Predictors of Birth Preparedness and Complication Readiness Practices Among Pregnant Women in Ethiopia, a Systematic Review and Meta-Analysis

• Published in: International journal of public health 2024-09, Vol.69, p.1607296
• Main Authors: Alamrew, Abebaw, Ayele, Mulat, Shitie Lake, Eyob, Mulugeta, Chalie, Kumie, Getinet, Birara Zemariam, Alemu
• Format: Article
• Language: English
• Subjects: birth preparedness; complication readiness; Ethiopia; Female; Health Knowledge, Attitudes, Practice; Humans; knowledge of danger signs; Patient Acceptance of Health Care - psychology; Patient Acceptance of Health Care - statistics & numerical data; Pregnancy; Pregnancy Complications - psychology; Pregnant Women - psychology; Prenatal Care; Public Health Archive
• ISSN: 1661-8564; 1661-8556; 1661-8564
• DOI: 10.3389/ijph.2024.1607296

We conducted this review to identify factors associated with birth preparedness and complication readiness (BPCR) among pregnant women in Ethiopia. BPCR is a comprehensive approach that helps address delays in seeking care for obstetric problems. PRISMA was followed and different databases were used to find studies. Adjusted Odds Ratio (AOR) with a 95% Confidence Interval was used to identify factors. The I statistic, funnel plot, and Egger test were used to assess the heterogeneity of studies and publication bias. Knowledge of BPCR, danger signs during pregnancy, labor, and postpartum (AOR = 1.99, 95% CI: 1.51, 2.64, AOR = 1.55; 95% CI: 1.35, 1.80; AOR = 1.45; 95% CI: 1.27, 1.63, and AOR = 1.4; 95% CI: 1.21, 1.63), respectively, residency (AOR = 1.49; 95% CI: 1.32, 1.68), antenatal care visit (AOR = 1.59; 95% CI: 1.43, 1.78), history of stillbirth (AOR = 1.58; 95% CI: 1.36, 1.86), and educational status (AOR = 1.62: 95% CI: 1.45, 1.78) were significantly associated with BPCR practice. This study identified some modifiable factors in the practice of BPCR. Integrating counseling and expanding ANC services in health facilities may improve BPCR practice.