article · Preventive Medicine Reports
Objective: This systematic review and meta-analysis aimed to synthesize evidence on the magnitude of childbirth-related fear and its associated factors among pregnant women in Ethiopia. Methods: statistics, and publication bias was evaluated using Egger's and Begg's tests, supported by funnel plots. Results: The pooled prevalence of fear of childbirth among pregnant women in Ethiopia was 26.14 % (95 % CI, 16.77, 35.51). Significant factors associated with this fear included unplanned pregnancy (OR = 4.26; 95 % CI: 1.29, 14.09), previous obstetric complications (OR = 5.51; 95 % CI: 3.34, 9.09), low educational attainment (OR = 5.82; 95 % CI: 2.57, 13.21), and the presence of medical illness (OR = 3.60; 95 % CI: 1.67, 7.78). Conclusion: Childbirth-related fear is a substantial maternal health concern in Ethiopia. Addressing this issue requires strengthening antenatal education, integrating psychological support into routine maternity care, and ensuring culturally sensitive community involvement to improve women's confidence and childbirth experiences.
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DOI: 10.1016/j.pmedr.2026.103376
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