Evidence map›Paper›PMID 41907046›Full record

ArticleAJOG global reports2026

Magnitude, associated factors, and immediate outcomes of nonreassuring fetal heart rate status among laboring mothers in Ethiopia: a systematic review and meta-analysis.

Gizachew Yilak, Bogale Molla, Befkad Derese Tilahun, Biruk Beletew Abate, Tegene Atamenta Kitaw, Aychew Kassie, Addisu Getie, Besfat Berihun Erega, Mulat Ayele, Eyob Shitie Lake

Abstract read
In one paragraph

Article in AJOG global reports, 2026. 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

10 authors.

Gizachew YilakDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Bogale MollaDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Befkad Derese TilahunDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Biruk Beletew AbateDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Tegene Atamenta KitawDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Aychew KassieDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Addisu GetieDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Besfat Berihun EregaDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Mulat AyeleDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).
Eyob Shitie LakeDepartment of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia (Yilak, Molla, Tilahun, Abate, Kitaw, Kassie).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To assess the magnitude, associated factors, and immediate outcomes of nonreassuring fetal heart rate status (NRFHRS) among laboring mothers in Ethiopia. Design: Systematic review and meta-analysis. Data Sources: Data were extracted from published articles identified by searching using major bibliographic databases such as PubMed/Medline, Cochrane Library, Virtual Health Library (VHL) Regional Portal, HINARI (research4life), and Google Scholar. Eligibility Criteria: The meta-analysis included all observational studies on NRFHRS among laboring mothers in Ethiopia published in English between 2010 and 2024. Unpublished studies were also considered, and studies without abstracts or full texts were excluded. Data Extraction and Synthesis Methods: Using PRISMA standards, we systematically reviewed and meta-analyzed articles from PubMed, Cochrane Library, and Google Scholar. Q and I Results: The analysis included 10 studies with 5949 participants used in the analysis. The pooled magnitude of nonreassuring fetal heart rate (NRFHR) in Ethiopia was 23.29% (14.89, 31.69) augmentation of labor (AOR=3.8; 95% CI: 2.51-5.10; I Conclusion: The magnitude of the NRFHR in Ethiopia remains high, worsened by factors such as labor augmentation, primiparity, meconium-stained amniotic fluid, and lack of antenatal care follow-up, which are associated with adverse outcomes. These include heightened risks of neonatal intensive care unit admission, low Appearance, Pulse, Grimace, Activity, and Respiration scores, perinatal death, and a greater likelihood of needing caesarean section. The critical need for vigilant monitoring and timely intervention is evident to enhance the health of maternal and neonatal outcomes in such cases.

Indexed as

Ethiopialabouring mothersmeta-analysisNon-Reassuring Fetal Heart Ratesystematic review

Identifiers

PMID41907046
PMCPMC13019767

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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.