SynthesisItalian journal of pediatrics2020
Determinants of preterm birth among mothers who gave birth in East Africa: systematic review and meta-analysis.
Synthesis in Italian journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Preterm birth and its associated factors in Ethiopia: a systematic review and meta-analysis.African health sciences · 2021Pooled it
- Epidemiology of preterm birth in Ethiopia: systematic review and meta-analysis.BMC pregnancy and childbirth · 2020Pooled it
- A multicountry study to establish rates for pregnancy and neonatal outcomes in low- and middle-income regions.BMC pregnancy and childbirth · 2026Observational
- Prevalence and risk factors of adverse birth outcomes in Bangladesh: Insight from a nationwide survey.PloS one · 2026Article
- Determinants of preterm birth among newborns in resource limited settings.Scientific reports · 2025Article
- Preterm birth and its associated factors among women of reproductive age in Zambia: a survey analysis.BMC pregnancy and childbirth · 2025Article
- Article
- Prevalence, trends, and maternal risk factors of adverse birth outcomes from a hospital-based birth defects surveillance system in Kampala, Uganda, 2015-2022.BMC pregnancy and childbirth · 2025Article
- Incidence, risk factors and outcomes of preterm live births in a tertiary health facility in Ghana.PloS one · 2025Article
- Estimating the impact of prenatal health care services on adverse pregnancy outcomes in Tanzania: a propensity score matching approach.Frontiers in global women's health · 2025Article
- A cohort study of maternal near-miss events and its adverse perinatal outcomes: an obstetrical finding in Northwest Ethiopia.AJOG global reports · 2024Article
- Magnitude of self-reported intimate partner violence against pregnant women in Ghana's northern region and its association with low birth weight.BMC pregnancy and childbirth · 2024Article
- Article
- Preterm Births and Associated Factors among Women who Delivered in a District Hospital in Eastern Province, Rwanda: A retrospective study.Rwanda journal of medicine and health sciences · 2023Article
- Risk Factors Associated with Preterm Birth at a Tertiary Teaching Hospital in Dar es Salaam, Tanzania: An Unmatched Case-Control Study.Rwanda journal of medicine and health sciences · 2023Article
- Adapting the preterm birth phenotyping framework to a low-resource, rural setting and applying it to births from Migori County in western Kenya.BMC pregnancy and childbirth · 2023Observational
- Investigating the pathways from preconception care to preventing maternal, perinatal and child mortality: A scoping review and causal loop diagram.Preventive medicine reports · 2023Article
- Article
- Maternal, obstetric and gynecological factors associated with preterm birth in Rwanda: findings from a national longitudinal study.BMC pregnancy and childbirth · 2023Article
- Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreterm birth (PTB) can be caused by different factors. The factors can be classified into different categories: socio demographic, obstetric, reproductive health, medical, behavioral and nutritional related. The objective of this review was identifying determinants of PTB among mothers who gave birth in East African countries.
methodsWe have searched the following electronic bibliographic databases: PubMed, Google scholar, Cochrane library, AJOL (African journal online). Cross sectional, case control and cohort study published in English were included. There was no restriction on publication period. Studies with no abstracts and or full texts, editorials, and qualitative in design were excluded. Funnel plot was used to check publication bias. I-squared statistic was used to check heterogeneity. Pooled analysis was done by using fixed and random effect model. The Joanna Briggs Critical Appraisal Tools for review and meta-analysis was used to check the study quality.
resultsA total of 58 studies with 134,801 participants were used to identify determinants of PTB. On pooled analysis, PTB was associated with age < 20 years (AOR 1.76, 95% CI: 1.33-2.32), birth interval less than 24 months (AOR 2.03, 95% CI 1.57-2.62), multiple pregnancy (AOR 3.44,95% CI: 3.02-3.91), < 4 antenatal care (ANC) visits (AOR 5.52, 95% CI: 4.32-7.05), and absence of ANC (AOR 5.77, 95% CI: 4.27-7.79). Other determinants of PTB included: Antepartum hemorrhage (APH) (AOR 4.90, 95% CI: 3.48-6.89), pregnancy induced hypertension (PIH) (AOR 3.10, 95% CI: 2.34-4.09), premature rupture of membrane (PROM) (AOR 5.90, 95% CI: 4.39-7.93), history of PTB (AOR 3.45, 95% CI: 2.72-4.38), and history of still birth/abortion (AOR 3.93, 95% CI: 2.70-5.70). Furthermore, Anemia (AOR 4.58, 95% CI: 2.63-7.96), HIV infection (AOR 2.59, 95% CI: 1.84-3.66), urinary tract infection (UTI) (AOR 5.27, 95% CI: 2.98-9.31), presence of vaginal discharge (AOR 5.33, 95% CI: 3.19-8.92), and malaria (AOR 3.08, 95% CI: 2.32-4.10) were significantly associated with PTB.
conclusionsThere are many determinants of PTB in East Africa. This review could provide policy makers, clinicians, and program officers to design intervention on preventing occurrence of PTB.
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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.