childbirth fears into the antenatal care model could be a valuable approach to support women and mitigate the impact of fear on their reproductive experiences.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/#myprospero, identifier [CRD42023411103].
背景
分娩恐惧在包括埃塞俄比亚在内的发展中国家被认为是一个日益严重的问题。这种恐惧对女性生殖选择和决策的影响重大。因此，系统评价和荟萃分析将有助于整合埃塞俄比亚现有关于分娩相关恐惧的研究。综合研究结果并提供合并患病率估计值，有助于更好地了解该国该问题的规模。
目的
本系统评价和荟萃分析评估了埃塞俄比亚孕妇中分娩相关恐惧的合并患病率及其相关因素。
方法
在PubMed、谷歌学术和非洲期刊在线数据库中检索纳入的文章。采用加权逆方差随机效应模型估计分娩相关恐惧的患病率。根据研究开展的具体地区，通过亚组分析调整患病率合并估计值的差异。采用漏斗图和Egger回归检验检查发表偏倚。使用STATA 14统计软件进行荟萃分析。
结果
共纳入2015名孕妇。发现孕妇中分娩恐惧的合并患病率为21%（95%CI：19 - 22；I² = 0.00%，P值<0.001）。根据亚组分析，在南方各族州孕妇中分娩恐惧的患病率为24%，在奥罗米亚为25%，在亚的斯亚贝巴为11%。
结论
荟萃分析结果表明埃塞俄比亚孕妇中分娩恐惧患病率较高，并确定了相关危险因素，凸显了在医疗保健系统中解决这一问题的重要性。将针对有分娩恐惧的母亲的预防服务纳入产前护理模式可能是支持女性并减轻恐惧对其生殖体验影响的一种有价值的方法。
系统评价注册
https://www.crd.york.ac.uk/prospero/#myprospero，标识符[CRD42023411103]
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