Preference of mode of delivery and associated factors among mothers in East Africa: systematic review and meta-analysis
Bibliographic record
Abstract
INTRODUCTION: Preference of mode of delivery refers to the expectant mother's personal choice or preference for the method by which she would like to have her baby delivered. Although there are many fragmented primary studies on the preference of mode of delivery among women in East Africa, the pooled preference rate is unknown. In addition, those studies disagreed on reporting the associated factors. Therefore, this study was intended to determine the pooled preference for mode of delivery and its associated factors among women in East Africa. METHOD: We searched studies using PubMed, Scopus, Embase, Science Direct, and Google Scholar that were published between March 01/2014 and March 31/2024. This study used the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The quality of studies was evaluated using the modified Newcastle-Ottawa quality assessment tool. The data were extracted by two authors independently using Microsoft Excel and analyzed by Stata version 17. A random effects model was applied to calculate the pooled preference for mode of delivery and its associated factors. The PROSPERO registration number for the review was CRD42024541921. RESULTS: A total of 14 studies comprising 47,561 participants were involved in this meta-analysis. The pooled preference of vaginal delivery and cesarean delivery were 75% ((95% C.I = 67 - 83%) and 25% (95% C.I = 17 - 34%), [Formula: see text]respectively. This study showed that ANC-follow (OR= 1.11; 95% CI=0.67-1.82), previous intrapartum satisfaction (OR= 2.69; 95% CI = 0.53-13.64), place of residence (OR= 1.10; 95% CI = 0.86-1.42), occupation (P=0.000; OR= 0.97; 95% CI=0.67-1.42), planned pregnancy (OR= 1.89; 95% CI=1.26-2.82), previous history of spontaneous abortion (OR= 2.30; 95% CI=0.71-7.44), current pregnancy related problem (OR= 3.86; 95% CI=1.37-10.84), discussion with a partner (OR= 0.67; 95% CI=0.35-1.27), types of the hospital (OR= 1.13; 95% CI = 0.65-1.94) were significant factors associated with preference of mode of delivery. CONCLUSION: The preference for vaginal delivery was higher than for cesarean delivery. Factors such as antenatal care follow-up, previous intrapartum satisfaction, place of residence, occupation, planned pregnancy, prior history of spontaneous abortion, maternal education, current pregnancy-related problems, discussion with partner, and types of hospital were significantly associated. The findings of this study imply a multifaceted approach is required.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.028 | 0.060 |
| Meta-epidemiology (narrow) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.020 | 0.033 |
| Bibliometrics | 0.009 | 0.009 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".