Labor pain management practices and associated factors in Ethiopia: A systematic review and meta-analysis.
Ethiopia
labor pain
meta-analysis
obstetric analgesia
pain management
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
27 Nov 2023
27 Nov 2023
Historique:
revised:
03
11
2023
received:
20
07
2023
accepted:
11
11
2023
medline:
27
11
2023
pubmed:
27
11
2023
entrez:
27
11
2023
Statut:
aheadofprint
Résumé
The pain that women experience during labor and childbirth is the central feature of parturition in humans. Despite improvement in the development of standards for pain assessment and treatment, labor pain is mostly ignored especially in low- and middle-income countries resulting in unmeasured suffering from childbirth for mothers. We aimed to provide a comprehensive estimation of the pooled magnitude and associated factors of labor pain management practices in Ethiopian public health facilities. A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement. Electronic databases including Google Scholar, Web of Science, Excerpta Medica Database (EMBASE), PubMed/MEDLINE, and Scopus were searched from database inception to June 30, 2023. The inclusion criteria were established prior to article review and follows the population, intervention, comparison and outcome criterions. We evaluated publication bias by means of funnel plots and Egger's test. Heterogeneity between studies was assessed using I Our search terms yielded 17 studies with 5735 participants. The pooled prevalence of labor pain management practices in Ethiopia was 45.73% (95% CI: 39.13, 52.32; I We concluded that the routine practices of labor pain management by obstetric health providers in Ethiopia are still low. Therefore, it remains important to call for holistic and inclusive interventions targeting maternity health providers and hospital officials to update their long-standing practices. Registered in PROSPERO under protocol number CRD42023429140.
Sections du résumé
BACKGROUND
BACKGROUND
The pain that women experience during labor and childbirth is the central feature of parturition in humans. Despite improvement in the development of standards for pain assessment and treatment, labor pain is mostly ignored especially in low- and middle-income countries resulting in unmeasured suffering from childbirth for mothers.
OBJECTIVES
OBJECTIVE
We aimed to provide a comprehensive estimation of the pooled magnitude and associated factors of labor pain management practices in Ethiopian public health facilities.
SEARCH STRATEGY
METHODS
A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement. Electronic databases including Google Scholar, Web of Science, Excerpta Medica Database (EMBASE), PubMed/MEDLINE, and Scopus were searched from database inception to June 30, 2023.
SELECTION CRITERIA
METHODS
The inclusion criteria were established prior to article review and follows the population, intervention, comparison and outcome criterions.
DATA COLLECTION AND ANALYSIS
METHODS
We evaluated publication bias by means of funnel plots and Egger's test. Heterogeneity between studies was assessed using I
MAIN RESULTS
RESULTS
Our search terms yielded 17 studies with 5735 participants. The pooled prevalence of labor pain management practices in Ethiopia was 45.73% (95% CI: 39.13, 52.32; I
CONCLUSION
CONCLUSIONS
We concluded that the routine practices of labor pain management by obstetric health providers in Ethiopia are still low. Therefore, it remains important to call for holistic and inclusive interventions targeting maternity health providers and hospital officials to update their long-standing practices.
REGISTRATION
BACKGROUND
Registered in PROSPERO under protocol number CRD42023429140.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 International Federation of Gynecology and Obstetrics.
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