ReviewMaternal health, neonatology and perinatology2021
Perinatal mortality and its determinants in Sub Saharan African countries: systematic review and meta-analysis.
Review in Maternal health, neonatology and perinatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Perinatal mortality in eastern Africa: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Pooled it
- Disease activity and maternal-fetal outcomes in pregnant women with cushing's syndrome: a systematic review and meta‑analysis.Reviews in endocrine & metabolic disorders · 2026Pooled it
- Maternal mortality in Ethiopia (2015-2025): a systematic review of recent evidence and determinants.BMC public health · 2025Pooled it
- Preconception health risks among women of reproductive age in Sub-Saharan Africa: a systematic review of implications for preconception care.Journal of health, population, and nutrition · 2025Pooled it
- Better Governance and Skilled Health Workforce Density: Are They Twin Catalysts for Health Outcomes in Sub-Saharan Africa?Public health challenges · 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
- Geospatial analysis of the impact of Cameroonian Anglophone Crisis conflict intensity on antenatal care utilisation.Communications medicine · 2026Article
- Birth intervals and the risk of perinatal mortality in Indonesia: findings from a cross-sectional study.BMJ open · 2026Article
- Monthly trends, determinants, and forecasting of perinatal mortality in Ghana: a comparison of ARIMA, BPNN, DLNN, and GRNN models.Frontiers in reproductive health · 2026Article
- Exploring multilevel determinants of stillbirth: a comprehensive analysis across sub-Saharan African countries.BMJ open · 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
- Determinants of Adverse Perinatal Outcomes in Ibadan, Nigeria: The influence of maternal lifestyle.PLOS global public health · 2025Article
- Predictors of perinatal mortality in emerging regions of Ethiopia: Evidence from EDHS 2016.PloS one · 2025Article
- Predictors of perinatal mortality in the seven major hospitals of Lusaka Zambia: A case control study.PLOS global public health · 2025Article
- Determinants of stillbirth among deliveries conducted at west Shoa zone public hospitals, central Ethiopia: a case-control study.BMC pediatrics · 2024Article
- Profile of Perinatal Deaths at Masaka District Hospital in Kigali City, Rwanda: A Retrospective Cross Sectional Study.Rwanda journal of medicine and health sciences · 2024Article
- Causes of stillbirths at Kgapane hospital, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Risk factors and outcomes associated with pregnancy-related acute kidney injury in a high-risk cohort of women in Nigeria.Journal of nephrology · 2024Article
- Article
- Epidemiology of Early Neonatal Mortality in an Eastern Ethiopian NICU: Insights From Hiwot Fana Specialized University Hospital.Global pediatric health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite decreasing overall perinatal and maternal mortality in high-income countries, perinatal and maternal health inequalities are persisting in Sub Saharan African countries. Therefore, this study aimed to determine the effects size of rates and determinants for perinatal mortality in Sub-Saharan countries.
methodThe sources for electronic datasets were PubMed, Medline, EMBASE, SCOPUS, Google, Google Scholar, and WHO data Library. Observational studies published in the English language from January 01, 2000, to May 30, 2019 were included. STROBE and JBI tools were used to include relevant articles for this review. We used a Comberehensive Meta-Analysis version 2 software for this analysis. The I
resultTwenty-one articles were included in this review. However, only fourteen studies reported the perinatal mortality rate. Among 14 studies, the observed and adjusted PMR was found to be 58.35 and 42.95 respectively. The odds of perinatal mortality among mothers who had no ANC visits was 2.04 (CI: 1.67, 2.49, P < 0.0001) as compared to those who had at least one ANC visit. The odds of perinatal mortality among preterm babies was 4.42 (CI: 2.83, 6.88, P < 0.0001). In most cases, heterogeneity was not evident when subgroup analyses were assessed by region, study design, and setting. Only perinatal mortality (P < 0.0001), antenatal care (P < 0.046) and preterm births (P < 0.034) showed a relationship between the standardized effect sizes and standard errors of these effects.
conclusionIn general, engaging in systematic review and meta-analysis would potentially improve under-represented strategies and actions by informing policy makers and program implementers for minimizing the existing socioeconomic inequalities between regions and nations.
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Registered trials
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.