Maternal Morbidity and Co-morbidity During and After Pregnancy in Women in Low- and Middle-Income Countries: A Systematic Literature Review

McCauley, Mary; Zafar, Shamsa; Broek, Nynke van den

doi:10.21203/rs.3.rs-15773/v1

Cited by 1 publication

(1 citation statement)

References 46 publications

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“…The concept of maternal morbidity has been defined and explored in more depth by an international working group 7 . Recent studies using this comprehensive approach and definition of maternal morbidity show that during and after pregnancy, co‐morbidity is common and for women of low‐ socio‐economic status as many as three in four have clinical symptoms, abnormalities on clinical examination and/or laboratory investigation, one in two women have anaemia, one in three social morbidity and one in four mental health problems 8,9 …”

Section: Introductionmentioning

confidence: 99%

What are the essential components of antenatal care? A systematic review of the literature and development of signal functions to guide monitoring and evaluation

McCauley

Lowe

Furtado

et al. 2021

BJOG

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Background Antenatal care (ANC) is one of the key care packages required to reduce global maternal and perinatal mortality and morbidity.Objectives To identify the essential components of ANC and develop signal functions.Search strategy MESH headings for databases including Cinahl, Cochrane, Global Health, Medline, PubMed and Web of Science.Selection criteria Papers and reports on content of ANC published from 2000 to 2020.Data collection and analysis Narrative synthesis of data and development of signal function through 7 consensus-building workshops with 184 stakeholders.Main results A total of 221 papers and reports are included from which 28 essential components of ANC were extracted and used to develop 15 signal functions with the equipment, medication and consumables required for implementation of each. Signal functions for the prevention and management of infectious diseases (malaria, HIV, tuberculosis, syphilis and tetanus) can be applied depending on population disease burden. Screening and management of preeclampsia, gestational diabetes, anaemia, mental and social health (including intimate partner violence) are recommended universally. Three signal functions address monitoring of fetal growth and wellbeing, and identification and management of obstetric complications. Promotion of health and wellbeing via education and support for nutrition, cessation of substance abuse, uptake of family planning, recognition of danger signs and birth preparedness are included as essential components of ANC.Conclusions New signal functions have been developed which can be used for monitoring and evaluation of content and quality of ANC. Country adaptation and validation is recommended.

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Section: Introductionmentioning

confidence: 99%