ReviewEuropean journal of obstetrics & gynecology and reproductive biology: X2025
Adherence to evidence-based intrapartum care practices and influencing factors among obstetric care providers in Ethiopia: A systematic review and meta-analysis.
Review in European journal of obstetrics & gynecology and reproductive biology: X, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Globally standardized evidence-based intrapartum care practices are essential for enhancing health outcomes for mothers and newborns. Despite recent advancements, Ethiopia grapples with significant challenges in maternal healthcare, with the implementation of evidence-based intrapartum practices falling below recognized standards. To address this gap, our systematic review and meta-analysis investigate existing literature to unveil the current state of evidence-based intrapartum care practices and identify contributing factors in Ethiopia. Methods: This study focused on Ethiopian research and adhered to the PRISMA checklist. Thirteen relevant studies were identified through databases such as Google Scholar, Web of Science, PubMed, and Scopus. Using STATA version 14, we systematically extracted data employing a checklist. Heterogeneity was evaluated using I2 tests and the Cochrane Q test statistic. To assess publication bias, a funnel plot, Begg's test, and Egger's weighted regression were employed. Results: In this systematic review and meta-analysis, 1770 research articles were identified, with thirteen studies meeting eligibility criteria for analysis. The pooled prevalence of evidence-based intrapartum care practices was 49.50 % (95 % CI: 39.02-59.98). Factors significantly associated with these practices included good knowledge (OR = 2.64, 95 % CI: 2.04-3.41), in-service training related to intrapartum practice (OR = 2.38, 95 % CI: 1.55-3.64), positive attitudes towards intrapartum care practice (OR = 2.68, 95 % CI: 1.78-4.03), a higher number of obstetric care providers per shift (OR = 2.54, 95 % CI: 1.27-5.10), and educational attainment at the level of Master's degree and above (OR = 4.92, 95 % CI: 2.45-9.91). Conclusion: This study reveals that despite recognizing the importance of evidence-based intrapartum practices, only half of the observed obstetric care providers apply them. Factors influencing their application include knowledge, in-service training, attitudes, staffing, and education. Recommendations include continuous knowledge enhancement, reinforced in-service training, and psychological support. Optimizing staffing and creating pathways for advanced degrees are also proposed to improve evidence-based intrapartum care practices.
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.