{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T06:05:57Z","timestamp":1792821957096,"version":"4.5.0"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Labor pain is the nastiest conceivable pain women are involved in during labor and delivery. In this way, the end of labor pain is frequently outlined by myths and equivocalness. Hence, giving a compelling absence of pain in labor remained a challenge specifically in developing countries including Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This systematic review and meta-analysis aimed to explore the pooled prevalence of labor analgesia and associated factors to pregnant women in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis were utilized in agreement with the Preferred Reporting Items for Systematic Reviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources:<\/jats:title>\n                    <jats:p>PubMed\/Medline, SCOPUS, EMBASE, Web of Science, Google Scholars, and the Cochrane Library and supplemented it with manual were deliberately looked at until January 1\u201330, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Two authors independently extricated all principal information utilizing standardized data extraction designs, and the analysis was done utilizing STATA version 17. Heterogeneity over the studies was evaluated utilizing\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      measurement. The funnel plot and Egger\u2019s weighted regression tests were utilized to assess subjective and objective publication biases respectively. Also, the pooled effect of labor pain management and the associations were evaluated utilizing a random-effects model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The general pooled prevalence of labor analgesia in the present study was 23.3% with a (95% confidence interval (CI): 13.5, 33.1). Maternal age (odds ratio (OR): 1.91; 95% CI: 1.11, 2.77), parity of the mother (OR: 0.28; 95% CI: 0.06, 0.63), history of pregnancy misfortune (OR: 0.12; 95% CI: 0.11, 0.36), length of labor (OR: 2.09; 95% CI: 1.06, 3.13), and awareness about labor analgesia (OR: 1.91; 95% CI: 0.34, 3.49) were significantly related with labor analgesia among pregnant women in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The generally pooled prevalence of labor analgesia among pregnant women in Ethiopia was low. Maternal age, parity of the mother, history of pregnancy loss, length of labor, and awareness of labor analgesia were factors influencing labor analgesia among pregnant women in Ethiopia. This finding proposes exceptional consideration to make laboring mothers free of pain by scaling up the strategies and utilizing labor pain administration in a way that universally recognized standards are met.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration number:<\/jats:title>\n                    <jats:p>PROSPERO CRD: 42024525636<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057241275442","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T08:53:39Z","timestamp":1725958419000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Predictors of labor pain management among pregnant women in Ethiopia: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4737-9607","authenticated-orcid":false,"given":"Teketel Ermias","family":"Geltore","sequence":"first","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5983-9830","authenticated-orcid":false,"given":"Tesfahun Simon","family":"Hadaro","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Ariba Minch University, Ariba Minch, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woldetsadik","family":"Oshine","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merkin","family":"Bekele","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakew Lafebo","family":"Foto","sequence":"additional","affiliation":[{"name":"School of Public Health, Institute of Health Science, Bule Hora University, Bule Hora, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,8]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"crossref","unstructured":"Alelgn Y Abeje A Tsegaye BT et al Magnitude and factors associated with utilization of labor analgesia among obstetric caregivers at public hospitals in Sidama region Southern Ethiopia. Int J Womens Health Wellness. 2022; 8(2) 142.","DOI":"10.23937\/2474-1353\/1510142"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.01.015"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S209913"},{"key":"e_1_3_4_5_2","volume-title":"Acupuncture for labour pain","author":"Vixner L.","year":"2015","unstructured":"Vixner L. Acupuncture for labour pain. Sweden: Karolinska Institutet, 2015."},{"issue":"9","key":"e_1_3_4_6_2","first-page":"873","article-title":"Erratum: pain management during vaginal childbirth","volume":"326","author":"Jin J","year":"2021","unstructured":"Jin J, Son M. Erratum: pain management during vaginal childbirth. JAMA 2021; 326(9): 873.","journal-title":"JAMA"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/07420528.2014.901973"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.4172\/2254-609X.100029"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihac061"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.4236\/arsci.2016.42007"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221088705"},{"key":"e_1_3_4_12_2","volume-title":"World Health Statistics 2016 [OP]: monitoring health for the sustainable development goals (SDGs)","author":"World Health Organization","year":"2016","unstructured":"World Health Organization. World Health Statistics 2016 [OP]: monitoring health for the sustainable development goals (SDGs). Geneva: World Health Organization, 2016."},{"key":"e_1_3_4_13_2","volume-title":"Consultation on the development of the global dementia observatory","author":"World Health Organization","year":"2017","unstructured":"World Health Organization. Consultation on the development of the global dementia observatory. Geneva: World Health Organization, 2017."