Evidence map›Paper›PMID 41669125›Full record

SynthesisAfrican health sciences2025

Prevalence and risk factors associated with adverse birth outcome in Ethiopia: systematic review and meta-analysis.

Teka Girma, Dessalegn Wirtu, Gudina Egata, Jote Markos

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in African health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Teka GirmaDepartment of Public health college of health sciences and referral hospital, Ambo University, Ethiopia.
Dessalegn WirtuDepartment of Public health Institute of public health, Wollega University, Ethiopia.
Gudina EgataDepartment of Nutrition and Dietetics, school of public health, college of health sciences, Addis Ababa University, Addis Ababa city, Ethiopia.
Jote MarkosDepartment of Public health Institute of public health, Wollega University, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Adverse pregnancy outcomes represent a major public health challenge in developed and resource-limited countries. Globally, approximately 60-80% of neonatal deaths occur in low birth weight infants, and more than 2 million infants die before birth each year and the burden of the problem is significant in Ethiopia. Therefore, the aim of this study was to determine the combined incidence and risk factors for poor birth outcomes in Ethiopia. Method: International databases (PubMed, Google scholar, web of science and scopus) were searched. A funnel plot and Begg test were used to see the publication bias. The heterogeneity of studies was checked using I-square statistics with a cut of point 75% and the Newcastle Ottawa (NCO) quality assessment tool was applied to ensure the quality of the included articles. A random-effect model was applied to pool the adverse birth outcome. The sub-group analysis and Meta-regression analysis were conducted by region in the country and year of publication to control heterogeneity and to show variation. Result: A total of 16636 study participants were used to estimate the pooled prevalence of adverse fetal outcomes. The overall pooled prevalence of adverse fetal outcomes in Ethiopia was 28 (95% CI; 24-32; 12 = 97.44 percent, Pv= 0.001). Low birth weight 10.06% (95% CI; 7.21-12.91) and preterm birth 8.76% (95% CI; 5.4-12.11) were the most common adverse birth outcome at the national level. Rural in residency (AOR = 2.31; 95% CI: 1.64-3.24), lack of antenatal care follow up (AOR = 3.84; 95% CI: 2.76-5.35), pregnancy-induced hypertension (AOR = 7.27; 95% CI: 3.95-13.39), advanced maternal age ≥ 35(AOR = 2.72; 95% CI: 1.62-4.58, and having current complication of pregnancy (AOR = 4.98; 95% CI: 2.24-11.07) were the factors associated with adverse birth outcome. Conclusion: The pooled prevalence of adverse fetal outcomes in Ethiopia was high. Rural in residency, lack of antenatal care follow up, pregnancy-induced hypertension, advanced maternal age ≥ 35, and having current complications of pregnancy were the factors associated with adverse fetal outcome. Systematic review registration: Identifier: CRD42022327072.

Indexed as

Pregnancy ComplicationsPregnancy OutcomeEthiopiaFemaleHumansInfant, Low Birth WeightInfant, NewbornPregnancyPremature BirthPrevalenceRisk FactorsPrevalence and risk factors associated with adverse birth outcome in Ethiopia: systematic review and meta-analysis

Identifiers

PMID41669125
PMCPMC12883976

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