Companionship care and associated factors among childbirth women in Ethiopia: a systematic review and meta-analysis.
Introduction: Companionship-based care is essential for enhancing maternal and neonatal health services. Despite its importance, studies have shown inconsistent findings regarding the utilization of companionship during childbirth in developing countries, including Ethiopia. Objective: To evaluate t...
| Publicado en: | Therapeutic Advances in Reproductive Health Vol. 20; pp. 1 - 18 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
4/7/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192851528&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192851528 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26334941 N9DZ jtl: Therapeutic Advances in Reproductive Health issn: 26334941 maglogo: N pubinfo: dt: 4/7/2026 vid: 20 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 192851528 192851528 192851528 10.1177/26334941261434846 192851528 ppf: 1 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Companionship care and associated factors among childbirth women in Ethiopia: a systematic review and meta-analysis. aug: au: Zeleke, Agerie Mengistie Tassew, Worku Chekol Mengistu, Banchgizie Adane Abebe, Moges Tadesse Dessie, Worku Getachew Erqu, Getu Amsalu Bizuayehu, Tirukelem Muhabaw Ferede, Yeshiwas Ayale affil: Conceptualization, Department of Midwifery, Debark University College of Health Science, Debark Town 25190, Ethiopia sug: subj: Childbirth Expectant Mothers Psychosocial Factors Home Health Care Utilization Human Ethiopia Systematic Review Meta Analysis PubMed Descriptive Statistics Data Analysis Software Regression Confidence Intervals Parity Educational Status Pregnancy Complications Pregnancy Female Health Services Accessibility Health Knowledge Checklists Female ab: Introduction: Companionship-based care is essential for enhancing maternal and neonatal health services. Despite its importance, studies have shown inconsistent findings regarding the utilization of companionship during childbirth in developing countries, including Ethiopia. Objective: To evaluate the pooled utilization of companionship and identify the factors influencing this practice among women giving birth. Design: A systematic review and meta-analysis Data sources and methods: We conducted our review by searching common databases, including PubMed, Scopus, Wiley Online Library, ScienceDirect, and Epistemonikos, between February 1, 2025, and April 1, 2025. In addition, Google Scholar and unpublished theses from Ethiopian university research repositories were included. Data extraction was performed using an Excel data extraction form and subsequently imported into STATA version 11 for analysis. We employed forest plots, Cochran's Q tests, subgroup analyses, sensitivity analyses, and meta-regression models to assess the heterogeneity among the included studies. Publication bias was evaluated through funnel plots and Egger's regression tests. A random-effects model was used to estimate the pooled utilization of companionship. Results: From the 13 studies analyzed, which included a total of 8100 participants, we found that the utilization of companionship during childbirth was 28.86% (95% CI: 22.23, 35.48). Factors associated with higher utilization included the following: higher education level (prevalence and odds ratio (POR): 2.87, 95% CI: 1.81, 4.57), being primiparous (POR: 2.21, 95% CI: 1.82, 2.67), expressing a desire for companionship during delivery (POR: 2.77, 95% CI: 1.79, 4.28), having a history of obstetric complications (POR: 2.77, 95% CI: 1.79, 4.28), access to comfortable healthcare facilities (POR: 2.66, 95% CI: 1.97, 3.59), and possessing good knowledge about companionship care (POR: 2.35, 95% CI: 1.25, 4.41). Conclusion: The utilization of companionship during childbirth in Ethiopia remains low. The factors influencing this practice include higher education levels, being primiparous, the desire for a delivery companion, experiences of complications during pregnancy and labor, access to adequate healthcare facilities, and awareness of the benefits of having a birth companion. To improve this situation, healthcare management teams and providers should prioritize educating expectant mothers about the advantages of companionship during antenatal care. Trial registration: PROSPERO registration: CRD420251020204. Plain language summary: Companionship care and associated factors among childbirth women in Ethiopia. A systematic review and meta-analysis Objective: To evaluate the pooled utilization of companionship and identify the factors influencing this practice among women giving birth. Design: A systematic review and meta-analysis. Data Sources and Methods: We conducted our review by searching common databases, including PubMed, Scopus, Wiley Online Library, Science Direct, and Epistemonikos, between February 1, 2025, and April 1, 2025. Additionally, Google Scholar and unpublished theses from Ethiopian university research repositories were included. Data extraction was performed using an Excel data extraction form and subsequently imported into STATA version 11 for analysis. We employed forest plots, Cochran's Q tests, subgroup analyses, sensitivity analyses, and meta-regression models to assess the heterogeneity among the included studies. Publication bias was evaluated through funnel plots and Egger's regression tests. A random-effects model was used to estimate the pooled utilization of companionship. Results: From the thirteen studies analyzed, which included a total of 8,100 participants, we found that the utilization of companionship during childbirth was 28.86% (95% CI: 22.23, 35.48). Factors associated with higher utilization included: higher education level (POR: 2.87, 95% CI: 1.81, 4.57), being primiparous (POR: 2.21, 95% CI: 1.82, 2.67), expressing a desire for companionship during delivery (POR: 2.77, 95% CI: 1.79, 4.28), having a history of obstetric complications (POR: 2.77, 95% CI: 1.79, 4.28), access to comfortable healthcare facilities (POR: 2.66, 95% CI: 1.97, 3.59), and possessing good knowledge about companionship care (POR: 2.35, 95% CI: 1.25, 4.41). Conclusions: The utilization of companionship during childbirth in Ethiopia. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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