Induced abortion in Africa: A systematic review and meta-analysis.

Autor: Haile TG; Department of Maternity and Neonatal Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia., Abraha TH; Department of Reproductive and Family Health, School of Public Health, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia., Gebremeskel GG; Department of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia., Zereabruk K; Department of Adult Health Nursing, School of Nursing, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia., Welu TH; Department of Midwifery, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia., Grum T; Department of Reproductive and Family Health, School of Public Health, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia., Asres N; Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Aksum, Tigray, Ethiopia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 May 07; Vol. 19 (5), pp. e0302824. Date of Electronic Publication: 2024 May 07 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0302824
Abstrakt: Background: One of the main factors contributing to maternal morbidity and mortality is induced abortion. The WHO estimates that over 44 million induced abortions take place annually around the world. The majority of these abortions-about 50%-are unsafe, significantly increasing maternal morbidity and contributing to 13% of maternal deaths. Thus, this review aimed to estimate the pooled prevalence of induced abortion and its associated factors in Africa.
Methods: To find literature on the prevalence of induced abortion and its associated factors, a thorough search of the internet databases such as PubMed/MEDLINE, African Journals Online, and Google Scholar was conducted. The data were extracted using a structured method of data collection. Software called STATA 14 was used to do the analysis. funnel plot and Egger regression test were used to evaluate potential publication bias. I2 statistics and Cochrane's Q were used to measure the heterogeneity at a p-value < 0.05.
Results: 976 studies were found through a thorough search of electronic databases. Finally, 46 full-text abstract papers were included in this study. The estimated pooled prevalence of induced abortion was 16% (95% CI: 13%-19%). According to the sub-group analysis, most studies were conducted in Ethiopia, and the pooled prevalence was 19% (95% CI: 10%-30%). Similarly, the subgroup analysis by year of study showed that the prevalence of induced abortion was 39% (95% CI: 17%-64%) among studies conducted in 2019.
Conclusion: The results of this study thus imply that the pooled prevalence of induced abortion is higher than that of earlier studies that were published in some nations. the data from this study are needed to support reproductive and adolescent health programmers and policymakers and to formulate recommendations for future clinical practice and guidelines.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Haile et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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