SynthesisInternational journal for equity in health2025
Late request for safe abortion and its determinants among reproductive age women in Ethiopia: systematic review and meta-analysis.
Synthesis in International journal for equity in 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.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLate requests for safe abortion during the second trimester are strongly associated with severe maternal complications, including infertility, preterm birth, low birth weight, and maternal mortality, especially in developing countries. These delays also contribute to adverse pregnancy outcomes beyond direct maternal deaths. Despite these serious concerns, data on the prevalence and contributing factors of late abortion requests in Ethiopia remain limited.
objectiveTo estimate the pooled prevalence of late requests for safe abortion and identify the determinants among Ethiopian women of reproductive age.
methodsThis systematic review and meta-analysis was conducted following the PRISMA 2020 guidelines. A comprehensive search was performed across major international databases, including PubMed, Cochrane Library, Google Scholar, Hinari, Scopus, Web of Science, and African Journals Online, using the CoCoPop strategy. Study quality was assessed using the Joanna Briggs Institute (JBI) tool. Heterogeneity among studies was evaluated with the I
resultsTen studies involving a total of 5,559 women were included. The pooled prevalence of late requests for safe abortion was 35.20% (95% CI: 26.21, 44.19). Significant determinants identified were delayed pregnancy diagnosis (AOR: 3.23; 95% CI: 2.52, 4.13), irregular menstrual cycles (AOR: 2.36; 95% CI: 1.86, 3.00), rural residence (AOR: 2.89; 95% CI: 2.34, 3.58), unmarried status (AOR: 2.86; 95% CI: 2.13, 3.86), and age under 19 years (AOR: 4.01; 95% CI: 2.41, 6.67).
conclusionLate requests for safe abortion are common in Ethiopia and are influenced by factors such as rural residence, young age, delayed recognition of pregnancy, and irregular menstrual cycles. Enhancing access to reproductive health services especially for rural and adolescent populations is essential to reduce maternal complications and promote timely care. PROSPERO REGISTRATION NUMBER: CRD42024603467.
Indexed as
Identifiers
What OpenQuestion holds
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.