Evidence map›Paper›PMID 40357003›Full record

SynthesisFrontiers in global women's health2025

Epidemiology of second trimester induced abortion in Ethiopia: a systematic review and meta-analysis.

Mesfin Abebe, Tsion Mulat Tebeje, Nebiha Yimer, Tesfaye Temesgen, Getnet Melaku, Habtamu Endashaw Hareru

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Mesfin AbebeDepartment of Midwifery, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Tsion Mulat TebejeSchool of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Nebiha YimerDepartment of Midwifery, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Tesfaye TemesgenDepartment of Midwifery, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Getnet MelakuDepartment of Midwifery, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
Habtamu Endashaw HareruSchool of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Second-trimester induced abortion refers to the termination of a pregnancy occurring between 13 and 28 weeks of gestation in Africa. These abortions are particularly concerning due to the heightened risk of complications and maternal mortality. In Ethiopia, there is a lack of nationally representative data regarding the magnitude and associated factors of second-trimester induced abortions. This systematic review and meta-analysis aimed to ascertain the pooled magnitude and identify the factors associated with second-trimester induced abortions in Ethiopia. Methods: The PRISMA guidelines were used to review and report this study. A systematic literature search was conducted to identify relevant articles from online databases, including PubMed/MEDLINE, Web of Science, Google Scholar, and Ethiopian University online repositories. Data were extracted using an Excel data extraction format, and analysis was performed using Stata version 17. A meta-analysis was conducted using a random-effects model, and subgroup analysis was performed based on the year of publication and sample size to identify the source of heterogeneity. To determine publication bias, a funnel plot, and Egger's regression test were conducted. Results: In this review, a total of ten articles encompassing 4,466 participants were analyzed. The pooled prevalence of second-trimester induced abortion in Ethiopia was found to be 29.10% (95% CI: 19.96-38.24; Conclusions: The magnitude of induced second-trimester abortions in Ethiopia is significantly higher than global data. This meta-analysis identifies factors associated with second-trimester abortions, including delayed pregnancy confirmation, irregular menstrual cycles, rural residency, and unplanned pregnancies. The findings highlight the urgent need for targeted interventions to address these factors and decrease the incidence of second-trimester abortions. Encouraging early pregnancy testing and confirmation to reduce delays, raising awareness about the importance of regular menstrual cycles and seeking medical advice for irregularities, improving healthcare services in rural areas to reduce disparities, and strengthening family planning and counseling services can help mitigate unplanned pregnancies and induced abortions. Systematic Review Registration: PROSPERO (CRD42022383559).

Indexed as

epidemiologyEthiopiameta-analysissecond trimester induced abortionsystematic review

Identifiers

PMID40357003
PMCPMC12066765

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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.