Publications by authors named "Mulat Ayele"

Background: To date, findings from systematic reviews and meta-analyses on unintended pregnancies in low-income and middle-income countries (LMICs) are inconsistent, posing challenges for preventive efforts. Therefore, the aim of this study is to determine the magnitude, determinants, and adverse outcomes of unintended pregnancy among pregnant mothers in LMICs: an umbrella review of systematic review and meta-analysis.

Methods: PubMed, Scopus, Science Direct, Web of Science, as well as databases specific to systematic reviews, such as the Cochrane Database, have investigated the magnitude, risk factors, and adverse outcomes of unintended pregnancy in LMICs.

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  • The study aimed to identify factors influencing the use of traditional birth attendants among reproductive-age women in Ethiopia, with a focus on data from a large sample of 3979 participants.
  • Results indicated that 29.76% of Ethiopian mothers relied on these traditional attendants for delivery, with predictors including lower education levels, higher poverty, and being from less accessible regions.
  • The findings suggest a need for targeted interventions, such as educational programs and improved access to skilled care, especially in rural areas, to shift mothers towards more qualified birth attendance.
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Despite extensive efforts, malnutrition persists as a critical public health concern, particularly in developing nations like Ethiopia. Concurrent occurrence of wasting and stunting poses severe consequences. Analyzing trends and factors contributing to this double burden is vital for evaluating and enhancing existing nutritional programs.

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Introduction: Maternal and child mortality remains a major public health concern in Ethiopia. Improving the practice of short inter-pregnancy intervals is a key strategy to reduce neonatal and maternal mortality. Several primary studies conducted in Ethiopia have revealed the practice short inter-pregnancy interval.

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  • Failed induction of labor in Ethiopia is linked to increased health risks for mothers, including complications from cesarean deliveries and higher mortality rates.
  • A systematic review and meta-analysis were conducted on studies from 2013 to 2023, including 28 studies with 9,757 participants, to assess the prevalence and associated factors of failed induction.
  • The findings revealed a pooled prevalence of 22.39%, with higher rates in Addis Ababa, and identified risk factors such as rural residency, being a first-time mother, an unfavorable Bishop score, hypertension, and premature rupture of membranes.
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Background: Safe motherhood programs must include both readiness for complications and childbirth. Birth preparedness and complication readiness (BPCR) is a comprehensive approach that helps resolve delays in deciding to seek care for obstetric problems.

Objectives: To identify the determinants of BPCR practice among reproductive age group women in Africa.

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Introduction: The time between seeking emergency care and receiving the first healthcare service is referred to as delays in reaching health facilities. Delay in reaching health facilities had three main sub-themes in different studies. These include (i).

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  • - The study examines fertility rates in Ethiopia over the past 20 years, highlighting their impact on economic and social policies, and the importance of regional variations for targeted policy-making.
  • - Data from national health surveys showed that while the total fertility rate decreased from 4.8 to 4.2 live births per woman, significant regional differences exist, with higher rates in areas like Somalia and Oromia compared to lower rates in Addis Ababa.
  • - The findings indicate that areas with higher fertility rates are often linked to a higher proportion of Muslim women and limited access to healthcare, emphasizing the need for tailored interventions in different geographic regions.
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Introduction: Sleep is a crucial determinant of maternal and fetal health, significantly impacting the well-being of both the mother and her developing fetus. Poor sleep quality, characterized by difficulties in falling asleep or staying asleep, can cause poor pregnancy outcome. Conversely, studies came with inconsistent result in the prevalence of poor sleep quality in different trimester of pregnancy.

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Introduction: Preeclampsia can elevate the likelihood of unfavorable consequences for a mother, such as severe morbidity and mortality. World Health Organization recommends low dose acetylsalicylic acid (aspirin, 75 mg per day) for the prevention of preeclampsia in women at moderate or high risk of developing the condition. The use of low dose aspirin is dependent on the knowledge of health care providers working in the antenatal care units.

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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.

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  • The Non-pneumatic Anti-Shock Garment (NASG) is a critical first aid device that helps manage postpartum hemorrhage by improving blood circulation to vital organs, potentially reducing maternal mortality.
  • This study aims to assess the prevalence of NASG use and its influencing factors among obstetric care providers in Ethiopia.
  • After a comprehensive literature search, seven studies with 2335 participants indicated that the overall NASG utilization rate in Ethiopia is 43.34%.
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Introduction: The World Health Organization defines women with an unmet need for family planning as individuals who are fecund, sexually active, and wanting to either to limit childbirth or postpone their next birth but are not utilizing any form of contraception. Previous meta-analyses and systematic reviews have focused on this topic, but no comprehensive summary of the evidence was available. Therefore, the aim of this study was to provide a summary of the findings on the unmet need for family planning among reproductive-aged women in Ethiopia.

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  • Ineffective breastfeeding techniques in Ethiopia are linked to poor attachment, suckling, and positioning, leading to insufficient breast milk intake, which negatively affects children's growth and immunity.
  • * A systematic review and meta-analysis of 11 studies revealed a national prevalence of ineffective breastfeeding techniques at 53.13%, with factors such as no formal education, being a first-time mother, lack of postnatal care, and inadequate breastfeeding counseling significantly contributing to the issue.
  • * The study employed rigorous methods, including heterogeneity testing, subgroup analysis, and sensitivity analysis, to ensure the robustness and reliability of the findings on the factors affecting breastfeeding practices in Ethiopia.
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Introduction: Worldwide, surgery related deaths within 30 days of the procedure accounts the third contributor among all causes of deaths, with an estimated 4.2 million people annually and half of these deaths occur in low and middle income countries.

Objective: To determine the pooled prevalence of surgical site infection following cesarean section and its predictors in Ethiopia.

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Objectives: Globally, twenty-three million adolescents aged 15-19 years have an unmet need for sexual and reproductive health services and are at risk of unintended pregnancy. In Sub-Saharan Africa, including Ethiopia, it might be difficult for adolescents to get access to sexual and reproductive health services that are acceptable to use. Privacy, a fear of sharing health concerns, a sociocultural environment, the unfriendliness of current services, and traditional taboos are some of the key reasons.

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Introduction: Evidence-based practice (EBP) is the art of using up-to-date information for clinical decision-making. Healthcare professionals at all levels are expected to use the latest research evidence for quality care. In Ethiopia inclusive and nationally representative summarized evidence regarding the level of EBP among health professionals is scarce.

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Background: Cervical cancer is the fourth most common cancer affecting females. Human papillomavirus vaccination of adolescent girls is the primary strategy for cervical cancer prevention but in Ethiopia, it lacks emphasis. Despite different studies done and found a highly variable level of vaccine acceptance; however, there was no summarized evidence on the issues as a nation.

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