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Meta-Analysis
. 2024 Jan-Dec:20:17455057241275442.
doi: 10.1177/17455057241275442.

Predictors of labor pain management among pregnant women in Ethiopia: A systematic review and meta-analysis

Teketel Ermias Geltore  1 , Tesfahun Simon Hadaro  2 , Woldetsadik Oshine  3 , Merkin Bekele  1 , Lakew Lafebo Foto  4
Affiliations
Meta-Analysis

Predictors of labor pain management among pregnant women in Ethiopia: A systematic review and meta-analysis

Teketel Ermias Geltore et al. Womens Health (Lond). 2024 Jan-Dec.

Abstract

Background: Labor pain is the nastiest conceivable pain women are involved in during labor and delivery. In this way, the end of labor pain is frequently outlined by myths and equivocalness. Hence, giving a compelling absence of pain in labor remained a challenge specifically in developing countries including Ethiopia.

Objectives: This systematic review and meta-analysis aimed to explore the pooled prevalence of labor analgesia and associated factors to pregnant women in Ethiopia.

Design: A systematic review and meta-analysis were utilized in agreement with the Preferred Reporting Items for Systematic Reviews.

Data sources: PubMed/Medline, SCOPUS, EMBASE, Web of Science, Google Scholars, and the Cochrane Library and supplemented it with manual were deliberately looked at until January 1-30, 2024.

Methods: Two authors independently extricated all principal information utilizing standardized data extraction designs, and the analysis was done utilizing STATA version 17. Heterogeneity over the studies was evaluated utilizing I2 measurement. The funnel plot and Egger's weighted regression tests were utilized to assess subjective and objective publication biases respectively. Also, the pooled effect of labor pain management and the associations were evaluated utilizing a random-effects model.

Results: The general pooled prevalence of labor analgesia in the present study was 23.3% with a (95% confidence interval (CI): 13.5, 33.1). Maternal age (odds ratio (OR): 1.91; 95% CI: 1.11, 2.77), parity of the mother (OR: 0.28; 95% CI: 0.06, 0.63), history of pregnancy misfortune (OR: 0.12; 95% CI: 0.11, 0.36), length of labor (OR: 2.09; 95% CI: 1.06, 3.13), and awareness about labor analgesia (OR: 1.91; 95% CI: 0.34, 3.49) were significantly related with labor analgesia among pregnant women in Ethiopia.

Conclusions: The generally pooled prevalence of labor analgesia among pregnant women in Ethiopia was low. Maternal age, parity of the mother, history of pregnancy loss, length of labor, and awareness of labor analgesia were factors influencing labor analgesia among pregnant women in Ethiopia. This finding proposes exceptional consideration to make laboring mothers free of pain by scaling up the strategies and utilizing labor pain administration in a way that universally recognized standards are met.

Registration number: PROSPERO CRD: 42024525636.

Keywords: Ethiopia; non-pharmacologic; pain; pain relief; pharmacologic; pregnant women.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA flow diagram of studies included in final systematic review and meta-analysis of the prevalence of labor pain management among pregnant in Ethiopia. PRISMA: preferred reporting items for systematic review and meta-analysis.
Figure 2.
Figure 2.
Forest plot showing the pooled prevalence of labor pain management among pregnant women in Ethiopia, 2024.
Figure 3.
Figure 3.
Subgroup analyzes the pooled prevalence of labor pain management among pregnant women in Ethiopia, in 2024.
Figure 4.
Figure 4.
Sensitivity analyzes for the pooled prevalence of labor pain management among pregnant women in Ethiopia, 2024.
Figure 5.
Figure 5.
Funnel plot meta-analysis of labor pain management prevalence in Ethiopia.
Figure 6.
Figure 6.
Factors associated with labor pain management among pregnant women in Ethiopia, 2024. Weights and between-subgroup heterogeneity test are from random-effects model.
See this image and copyright information in PMC

References

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