BACKGROUND Birth preparedness and complication readiness are broadly endorsed by governments and international agencies to reduce maternal and neonatal health threats in low income countries. Maternal education is broadly positioned to positively affect the mother's and her children's health and nutrition in low income countries. Thus, this systematic review and meta-analysis aims to estimate the effect of maternal education on birth preparedness and complication readiness. METHODS This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We conducted an electronic based search using data bases of PubMed /MEDLINE, Science direct and google scholar. STATA™ Version 14.1 was used to analyze the data, and forest plots were used to present the findings. I2 test statistics and Egger's test were used to assess heterogeneity and publication bias. Pooled prevalence and pooled odd ratios with 95% confidence intervals were computed. Finally, Duval and Tweedie's nonparametric trim and fill analysis using random-effects meta-analysis was conducted to account for publication bias. RESULTS In this meta-analysis, 20 studies involving 13,744 pregnant women meeting the inclusion criteria were included, of which 15 studies reported effects of maternal education on birth preparedness and complication readiness. Overall estimated level of birth preparedness and complication readiness was 25.2% (95% CI 20.0, 30.6%). This meta-analysis found that maternal education and level of birth preparedness and complication readiness were positively associated. Pregnant mothers whose level of education was primary and above were more likely to prepare for birth and obstetric emergencies (OR = 2.4, 95% CI: 1.9, 3.1) than non-educated mothers. CONCLUSION In Ethiopia, the proportion of women prepared for birth and related complications remained low. Maternal education has a positive effect on the level of birth preparedness and complication readiness. Therefore, it is imperative to launch programs at national and regional levels to uplift women's educational status to enhance the likelihood of maternal health services utilization.

中文翻译：

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产妇教育对埃塞俄比亚孕妇的分娩准备和并发症准备状况的影响：系统评价和荟萃分析。

背景技术为降低低收入国家对孕产妇和新生儿健康的威胁，各国政府和国际机构广泛认可了生育准备和并发症准备。在低收入国家，产妇教育的位置广泛，可以对母亲及其子女的健康和营养产生积极影响。因此，这项系统的综述和荟萃分析旨在评估孕产妇教育对分娩准备和并发症准备的影响。方法根据系统评价和荟萃分析的首选报告项目对本评价进行了报道。我们使用PubMed / MEDLINE，Science Direct和Google Scholar数据库进行了基于电子的搜索。使用STATA™版本14.1来分析数据，并使用森林图来介绍发现的结果。I2测试统计和Egger' s检验用于评估异质性和发布偏倚。计算了95％置信区间的合并患病率和合并奇数比率。最后，进行了Duval和Tweedie的非参数修剪和填充分析，使用随机效应荟萃分析来解决发布偏倚。结果在这项荟萃分析中，纳入了20项研究，涉及13744名符合纳入标准的孕妇，其中15项研究报道了孕产妇教育对分娩准备和并发症准备的影响。出生准备和并发症准备程度的总体估计水平为25.2％（95％CI 20.0，30.6％）。这项荟萃分析发现，孕产妇教育与分娩准备水平和并发症准备程度呈正相关。受教育程度为初等及以上的怀孕母亲比未受过教育的母亲更有可能为出生和产科紧急事件做准备（OR = 2.4，95％CI：1.9，3.1）。结论在埃塞俄比亚，准备分娩和相关并发症的妇女比例仍然很低。产妇教育对分娩准备和并发症准备程度有积极影响。因此，必须在国家和地区两级启动提高妇女教育程度的方案，以增加利用产妇保健服务的可能性。产妇教育对分娩准备和并发症准备程度有积极影响。因此，必须在国家和地区两级启动提高妇女教育程度的方案，以增加利用产妇保健服务的可能性。产妇教育对分娩准备和并发症准备程度有积极影响。因此，必须在国家和地区两级启动提高妇女教育程度的方案，以增加利用产妇保健服务的可能性。