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Introduction <p>Companionship during childbirth is crucial for maternal and fetal outcomes, but in sub-Saharan countries such as Ethiopia, it is often not encouraged, leading to delayed healthcare access and obstetric complications. This study aims to determine the pooled proportion of companionship utilization during childbirth in Ethiopia and its determinants, as previous studies have not consistently shown national-level results.</p> Method <p>The Joanna Briggs Organized Meta-Analysis of Measurements Appraisal and Survey Instrument was used to conduct the fundamental evaluation. A systematic data extraction format was used by two authors to independently extract all required data. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standard was followed in this systematic review and meta-analysis. Search engines, including Google Scholar, CINHAL, EMBASE, PubMed/MEDLINE, and the Cochrane Library, were used to find studies that might be of interest. Excel was used to extract the data, which were then exported to Stata version 14 for analysis. Begg’s and Egger’s tests were used to evaluate publication bias, and the I2 statistics were thought to examine heterogeneity. Forest plots displaying the results’ pooled odds ratio (OR) with a 95% confidence interval (CI) were used to express the data.</p> Result <p>This systematic review and meta-analysis comprised five studies in total. In Ethiopia, the combined percentage of laboring mothers who used companionship during labor was only 20.3% (95% CI 18.8%, 21.8%). The factors that determined the likelihood of a companionship utilization during childbirth were pregnancy complication history [OR 2.96 (95% CI 1.67, 5.24)], desire to have companion, [OR (95% CI 1.30, 23.81)], parity [OR 2.61 (95% CI 2.08, 3.29)], antenatal care [OR 327 (95% CI 1.30, 8.19)], place of delivery [OR 3.22 (95% CI 1.15, 9.00)], awareness level about companion utilization [OR 1.97 (95% CI 1.31, 2.99)], and education level [OR 9.83 (95% CI 1.66, 58.17)].</p> Conclusion <p>The pooled proportion of companionship utilization during childbirth in Ethiopia was low. Educational level and awareness level about companion utilization were significant contributing factors to companionship utilization during childbirth in the country. Therefore, the government and health care providers should set different strategies to enhance companionship utilization during childbirth.</p>

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Companionship utilization and associated factors during facility-based childbirth in Ethiopia: a systematic review and meta-analysis

  • 期刊论文

  • 发表日期：

    2025年5月14日

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  • Bewket Yeserah Aynalem,
  • Keralem Anteneh Bishaw,
  • Melaku Desta

摘要

Introduction

Companionship during childbirth is crucial for maternal and fetal outcomes, but in sub-Saharan countries such as Ethiopia, it is often not encouraged, leading to delayed healthcare access and obstetric complications. This study aims to determine the pooled proportion of companionship utilization during childbirth in Ethiopia and its determinants, as previous studies have not consistently shown national-level results.

Method

The Joanna Briggs Organized Meta-Analysis of Measurements Appraisal and Survey Instrument was used to conduct the fundamental evaluation. A systematic data extraction format was used by two authors to independently extract all required data. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standard was followed in this systematic review and meta-analysis. Search engines, including Google Scholar, CINHAL, EMBASE, PubMed/MEDLINE, and the Cochrane Library, were used to find studies that might be of interest. Excel was used to extract the data, which were then exported to Stata version 14 for analysis. Begg’s and Egger’s tests were used to evaluate publication bias, and the I2 statistics were thought to examine heterogeneity. Forest plots displaying the results’ pooled odds ratio (OR) with a 95% confidence interval (CI) were used to express the data.

Result

This systematic review and meta-analysis comprised five studies in total. In Ethiopia, the combined percentage of laboring mothers who used companionship during labor was only 20.3% (95% CI 18.8%, 21.8%). The factors that determined the likelihood of a companionship utilization during childbirth were pregnancy complication history [OR 2.96 (95% CI 1.67, 5.24)], desire to have companion, [OR (95% CI 1.30, 23.81)], parity [OR 2.61 (95% CI 2.08, 3.29)], antenatal care [OR 327 (95% CI 1.30, 8.19)], place of delivery [OR 3.22 (95% CI 1.15, 9.00)], awareness level about companion utilization [OR 1.97 (95% CI 1.31, 2.99)], and education level [OR 9.83 (95% CI 1.66, 58.17)].

Conclusion

The pooled proportion of companionship utilization during childbirth in Ethiopia was low. Educational level and awareness level about companion utilization were significant contributing factors to companionship utilization during childbirth in the country. Therefore, the government and health care providers should set different strategies to enhance companionship utilization during childbirth.