Abstract:ObjectiveWeight at birth is a good indicator of the newborn’s chances for survival, growth, long-term health and psychosocial development. Therefore, the aimed of this study is to assess the prevalence and associated factors of low birth weight in Axum town, Tigray, North Ethiopia.ResultThe magnitude of low birth weight was 8.8%. Height of mother adjusted odds ratio (AOR) 4.607 (CI 1.34–15.8), gestational age AOR 4.7 (CI 1.08–20.44), anti-natal care (ANC) visit AOR 0.076 (CI 0.009–0.645), anemia during pregnan… Show more
“…In the final review, articles were published from 10 countries among 46 countries were included. Of these studies, eleven studies were found from Ethiopia [13,19,[30][31][32][33][34][35][36][37][38], nine articles were from South Africa [20,22,[39][40][41][42][43][44][45][46], five articles were from Nigeria [18,[47][48][49][50], two studies were from Ghana [51,52], one article was from Kenya [53], three articles were from Tanzania [54][55][56], two studies were from Uganda [21,57] one study was from Burkina Faso [58], and one article was from Zambia [59]. Regarding the study designs, twenty-five (83%) of them were cross-sectional, three studies (3.5%) were cohort and three articles (3.5%) were case-control.…”
Background: Alcohol consumption during pregnancy represents a significant public health concern. It has several adverse health effects for both the mother and the developing fetus. This study aimed to estimate the pooled prevalence and the effect size of associated factors of alcohol consumption during pregnancy in Sub-Saharan Africa countries.
“…In the final review, articles were published from 10 countries among 46 countries were included. Of these studies, eleven studies were found from Ethiopia [13,19,[30][31][32][33][34][35][36][37][38], nine articles were from South Africa [20,22,[39][40][41][42][43][44][45][46], five articles were from Nigeria [18,[47][48][49][50], two studies were from Ghana [51,52], one article was from Kenya [53], three articles were from Tanzania [54][55][56], two studies were from Uganda [21,57] one study was from Burkina Faso [58], and one article was from Zambia [59]. Regarding the study designs, twenty-five (83%) of them were cross-sectional, three studies (3.5%) were cohort and three articles (3.5%) were case-control.…”
Background: Alcohol consumption during pregnancy represents a significant public health concern. It has several adverse health effects for both the mother and the developing fetus. This study aimed to estimate the pooled prevalence and the effect size of associated factors of alcohol consumption during pregnancy in Sub-Saharan Africa countries.
“…Only one study [ 16 ] was excluded for its poor quality by critical appraisal. Finally, 22 studies [ 17 , 19 , 23 – 42 ] were included in this review. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…The results of the review were reported according to the PRISMA guideline [16]. From the PRISMA flow chart [17], the four phases drawn were reported to show the overall process of study selection. The review protocol for this study has been registered in international prospective register of systematic reviews (PROSPERO) (CRD42017064585).…”
Section: Development Of the Review Methodsmentioning
confidence: 99%
“…Only one study [16] was excluded for its poor quality by critical appraisal. Finally, 22 studies [17,19,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] were included in this review.…”
Background
Globally, complications of preterm birth are among the most common cause of neonatal mortality. In Ethiopia, the neonatal mortality reduction is not worthy of attention. Hence, this study reviewed the prevalence of preterm birth and factors associated with preterm birth in Ethiopia.
Methods
The review protocol of this study has been registered in PROSPERO (CRD42017077356). The PRISMA guideline was followed for this review. Studies that assessed the prevalence and/or associated factors of preterm birth in Ethiopia and published from Jan 01, 2009 to Dec 31, 2019 were considered. Studies were searched from the PubMed and Science Direct among medical electronic databases and Google Scholar. Random-effects model was used for detected heterogeneity among studies. Publication bias and sensitivity analysis were assessed. Pooled estimates with its 95% confidence interval were reported using forest plots. The quality of evidence from the review was assessed using GRADE approach.
Results
Twenty-two studies involving a total of 12,279 participants were included. The overall pooled prevalence of preterm birth in Ethiopia was 10.48% (95% CI: 7.98–12.99). Pooled odds ratio showed rural residence (AOR = 2.34, 95% CI: 1.35–4.05), being anemic (AOR = 2.59, 95% CI: 1.85–3.64), < 4 antenatal care visits (AOR = 2.34, 95%CI: 1.73–3.33), pregnancy induced hypertension (AOR = 3.49, 95% CI: 2.45–4.97), prelabor rapture of membrane (AOR = 4.42, 95% CI: 2.28–8.57), antepartum hemorrhage (AOR = 5.02, 95% CI: 2.90–8.68), multiple pregnancies (AOR = 3.89, 95% CI: 2.52–5.99), past adverse birth outcomes (AOR = 3.24, 95% CI: 2.53–4.15) and chronic illness (AOR = 4.89, 95%CI: 3.12–7.66) were associated with increased likelihood of preterm birth. Further, support during pregnancy was associated with reduced occurrence of preterm birth.
Conclusion
The pooled national level prevalence of preterm birth in Ethiopia is high. Socio demographic, nutritional, health care, obstetric and gynecologic, chronic illness and medical conditions, behavioral and lifestyle factors are the major associated factors of preterm birth in Ethiopia. This evidence is graded as low grade. Thus, efforts should be intensified to address reported risk factors to relieve the burden of preterm birth in the study setting, Ethiopia.
“…Of them the mostly reported predictors are previous pregnancy obstetric complication, prior alcohol use, maternal mental health problem, partner alcohol use, making local brews, unplanned pregnancy and mothers educational level were frequently reported (7,10,12,15,16,(19)(20)(21)(22)(23). Local and standard Alcoholic beverages are rampant in East Africa and individuals drink them irrespective of gender and pregnancy status (2,(24)(25)(26)(27)(28).…”
Introduction: maternal alcohol beverages consumption (any amount) during pregnancy can result in multiple major health and social problems both for the mother and fetus; including miscarriage, stillbirth, low birth weight, and prematurity. At the regional and national level, alcohol use prevalence data is a use full indicator for maternal and child health.Methods: the researchers were searched for studies using a computerized search engine, main electronic databases, and other applicable sources. Observational studies (case-control, crosssectional and cohort) which assess the prevalence of alcohol use and associated factors among pregnant mothers in East Africa were eligible. Data was extracted thoroughly by two authors independently and screened for eligibility. The Pooled prevalence of alcohol use during pregnancy and its association with partner alcohol use was determined by using Epi data version 14 statistical software.Results: the study included eighteen studies with the total sample size of 41,022 andThe overall pooled prevalence of alcohol use during pregnancy from the random effects method was found to be 18.85% (95% CI; 11.26, 26.44). The overall weighted odds ration revealed that pregnant women partners' alcohol use did not have a significant association with study subjects alcohol use during pregnancy; i.e. OR=0.32 (95% CI: -0.39, 1.03).
Conclusions:The overall alcohol use (any amount) during pregnancy is higher in magnitude and pregnant mothers who had alcohol user partner had no association with their use of alcohol beverages. The prevalence of alcohol use during pregnancy may be underestimated in the current study due to social desirability bias. Since related study articles were found only in four East African countries, the region may be under-represented due to the limited number of studies included.
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