Pregnancy and neonatal outcomes in Eastern Democratic Republic of the Congo: a systematic review

Conflict is known to impact maternal and neonatal health in Eastern Democratic Republic of the Congo (DRC), an area of longstanding insecurity. We conducted a systematic review on pregnancy and neonatal outcomes in this region to provide a comprehensive overview of maternal and neonatal outcomes ove...

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Vydáno v:Frontiers in Global Women's Health Ročník 5; s. 1412403
Hlavní autoři: Kasonia, Kambale, Brindle, Hannah, Manno, Daniela, Edwards, Tansy, Gardais, Soazic, Mambula, Grace, Mossoko, Zephirin, Choi, Edward M., Connor, Nicholas E., Mukadi, Pierre, Grais, Rebecca F., Keshinro, Babajide, Roberts, Chrissy H., Kavunga-Membo, Hugo, Bausch, Daniel G., Muyembe, Jean-Jacques, Watson-Jones, Deborah
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland Frontiers Media SA 05.12.2024
Frontiers Media S.A
Témata:
Attended births
Childrens health
conflict
Data exchange
DRC
eastern
Global health
Global Women's Health
Grey literature
Humanitarianism
Maternal & child health
Maternal mortality
neonatal
outcomes
Pregnancy
Prenatal care
Search strategies
Software
Systematic review
Websites
Congo-Democratic Republic of Congo
neonatal
eastern
DRC
outcomes
pregnancy
conflict
ISSN:2673-5059, 2673-5059
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Shrnutí:Conflict is known to impact maternal and neonatal health in Eastern Democratic Republic of the Congo (DRC), an area of longstanding insecurity. We conducted a systematic review on pregnancy and neonatal outcomes in this region to provide a comprehensive overview of maternal and neonatal outcomes over a 20-year period. We systematically searched databases, such as Medline, EMBASE, Global Health, ClinicalTrials.gov and the Cochrane Library, along with grey literature, for articles published between 2001 and 2021. These articles provided quantitative data on selected pregnancy and neonatal outcomes in the provinces of Ituri, Maniema and North and South Kivu, Eastern DRC. We conducted a descriptive analysis, combining results from different data sources and comparing incidence of outcomes in North Kivu with those in other provinces in Eastern DRC. A total of 1,065 abstracts from peer-reviewed publications and 196 articles from the grey literature were screened, resulting in the inclusion of 14 scientific articles in the review. The most frequently reported pregnancy complications were caesarean sections (11.6%-48.3% of deliveries) and miscarriage (1.2%-30.0% of deliveries). The most common neonatal outcomes were low birth weight (3.8%-21.9% of live births), preterm birth (0.9%-74.0%) and neonatal death (0.2%-43.3%). Our review provides data on pregnancy and neonatal outcomes in Eastern DRC, which will be valuable for future studies. Despite the area's ongoing armed conflict, the percentages of complications we noted in Eastern DRC are comparable with those observed in other countries in the region. https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=262553, PROSPERO (CRD42021262553).
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Reviewed by: Pamela Schuetze, Buffalo State College, United States
Edited by: Tabassum Firoz, Yale New Haven Health System, United States
Dieudonne Mpunga, Kinshasa School of Public Health, Democratic Republic of Congo
These authors have contributed equally to this work and share first authorship
ISSN:2673-5059
2673-5059
DOI:10.3389/fgwh.2024.1412403