Effectiveness of birth preparedness interventions on maternal and neonatal outcomes in low- and middle-income countries: A systematic review and meta-analysis
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Issued Date
2025-10-01
Resource Type
ISSN
17427932
eISSN
17427924
Scopus ID
2-s2.0-105015420587
Pubmed ID
40930522
Journal Title
Japan Journal of Nursing Science
Volume
22
Issue
4
Rights Holder(s)
SCOPUS
Bibliographic Citation
Japan Journal of Nursing Science Vol.22 No.4 (2025)
Suggested Citation
Tun P.P., Katchamat N., Nishimura E., Barroga E., Ota E. Effectiveness of birth preparedness interventions on maternal and neonatal outcomes in low- and middle-income countries: A systematic review and meta-analysis. Japan Journal of Nursing Science Vol.22 No.4 (2025). doi:10.1111/jjns.70023 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112135
Title
Effectiveness of birth preparedness interventions on maternal and neonatal outcomes in low- and middle-income countries: A systematic review and meta-analysis
Author(s)
Corresponding Author(s)
Other Contributor(s)
Abstract
Aim: We aimed to assess the impact of birth preparedness interventions among pregnant women on the improvement of their maternal and neonatal outcomes in low- and middle-income countries. Methods: Randomized controlled trials from 2007 to 2023 that assessed birth preparedness interventions for pregnant women living in such countries were reviewed after searching on PubMed, CENTRAL, Embase, and CINAHL databases. This systematic review followed the Preferred Reporting Items for the Systematic Reviews and Meta-Analysis standards. The database searches yielded 7405 articles. Nine trials were eligible for inclusion. Results: The meta-analysis revealed a statistically significant variation in perinatal mortality (participants = 3573; studies = 2; risk ratio = 0.58; 95% confidence interval = [0.47, 0.73]; I<sup>2</sup> = 0%, moderate certainty of evidence) and a significant difference in the initiation of breastfeeding (participants = 8743; studies = 3; risk ratio = 1.89; 95% confidence interval [CI] = [1.50, 2.39]; I<sup>2</sup> = 96%, low certainty of evidence). Conclusion: Our systematic review showed that birth preparedness interventions significantly reduced perinatal mortality and increased breastfeeding initiation, as well as produced a positive impact on infant birth weight (grams) and age of gestation at birth (weeks). Future randomized controlled trials on birth preparedness interventions should be conducted and effectively promoted to enhance the health of mothers and neonates in low- and middle-income countries.