SynthesisBMC pregnancy and childbirth2020
Magnitude and trend of perinatal mortality and its relationship with inter-pregnancy interval in Ethiopia: a systematic review and meta-analysis.
Synthesis in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Pooled estimates of stillbirth in Ethiopia: systematic review and meta-analysis, 2013-2024.Journal of health, population, and nutrition · 2025Pooled it
- Effect of short message service reminders in improving optimal antenatal care, skilled birth attendance and postnatal care in low-and middle-income countries: a systematic review and meta-analysis.BMC medical informatics and decision making · 2024Pooled it
- The effect of antenatal care on perinatal outcomes in Ethiopia: A systematic review and meta-analysis.PloS one · 2021Pooled it
- Early neonatal mortality and its associated factors at Doctor Bogalech Gebre Memorial General Hospital, Central Ethiopia: A cross-sectional study.Scientific reports · 2026Article
- Antenatal Care and Perinatal Mortality in Low- and Middle-Income Countries: Insights for Maternal and Newborn Health System.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Birth intervals and the risk of perinatal mortality in Indonesia: findings from a cross-sectional study.BMJ open · 2026Article
- Trends in perinatal mortality and its determinants in Ethiopia using longitudinal data from the demographic surveillance system (2009-2016).Scientific reports · 2025Article
- Gestational weight gain and its determinant factors among women attending at public health facilities, Northwest Ethiopia, 2023.Maternal health, neonatology and perinatology · 2025Article
- Survival Status and Predictors of Mortality Among Preterm Neonates Admitted to the Neonatal Intensive Care Units in Central Ethiopia: A Prospective Follow-Up Study.Public health challenges · 2025Article
- Multilevel modelling of determinants of perinatal mortality in East Africa: a pooled analysis of National health survey data.BMC public health · 2025Article
- Maternal and perinatal mortality: geospatial analysis of inequality in pregnancy related and perinatal mortality in Ethiopia.Health policy and planning · 2025Article
- Spatial variation, pooled prevalence, and factors associated with perinatal mortality in Sub-Saharan Africa, evidence from demographic and health surveys 2015-2023: a geospatial regression approach.EClinicalMedicine · 2025Article
- Pooled prevalence and multilevel determinants of stillbirths in sub-Saharan African countries: implications for achieving sustainable development goal.Global health research and policy · 2025Article
- Networks of care for optimizing Primary Health Care Service Delivery in Ethiopia: Enhancing relational linkages and care coordination.PloS one · 2025Article
- Perceived causes and contributory conditions for perinatal death: perspectives of midwives, parents, and communities in Northwest Ethiopia-a qualitative study.Frontiers in medicine · 2025Article
- Predictors of perinatal mortality in emerging regions of Ethiopia: Evidence from EDHS 2016.PloS one · 2025Article
- Trend, and multivariate decomposition of perinatal mortality in Ethiopia using further analysis of EDHS 2005-2016.BMC pediatrics · 2024Article
- Perinatal mortality and its predictors in Beni City, Democratic Republic of Congo: a cross-sectional study.Maternal health, neonatology and perinatology · 2024Article
- Article
- Time, cause of early neonatal death, and its predictors among neonates admitted to neonatal intensive care units at Bahir Dar City public hospitals, northwest Ethiopia: a prospective follow-up study.Frontiers in pediatrics · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerinatal mortality remains a problem in Ethiopia. Findings of primary studies varied on level of perinatal mortality and its predictors including inter-pregnancy interval. The aim of this review was to estimate the pooled perinatal mortality rate, its trend overtime and verify the association with inter-pregnancy interval in Ethiopian context.
methodsStudies were accessed through the electronic web-based search strategies from PubMed, ScienceDirect, Hinari for health via Research4Life, Google and Advanced Google search, and retrieving via relevant references using a combination of medical subject headings (MeSH terms) and key words related with inter-pregnancy interval. R version 3.4.3 software was used for the meta-analysis. A forest plot and I
resultsA total of 34 studies used to answer review questions (30 for perinatal mortality rate and its trend estimation from 1997 to 2019 and 8 for its relationship with inter-pregnancy interval). The pooled perinatal mortality rate was 51.3 per 1000 total births (95% CI: 40.8-62.8). The pooled stillbirth rate was 36.9 per 1000 births (95% CI: 27.3-47.8) and early neonatal mortality rate was 29.5 per 1000 live births (95% CI: 23.9-35.6). Increasing trend was seen in stillbirth rate (23.7 to 36.9 per 1000 births) while decreasing trend in early neonatal mortality rate (51 to 29.5 per 1000 live births). Slight reduction trend was observed in overall perinatal mortality rate (66 to 51.3 per 1000 births). An inter-pregnancy interval less than 15 months was found to be statistically significantly associated with perinatal mortality; pooled OR = 2.76 (95% CI: 2.1-3.62). Spacing pregnancy for at least 15 months was related with reducing perinatal mortality by 64% (95% CI: 52.38, 72.38%).
conclusionsIn Ethiopia, perinatal mortality rate remains high. Insignificant reduction trend was observed in overall perinatal mortality rate. Counseling couples about the importance of spacing pregnancy and intensifying long-acting contraceptive use will help in reducing perinatal mortality related to poor pregnancy spacing.
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