Fitiwi Tinsae Baykemagn
Adigrat , EthiopiaTitle: Global Burden of Potentially Life-Threatening Maternal Conditions: A Systematic Review and Meta-Analysis
Abstract
Background:
Severe maternal morbidity is an important proxy indicator of maternal mortality
and the quality of maternal health services. It is helpful to monitor the rates
of severe maternal morbidity to evaluate the quality of maternal care,
particularly in low- and lower-middle-income countries. This study aims to
systematically identify and synthesize available evidence on PLTC
Methods: studies
published in English from 2009‒2023 in PubMed, National Library of Medicine
(NLM) Gateway, POPLINE database, and Science Direct website was searched. The
study team independently reviewed the illegibility criteria of the articles.
Two reviewers independently appraised the included articles using the Joanna
Briggs Instrument for observational studies. Disputes between the reviewers
were resolved by consensus with a third reviewer. Meta-analysis was conducted
in Stata version 16. The pooled proportion of PLTC was calculated using the
random effects model. Heterogeneity test was done using the Cochrane Q test and
its level was determined using I2 statistical result. Using Egger's test, the
publication bias was assessed.
Result:
Thirty-two cross-sectional, five case-control, and seven cohort studies
published from 2009 to 2023 were included in the meta-analysis. The highest
proportion of PLTC was 17.55% (95%CI: 15.51, 19.79) in Ethiopia and the lowest
was 0.83% (95% CI: 0.73, 0.95) in Iraq. The pooled proportion of PLTC was 6.98%
(95% CI: 5.98–7.98). In the subgroup analysis the pooled prevalence was varied
based on country income level: in low-income 13.44% (95% CI: 11.88–15.00) I2=
89.90%, low-middle income 7.42% (95% CI: 5.99-8.86) I2= 99.71%, upper-middle
income 6.35% (95% CI: 4.21-8.50) I2= 99.92%, and in high-income 2.67% (95% CI:
2.34-2.99) I2= 99.57%.
Conclusion: The
pooled prevalence of PLTC is high globally, predominantly in low-income
countries. The large disparity of potentially life-threatening conditions among
different areas needs targeted intervention, particularly for women residing in
low-income countries.
Biography
Fitiwi Tinsae
Baykemagn has completed his MSc at the age of 28, from Mekelle University and
now his is PhD candidate at Mekelle University, Ethiopia. He is the head of Nursing
department of Adigrat University, Ethiopia. He has been serving as an editorial
board member of several reputed journals.
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