Evidence map›Paper›PMID 38485172›Full record

SynthesisBMJ open2024

Prevalence and determinants of pregnancy termination in Ethiopia: a systematic review and meta-analysis.

Henok Kumsa, Esuyawkal Kasahun Mislu, Mulugeta Wodaje Arage, Atitegeb Abera Kidie, Tilahun Hailu, Lebeza Alemu Tenaw

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
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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

6 authors at 1 institution in 1 country.

Henok KumsaWoldia University, Woldia, Ethiopia.ORCID 0000-0003-0403-4382
Esuyawkal Kasahun MisluMidwifery, Woldia University, Woldia, Ethiopia.ORCID 0000-0002-4645-8936
Mulugeta Wodaje ArageMidwifery, Woldia University, Woldia, Ethiopia.ORCID 0000-0003-4084-4761
Atitegeb Abera KidieWoldia University, Woldia, Ethiopia.ORCID 0000-0002-3010-0438
Tilahun HailuWoldia University, Woldia, Ethiopia.
Lebeza Alemu TenawWoldia University, Woldia, Ethiopia lebezaa@gmail.com.ORCID 0000-0003-0144-4968
Woldia University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis review aims to determine the prevalence of pregnancy termination and its determinant factors in Ethiopia.

designSystematic review and meta-analysis. DATA SOURCES: Relevant articles were retrieved from databases such as PubMed, EMBASE, Medline and other search engines. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: The research design for this study had no restrictions, allowing for the inclusion of cross-sectional and case-control studies that examined the prevalence or determinants of pregnancy termination. However, case reports, case series, reviews, editorials and studies published as abstracts only were excluded from the analysis. DATA EXTRACTION AND SYNTHESIS: The review was precisely in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria, and the quality of the review was assessed using the Joanna Briggs Institute critical appraisal checklist. Heterogeneity was indicated by the p value for I

resultsThe pooled prevalence of pregnancy termination in Ethiopia was 21.52% (95% CI 15.01% to 28.03%). Women who had their first sexual initiation before the age of 18 (OR 1.78; 95% CI 1.13 to 2.82, p=0.14), had irregular menstrual bleeding (OR 1.86; 95% CI 1.25 to 2.77, p=0.76), being a student (OR 4.85; 95% CI 1.98 to 11.91, p=0.20) and had multiple sexual partners (OR 4.88; 95% CI 3.43 to 6.93, p=0.33) were significantly associated with pregnancy termination.

conclusionsOne in five women terminated their pregnancies, which is higher than in other sub-Saharan countries. Being a student, irregular menstrual bleeding, early initiation of sexual intercourse and multiple sexual partners were determinants of pregnancy termination. Special attention is needed in avoiding early sexual initiation and in reducing sexual risk behaviours.

Indexed as

Abortion, InducedEthiopiaFemaleHumansPregnancyPrevalenceSexual BehaviorAdolescentPublic healthSexual and Gender Minorities

Identifiers

PMID38485172
PMCPMC10941161
OpenAlexW4392814528

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.