Evidence map›Paper›PMID 41958897›Full record

ReviewTherapeutic advances in reproductive health

Companionship care and associated factors among childbirth women in Ethiopia: a systematic review and meta-analysis.

Agerie Mengistie Zeleke, Worku Chekol Tassew, Banchgizie Adane Mengistu, Moges Tadesse Abebe, Worku Getachew Dessie, Getu Amsalu Erqu, Tirukelem Muhabaw Bizuayehu, Yeshiwas Ayale Ferede

Abstract readReview
In one paragraph

Review in Therapeutic advances in reproductive health. 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. Trial
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

8 authors.

Agerie Mengistie ZelekeDepartment of Midwifery, Debark University College of Health Science, Debark Town 25190, Ethiopia.ORCID https://orcid.org/0000-0002-9390-9189
Worku Chekol TassewDepartment of Nursing, Tedda Health Science College, Gondar City, Ethiopia.
Banchgizie Adane MengistuDepartment of Midwifery, Debark University College of Health Science, Debark Town, Ethiopia.
Moges Tadesse AbebeDepartment of Pediatric and Child Health Nursing, College of Health Science, Debark University, Debark Town, Ethiopia.ORCID https://orcid.org/0009-0000-1353-9265
Worku Getachew DessieDepartment of Midwifery, Debark University College of Health Science, Debark Town, Ethiopia.
Getu Amsalu ErquDepartment of Midwifery, Debark University College of Health Science, Debark Town, Ethiopia.ORCID https://orcid.org/0009-0008-7064-6997
Tirukelem Muhabaw BizuayehuDepartment of Midwifery, Debark University College of Health Science, Debark Town, Ethiopia.
Yeshiwas Ayale FeredeDepartment of Midwifery, Tedda Health Science College, Gondar City, Ethiopia.ORCID https://orcid.org/0000-0003-0180-5495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Companionship-based care is essential for enhancing maternal and neonatal health services. Despite its importance, studies have shown inconsistent findings regarding the utilization of companionship during childbirth in developing countries, including Ethiopia. Objective: To evaluate the pooled utilization of companionship and identify the factors influencing this practice among women giving birth. Design: A systematic review and meta-analysis. Data sources and methods: We conducted our review by searching common databases, including PubMed, Scopus, Wiley Online Library, ScienceDirect, and Epistemonikos, between February 1, 2025, and April 1, 2025. In addition, Google Scholar and unpublished theses from Ethiopian university research repositories were included. Data extraction was performed using an Excel data extraction form and subsequently imported into STATA version 11 for analysis. We employed forest plots, Cochran's Results: From the 13 studies analyzed, which included a total of 8100 participants, we found that the utilization of companionship during childbirth was 28.86% (95% CI: 22.23, 35.48). Factors associated with higher utilization included the following: higher education level (prevalence and odds ratio (POR): 2.87, 95% CI: 1.81, 4.57), being primiparous (POR: 2.21, 95% CI: 1.82, 2.67), expressing a desire for companionship during delivery (POR: 2.77, 95% CI: 1.79, 4.28), having a history of obstetric complications (POR: 2.77, 95% CI: 1.79, 4.28), access to comfortable healthcare facilities (POR: 2.66, 95% CI: 1.97, 3.59), and possessing good knowledge about companionship care (POR: 2.35, 95% CI: 1.25, 4.41). Conclusion: The utilization of companionship during childbirth in Ethiopia remains low. The factors influencing this practice include higher education levels, being primiparous, the desire for a delivery companion, experiences of complications during pregnancy and labor, access to adequate healthcare facilities, and awareness of the benefits of having a birth companion. To improve this situation, healthcare management teams and providers should prioritize educating expectant mothers about the advantages of companionship during antenatal care. Trial registration: PROSPERO registration: CRD420251020204.

Indexed as

childbirthcompanionshipEthiopiawomen

Identifiers

PMID41958897
PMCPMC13058176

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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.