Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis
Objective This review aims to determine the prevalence of pregnancy termination and its determinant factors in Ethiopia.Design Systematic review and meta-analysis.Data sources Relevant articles were retrieved from databases such as PubMed, EMBASE, Medline and other search engines.Eligibility criteri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/3/e073799.full |
| _version_ | 1797262969599426560 |
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| author | Atitegeb Abera Kidie Henok Kumsa Esuyawkal Kasahun Mislu Mulugeta Wodaje Arage Tilahun Hailu Lebeza Alemu Tenaw |
| author_facet | Atitegeb Abera Kidie Henok Kumsa Esuyawkal Kasahun Mislu Mulugeta Wodaje Arage Tilahun Hailu Lebeza Alemu Tenaw |
| author_sort | Atitegeb Abera Kidie |
| collection | DOAJ |
| description | Objective This review aims to determine the prevalence of pregnancy termination and its determinant factors in Ethiopia.Design Systematic review and meta-analysis.Data sources Relevant articles were retrieved from databases such as PubMed, EMBASE, Medline and other search engines.Eligibility criteria for selecting studies The research design for this study had no restrictions, allowing for the inclusion of cross-sectional and case–control studies that examined the prevalence or determinants of pregnancy termination. However, case reports, case series, reviews, editorials and studies published as abstracts only were excluded from the analysis.Data extraction and synthesis The review was precisely in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria, and the quality of the review was assessed using the Joanna Briggs Institute critical appraisal checklist. Heterogeneity was indicated by the p value for I2 statistics less than 0.05. Data were entered into Microsoft Excel, and the analysis was conducted by using Stata V.16.Results The pooled prevalence of pregnancy termination in Ethiopia was 21.52% (95% CI 15.01% to 28.03%). Women who had their first sexual initiation before the age of 18 (OR 1.78; 95% CI 1.13 to 2.82, p=0.14), had irregular menstrual bleeding (OR 1.86; 95% CI 1.25 to 2.77, p=0.76), being a student (OR 4.85; 95% CI 1.98 to 11.91, p=0.20) and had multiple sexual partners (OR 4.88; 95% CI 3.43 to 6.93, p=0.33) were significantly associated with pregnancy termination.Conclusions One in five women terminated their pregnancies, which is higher than in other sub-Saharan countries. Being a student, irregular menstrual bleeding, early initiation of sexual intercourse and multiple sexual partners were determinants of pregnancy termination. Special attention is needed in avoiding early sexual initiation and in reducing sexual risk behaviours. |
| first_indexed | 2024-04-25T00:05:33Z |
| format | Article |
| id | doaj.art-16953553d62a4512937d4199f8fcb5d7 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-25T00:05:33Z |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-16953553d62a4512937d4199f8fcb5d72024-03-14T05:50:09ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-073799Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysisAtitegeb Abera Kidie0Henok Kumsa1Esuyawkal Kasahun Mislu2Mulugeta Wodaje Arage3Tilahun Hailu4Lebeza Alemu Tenaw5Woldia University, Woldia, Amhara, EthiopiaWoldia University, Woldia, EthiopiaMidwifery, Woldia University, Woldia, EthiopiaMidwifery, Woldia University, Woldia, EthiopiaWoldia University, Woldia, EthiopiaWoldia University, Woldia, EthiopiaObjective This review aims to determine the prevalence of pregnancy termination and its determinant factors in Ethiopia.Design Systematic review and meta-analysis.Data sources Relevant articles were retrieved from databases such as PubMed, EMBASE, Medline and other search engines.Eligibility criteria for selecting studies The research design for this study had no restrictions, allowing for the inclusion of cross-sectional and case–control studies that examined the prevalence or determinants of pregnancy termination. However, case reports, case series, reviews, editorials and studies published as abstracts only were excluded from the analysis.Data extraction and synthesis The review was precisely in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria, and the quality of the review was assessed using the Joanna Briggs Institute critical appraisal checklist. Heterogeneity was indicated by the p value for I2 statistics less than 0.05. Data were entered into Microsoft Excel, and the analysis was conducted by using Stata V.16.Results The pooled prevalence of pregnancy termination in Ethiopia was 21.52% (95% CI 15.01% to 28.03%). Women who had their first sexual initiation before the age of 18 (OR 1.78; 95% CI 1.13 to 2.82, p=0.14), had irregular menstrual bleeding (OR 1.86; 95% CI 1.25 to 2.77, p=0.76), being a student (OR 4.85; 95% CI 1.98 to 11.91, p=0.20) and had multiple sexual partners (OR 4.88; 95% CI 3.43 to 6.93, p=0.33) were significantly associated with pregnancy termination.Conclusions One in five women terminated their pregnancies, which is higher than in other sub-Saharan countries. Being a student, irregular menstrual bleeding, early initiation of sexual intercourse and multiple sexual partners were determinants of pregnancy termination. Special attention is needed in avoiding early sexual initiation and in reducing sexual risk behaviours.https://bmjopen.bmj.com/content/14/3/e073799.full |
| spellingShingle | Atitegeb Abera Kidie Henok Kumsa Esuyawkal Kasahun Mislu Mulugeta Wodaje Arage Tilahun Hailu Lebeza Alemu Tenaw Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis BMJ Open |
| title | Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis |
| title_full | Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis |
| title_short | Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis |
| title_sort | prevalence and determinants of pregnancy termination in ethiopia a systematic review and meta analysis |
| url | https://bmjopen.bmj.com/content/14/3/e073799.full |
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