PDF(Pubmed)
Abstract：
OBJECTIVE: Inconsistent findings on the associations of preconception care with the utilisation of family planning and previous adverse birth outcomes have not been systematically reviewed in Ethiopia. Thus, this review aims to estimate the pooled association of preconception care with the utilisation of family planning and previous adverse birth outcomes in Ethiopia.
METHODS: Systematic review and meta-analysis of observational studies.
METHODS: MEDLINE Complete, CINAHL Complete, Scopus and Global Health were searched from inception to 28 July 2023.
METHODS: Observational studies that reported preconception care as an outcome variable and the use of family planning before pregnancy or previous adverse birth outcomes as exposure variables were included.
METHODS: Two reviewers independently conducted study screening, data extraction and quality assessment. A fixed-effects model was used to determine the pooled association of preconception care with the utilisation of family planning and previous adverse birth outcomes.
RESULTS: Eight studies involving a total of 3829 participants were included in the review. The pooled meta-analysis found that women with a history of family planning use had a higher likelihood of using preconception care (OR 2.09, 95% CI 1.74 to 2.52) than those women who did not use family planning before their current pregnancy. Likewise, the pooled meta-analysis found that women with prior adverse birth outcomes had a higher chance of using preconception care (OR 3.38, 95% CI 1.06 to 10.74) than women with no history of prior adverse birth outcomes.
CONCLUSIONS: This review indicated that utilisation of preconception care had a positive association with previous use of family planning and prior adverse birth outcomes. Thus, policymakers and other relevant stakeholders should strengthen the integration of preconception care with family planning and other maternal healthcare services.
UNASSIGNED: CRD42023443855.
METHODS: Systematic review and meta-analysis of observational studies.
METHODS: MEDLINE Complete, CINAHL Complete, Scopus and Global Health were searched from inception to 28 July 2023.
METHODS: Observational studies that reported preconception care as an outcome variable and the use of family planning before pregnancy or previous adverse birth outcomes as exposure variables were included.
METHODS: Two reviewers independently conducted study screening, data extraction and quality assessment. A fixed-effects model was used to determine the pooled association of preconception care with the utilisation of family planning and previous adverse birth outcomes.
RESULTS: Eight studies involving a total of 3829 participants were included in the review. The pooled meta-analysis found that women with a history of family planning use had a higher likelihood of using preconception care (OR 2.09, 95% CI 1.74 to 2.52) than those women who did not use family planning before their current pregnancy. Likewise, the pooled meta-analysis found that women with prior adverse birth outcomes had a higher chance of using preconception care (OR 3.38, 95% CI 1.06 to 10.74) than women with no history of prior adverse birth outcomes.
CONCLUSIONS: This review indicated that utilisation of preconception care had a positive association with previous use of family planning and prior adverse birth outcomes. Thus, policymakers and other relevant stakeholders should strengthen the integration of preconception care with family planning and other maternal healthcare services.
UNASSIGNED: CRD42023443855.
摘要：
目的：关于孕前保健与利用计划生育和以往不良分娩结局的相关性的不一致的发现，在埃塞俄比亚尚未得到系统评价。因此，本综述旨在评估埃塞俄比亚孕前保健与计划生育利用和既往不良分娩结局的综合关联.
方法：观察性研究的系统评价和荟萃分析。
方法：MEDLINEComplete，CINAHL完成,Scopus和全球健康从成立到2023年7月28日进行了搜索。
方法：纳入观察性研究，将孕前保健作为结果变量，并将怀孕前使用计划生育或先前的不良分娩结果作为暴露变量。
方法：两名评审员独立进行研究筛选，数据提取和质量评估。使用固定效应模型来确定孕前护理与计划生育的利用和先前不良分娩结果的综合关联。
结果：共有3829名参与者的8项研究被纳入综述。汇总荟萃分析发现，有计划生育史的女性使用孕前保健的可能性比那些在当前怀孕前未使用计划生育的女性更高（OR2.09，95％CI1.74至2.52）。同样，汇总荟萃分析发现,既往有不良分娩结局的女性使用孕前护理的几率高于既往无不良分娩结局史的女性(OR3.38,95%CI1.06~10.74).
结论：本综述表明，孕前保健的使用与先前使用计划生育和先前不良分娩结局有正相关。因此，政策制定者和其他相关利益攸关方应加强孕前护理与计划生育和其他孕产妇保健服务的整合。
■CRD42023443855。
方法：观察性研究的系统评价和荟萃分析。
方法：MEDLINEComplete，CINAHL完成,Scopus和全球健康从成立到2023年7月28日进行了搜索。
方法：纳入观察性研究，将孕前保健作为结果变量，并将怀孕前使用计划生育或先前的不良分娩结果作为暴露变量。
方法：两名评审员独立进行研究筛选，数据提取和质量评估。使用固定效应模型来确定孕前护理与计划生育的利用和先前不良分娩结果的综合关联。
结果：共有3829名参与者的8项研究被纳入综述。汇总荟萃分析发现，有计划生育史的女性使用孕前保健的可能性比那些在当前怀孕前未使用计划生育的女性更高（OR2.09，95％CI1.74至2.52）。同样，汇总荟萃分析发现,既往有不良分娩结局的女性使用孕前护理的几率高于既往无不良分娩结局史的女性(OR3.38,95%CI1.06~10.74).
结论：本综述表明，孕前保健的使用与先前使用计划生育和先前不良分娩结局有正相关。因此，政策制定者和其他相关利益攸关方应加强孕前护理与计划生育和其他孕产妇保健服务的整合。
■CRD42023443855。
