Evidence map›Paper›PMID 31041453›Full record

SynthesisInternational journal of public health2019

Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis.

Md Nuruzzaman Khan, Melissa L Harris, Desalegn Markos Shifti, Alexander Suuk Laar, Deborah Loxton

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  13. Pregnancy Intentions and Maternal Health Behaviours: Observational Study in 18 African Countries.BJOG : an international journal of obstetrics and gynaecology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Md Nuruzzaman KhanPriority Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, Hunter Medical Research Institute, University of Newcastle, West Wing, Level 4, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia. mdnuruzzaman.khan@uon.edu.au.ORCID http://orcid.org/0000-0002-4550-4363
Melissa L HarrisPriority Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, Hunter Medical Research Institute, University of Newcastle, West Wing, Level 4, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
Desalegn Markos ShiftiPriority Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, Hunter Medical Research Institute, University of Newcastle, West Wing, Level 4, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
Alexander Suuk LaarPriority Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, Hunter Medical Research Institute, University of Newcastle, West Wing, Level 4, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
Deborah LoxtonPriority Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, Hunter Medical Research Institute, University of Newcastle, West Wing, Level 4, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the association between unintended pregnancy and maternal healthcare services utilization in low- and lower-middle-income countries.

methodsA systematic literature search of Medline, Cinahl, Embase, PsycINFO, Cochrane Library, Popline, Maternity and Infant Care, and Scopus databases published since the beginning of the Millennium Development Goals (i.e. January 2000) to June 2018 was performed. We estimated the pooled odds ratios using random effect models and performed subgroup analysis by participants and study characteristics.

resultsA total of 38 studies were included in the meta-analysis. Our study found the occurrence of unintended pregnancy was associated with a 25-39% reduction in the use of antenatal, delivery, and postnatal healthcare services. Stratified analysis found the differences of healthcare services utilization across types of pregnancy unintendedness (e.g. mistimed, unwanted).

conclusionsIntegrating family planning and maternal healthcare services should be considered to encourage women with unintended pregnancies to access maternal healthcare services.

Indexed as

AdultCase-Control StudiesCross-Sectional StudiesFacilities and Services UtilizationFemaleHumansMaternal Health ServicesOdds RatioPatient Acceptance of Health CarePerinatal CarePovertyPregnancyPregnancy, UnplannedPrenatal CareProspective StudiesRetrospective StudiesLow- and lower-middle-income countriesMaternal healthcare services useSystematic review and meta-analysisUnintended pregnancy

Identifiers

PMID31041453

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.