Evidence map›Paper›PMID 38500066›Full record

ArticleBMC pregnancy and childbirth2024

Maternal delay for institutional delivery and associated factors among postnatal mothers at Southeastern Ethiopia: a cross sectional study.

Derese Eshetu Debela, Zeleke Aschalew, Agegnehu Bante, Manaye Yihune, Degefa Gomora, Feisal Hussein, Ayele Sahile, Abera Mersha

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. 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 · 2026
    Pooled it
  2. Pooled it
  3. Article
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

8 authors.

Derese Eshetu DebelaDepartment of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia. dereseeshetu12@gmail.com.
Zeleke AschalewSchool of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Agegnehu BanteSchool of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Manaye YihuneSchool of Public Health, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Degefa GomoraDepartment of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia.
Feisal HusseinDepartment of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Shashamane, Ethiopia.
Ayele SahileDepartment of Midwifery, College of Medicine & Health Sciences, Wolkite University, Wolkite, Ethiopia.
Abera MershaSchool of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal delay in timely seeking health care, inadequate health care and the inability to access health facilities are the main causes of maternal mortality in low and middle income countries. The three-delay approach was used to pinpoint responsible factors for maternal death. There was little data on the delay in decision making to seek institutional delivery service in the study area. Therefore, the aim of this study was to assess the extent of the first maternal delay for institutional delivery and its associated factors among postpartum mothers in the Bale and east Bale zones.

methodsAn institutional-based cross-sectional study was conducted among 407 postpartum mothers from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analysis was done by using binary logistic regression model to identify factors associated with maternal delay for institutional delivery services. Statistical significance was declared at P-value < 0.05.

resultsIn this study, the magnitude of the first maternal delay in making the decision to seek institutional delivery service was 29.2% (95% CI: 24.9, 33.9). Previous pregnancy problems (AOR = 1.8; 95% CI: 1.06, 3.08), knowing the danger signs of labor and childbirth (AOR = 1.78; 95% CI: 1.11, 2.85) and decision-making (AOR = 0.42; 95% CI: 0.20, 0.85) were significantly associated with the first maternal delay.

conclusionThis study identified a significant number of postnatal mothers experienced delay in making decisions to seek institutional delivery service in the study area. Promoting women's empowerment and building on key danger signs should be emphasized.

Indexed as

Delivery, ObstetricMaternal Health ServicesCross-Sectional StudiesEthiopiaFemaleHealth FacilitiesHumansMothersPregnancyBaleEthiopiaInstitutional deliveryMaternal delayPostnatal

Identifiers

PMID38500066
PMCPMC10949752

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.