SynthesisPloS one2021
The effect of antenatal care on perinatal outcomes in Ethiopia: A systematic review and meta-analysis.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- The rate of stillbirth and its associated factors in Ethiopia: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Burden and determinants of puerperal sepsis in Ethiopia: a systematic review and meta-analysis.European journal of medical research · 2025Pooled it
- Pooled estimates of stillbirth in Ethiopia: systematic review and meta-analysis, 2013-2024.Journal of health, population, and nutrition · 2025Pooled it
- A systematic review and meta-analysis of the globally reported International Classification of Diseases to Perinatal Mortality (ICD-PM).Frontiers in medicine · 2024Pooled it
- Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study.International journal of community based nursing and midwifery · 2026Article
- Modeling predictors of incomplete antenatal care utilization among reproductive-age women in Ethiopia using machine learning algorithms and SHAP interpretation.PLOS digital health · 2026Article
- Review
- Interpretable prediction of neonatal mortality and its key predictors using machine learning and SHAP analysis.BMC medical informatics and decision making · 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
- Effect of antenatal care attendance on maternal and birth outcomes in Somaliland: a cohort study.BMJ open · 2026Article
- Late antenatal care initiation and its associated factors among pregnant women attending antenatal care at public hospitals of Kellem Wollega zone, Western Ethiopia: a facility-based cross-sectional study.BMC health services research · 2026Article
- Prevalence and factors associated with early antenatal care visit in Ghana: recent evidence from the 2022 Ghana Demographic and Health Survey.AJOG global reports · 2026Article
- Geospatial analysis of the impact of Cameroonian Anglophone Crisis conflict intensity on antenatal care utilisation.Communications medicine · 2026Article
- Why Do First Time Mothers in Sub-Saharan Africa Delay Their First Antenatal Care Visit? Evidence From Demographic and Health Surveys (2019-2022) From 18 Countries-A Cross-Sectional Study.Health science reports · 2025Article
- Geospatial variation and determinants of incomplete antenatal care follow-up in ethiopia: a spatial and geographically weighted regression analysis.BMC pregnancy and childbirth · 2025Article
- Adverse maternal and neonatal outcomes in Northern Sudan: the role of antenatal care and socioeconomic inequities in war.Reproductive health · 2025Article
- Initiation of Antenatal Care Among Pregnant Women in Saudi Arabia: An Application of Andersen's Behavioral Model Using a Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Data-driven machine learning algorithm model for pneumonia prediction and determinant factor stratification among children aged 6-23 months in Ethiopia.BMC infectious diseases · 2025Article
- Prevalence of low birth weight and associated factors in Ethiopia: An umbrella review of systematic review and meta-analyses.PLOS global public health · 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
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
backgroundThe estimated annual global perinatal and neonatal death is four million. Stillbirths are almost equivalent to neonatal mortality, yet they have not received the same attention. Antenatal care is generally thought to be an effective method of improving pregnancy outcomes, but its effectiveness as a means of reducing perinatal mortality has not been evaluated in Ethiopia. Therefore, we will identify the pooled effect of antenatal care on perinatal outcomes in Ethiopia.
methodsMedline, Embase, Cinahl, African journal online and Google Scholar was searched for articles published in English language between January 1990 and May 2020. Two independent assessors selected studies and extracted data from eligible articles. The Risk of Bias Assessment tool for Non-Randomized Studies was used to assess the quality of each included study. Data analysis was performed using RevMan 5.3. Heterogeneity and publication bias were assessed using I2 test statistical significance and Egger's test for small-study effects respectively. The random effect model was employed, and forest plot was used to present the risk ratio (RR) with 95% confidence interval (CI).
resultsThirteen out of seventeen included studies revealed antenatal care utilization had a significant association with perinatal outcomes. The pooled risk ratio by the random-effects model for perinatal death was 0.42 (95% CI: 0.34, 0.52); stillbirth 0.34 (95% CI: 0.25, 0.46); early neonatal death 0.85 (95% CI: 0.21. 3.49).
conclusionWomen who attended at least one antenatal care visit were more likely to give birth to an alive neonate that survives compared to their counterpart. Therefore, the Ethiopian Ministry of health and other stakeholders should design tailored interventions to increase antenatal care utilization since it has been shown to reduce perinatal mortality.
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