Prevalence, indications and fetal outcomes of operative vaginal delivery in Sub-Saharan Africa, systematic review, and meta-analysis

This systematic review and meta-analysis is intended to assess the prevalence, indications, and fetal outcome of operative vaginal delivery in sub-Saharan Africa. In this study, 17 studies with a total population of 190,900 were included in both systematic review and meta-analysis. Search for releva...

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Bibliographic Details
Published in:BMC women's health 2023-03, Vol.23 (1), p.95-9, Article 95
Main Authors: Mebratu, Andualem, Ahmed, Abbas, Zemeskel, Addisu Getnet, Alemu, Asrat, Temesgen, Tesfaye, Molla, Wondwosen, Figa, Zerihun
Format: Article
Language:English
Subjects:
Africa South of the Sahara - epidemiology
Analysis
Apgar score
Birth injuries
Capacity development
Cervix
Childbirth & labor
Delivery, Obstetric
Disease
Distribution
Eclampsia
Episiotomy
Female
Fetal outcomes
Fetuses
Forceps
Heart rate
Heterogeneity
Humans
Hypertension
Indications
Infant
Instrumental delivery
Intensive care
Meta-analysis
Natural childbirth
Obstetrics
Operative vaginal delivery
Patient outcomes
Preeclampsia
Pregnancy
Prenatal Care
Prevalence
Prevalence studies (Epidemiology)
Services
Software
Stillbirth
Systematic review
Vacuum
Vagina
Womens health
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Summary:This systematic review and meta-analysis is intended to assess the prevalence, indications, and fetal outcome of operative vaginal delivery in sub-Saharan Africa. In this study, 17 studies with a total population of 190,900 were included in both systematic review and meta-analysis. Search for relevant articles was done by using international online databases (like Google Scholar, PubMed, HINARI, EMBASE, Web of Science, and African journals) and online repositories of Universities in Africa. The JOANNA Briggs Institute standard data extraction format was used to extract and appraise high-quality articles before being included in this study. The Cochran Q and I statistical tests were used to test the heterogeneity of the studies. The publication bias was tested by a Funnel plot and Egger's test. The overall pooled prevalence, indications, and fetal outcome of operative vaginal delivery along a 95% CI using forest plots and tables. The overall pooled prevalence of operative vaginal delivery in sub-Saharan Africa was 7.98% (95% CI; 5.03-10.65; I2 = 99.9%, P 
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-023-02224-3