Predictors of Birth Preparedness and Complication Readiness Practices Among Pregnant Women in Ethiopia, a Systematic Review and Meta-Analysis.

ABSTRACT

Objectives: We conducted this review to identify factors associated with birth preparedness and complication readiness (BPCR) among pregnant women in Ethiopia. BPCR is a comprehensive approach that helps address delays in seeking care for obstetric problems. Methods: PRISMA was followed and different databases were used to find studies. Adjusted Odds Ratio (AOR) with a 95% Confidence Interval was used to identify factors. The I2 statistic, funnel plot, and Egger test were used to assess the heterogeneity of studies and publication bias. Results: Knowledge of BPCR, danger signs during pregnancy, labor, and postpartum (AOR = 1.99, 95% CI 1.51, 2.64, AOR = 1.55; 95% CI 1.35, 1.80; AOR = 1.45; 95% CI 1.27, 1.63, and AOR = 1.4; 95% CI 1.21, 1.63), respectively, residency (AOR = 1.49; 95% CI 1.32, 1.68), antenatal care visit (AOR = 1.59; 95% CI 1.43, 1.78), history of stillbirth (AOR = 1.58; 95% CI 1.36, 1.86), and educational status (AOR = 1.62 95% CI 1.45, 1.78) were significantly associated with BPCR practice. Conclusion: This study identified some modifiable factors in the practice of BPCR. Integrating counseling and expanding ANC services in health facilities may improve BPCR practice.