},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1237-4"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40122-020-00212-1"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304743"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15122792"},{"key":"e_1_3_4_18_2","volume-title":"Pain in perspective","author":"Ebirim LN","year":"2012","unstructured":"Ebirim LN, Buowari OY, Ghosh S. Physical and psychological aspects of pain in obstetrics. In: Ghosh S (ed.) Pain in perspective. United kingdom: IntechOpen, 2012."},{"issue":"3","key":"e_1_3_4_19_2","first-page":"5","article-title":"Pain management for women in labor: an overview of systematic reviews","volume":"14","author":"Jones L.","year":"2012","unstructured":"Jones L. Pain management for women in labor: an overview of systematic reviews. Cochrane Database Syt Rev 2012; 14(3): 5.","journal-title":"Cochrane Database Syt Rev"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v15i2.32"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.03.003"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2001.00243.x"},{"issue":"2","key":"e_1_3_4_23_2","first-page":"1","article-title":"Labour pain management practice by medical interns at Jimma University","volume":"9","author":"Worku BT","year":"2021","unstructured":"Worku BT, Baye MF. Labour pain management practice by medical interns at Jimma University. Afr J Nurs Midwifery 2021; 9(2): 1\u20137.","journal-title":"Afr J Nurs Midwifery"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S165417"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.12968\/ajmw.2018.0031"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.21767\/1791-809X.1000516"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/9973001"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04717-9"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05094-z"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"issue":"3","key":"e_1_3_4_31_2","first-page":"147","article-title":"Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data","volume":"13","author":"Munn Z","year":"2015","unstructured":"Munn Z, Moola S, Lisy K, et al Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. JBI Evid Implement 2015; 13(3): 147\u2013153.","journal-title":"JBI Evid Implement"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2011.11.014"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"issue":"1","key":"e_1_3_4_34_2","first-page":"11","article-title":"Exploring and accounting for publication bias in mental health: a brief overview of methods","volume":"17","author":"Mavridis D","year":"2014","unstructured":"Mavridis D, Salanti G. Exploring and accounting for publication bias in mental health: a brief overview of methods. BMJ Ment Health 2014; 17(1): 11\u201315.","journal-title":"BMJ Ment Health"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijso.2021.100417"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06674-x"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-019-4645-x"},{"key":"e_1_3_4_39_2","first-page":"1000003","article-title":"Utilization of non-pharmacological labor pain management methods and associated factors among women gave birth at Jimma Medical Center, Jimma, Southwest Ethiopia","volume":"18","author":"Haso TK","year":"2021","unstructured":"Haso TK, Horeto A, Abdu S, et al Utilization of non-pharmacological labor pain management methods and associated factors among women gave birth at Jimma Medical Center, Jimma, Southwest Ethiopia. Clin Mother Child Health 2021; 18: 1000003.","journal-title":"Clin Mother Child Health"},{"issue":"10","key":"e_1_3_4_40_2","first-page":"807","article-title":"Tokophobia\u2014a multidisciplinary problem [in Polish]","volume":"78","author":"Bilert H.","year":"2007","unstructured":"Bilert H. Tokophobia\u2014a multidisciplinary problem [in Polish]. Ginekol Pol 2007; 78(10): 807\u2013811.","journal-title":"Ginekol Pol"},{"issue":"11","key":"e_1_3_4_41_2","first-page":"158","article-title":"A study on the knowledge, attitude and demand of labour pain relief techniques among antenatal women in a selected hospital at mangaluru with a view to prepare a concept map","volume":"7","author":"Mattamundayil SAJ","year":"2017","unstructured":"Mattamundayil SAJ, Aranha M, Fernandes MPJ. A study on the knowledge, attitude and demand of labour pain relief techniques among antenatal women in a selected hospital at mangaluru with a view to prepare a concept map. Int J Health Sci Res 2017; 7(11): 158\u2013166.","journal-title":"Int J Health Sci Res"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.33314\/jnhrc.v16i3.1085"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20161320"},{"key":"e_1_3_4_44_2","doi-asserted-by":"publisher","DOI":"10.19082\/4274"},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-017-0729-6"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.4103\/2249-4472.132815"},{"key":"e_1_3_4_47_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770110207"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cegh.2022.101157"},{"issue":"1","key":"e_1_3_4_49_2","first-page":"29","article-title":"A survey of obstetric an aesthesia practice in Flanders","volume":"57","author":"Van Houwe P","year":"2006","unstructured":"Van Houwe P, Heytens L, Vercruysse P. A survey of obstetric an aesthesia practice in Flanders. Acta Anaesthesiol Belg 2006; 57(1): 29\u201337.","journal-title":"Acta Anaesthesiol Belg"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057241275442","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057241275442","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057241275442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:27:36Z","timestamp":1777710456000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057241275442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":48,"alternative-id":["10.1177\/17455057241275442"],"URL":"https:\/\/doi.org\/10.1177\/17455057241275442","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]},"article-number":"17455057241275442"}}