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Published on: October 10, 2025
Ending preventable maternal and newborn deaths due to infection
Meghana Desale1, Jadsada Thinkhamrop2, Pisake Lumbiganon2
1Johns Hopkins University, Phipps 247, 600 N. Wolfe St., Baltimore, MD 21287, USA.
Insights
Infectious diseases cause significant maternal and newborn deaths annually. Key interventions and improved surveillance are crucial for prevention and reducing adverse pregnancy outcomes.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Public Health
Background:
- Infections during pregnancy contribute to over 300,000 maternal deaths and 1 million newborn deaths annually.
- These infections lead to adverse obstetrical outcomes like preterm delivery, stillbirth, and congenital anomalies.
Purpose of the Study:
- To review the burden of disease from key infections affecting maternal and newborn health.
- To highlight interventions for preventing maternal and newborn deaths related to infections.
- To identify research needs for better infection control in pregnancy.
Main Methods:
- Literature review of infectious causes of maternal and newborn morbidity and mortality.
- Analysis of disease burden and contribution of infections to adverse outcomes.
- Synthesis of current and needed interventions for prevention.
Main Results:
- Infectious causes account for 11% of maternal deaths and a significant proportion of neonatal deaths.
- Specific infections lead to preterm delivery, pre-labor rupture of membranes, stillbirth, and congenital infections.
- Effective interventions exist, but further research is needed.
Conclusions:
- Infections pose a major threat to maternal and newborn survival globally.
- Enhanced surveillance, point-of-care diagnostics, and vaccine strategies are critical research priorities.
- Multifaceted approaches are necessary to reduce infection-related mortality and morbidity in obstetrics.
Abstract:
Over 300,000 maternal deaths occur each year, 11% of which are thought to be due to infectious causes, and approximately one million newborns die within the first week of life annually due to infectious causes. Infections in pregnancy may result in a variety of adverse obstetrical outcomes, including preterm delivery, pre-labor rupture of membranes, stillbirth, spontaneous abortion, congenital infection, and anomalies. This paper reviews the burden of disease due to key infections and their contribution to maternal, perinatal, and newborn morbidity and mortality, as well as key interventions to prevent maternal and newborn deaths related to these infections. Research needs include more accurate clinical and microbiologic surveillance systems, validated risk stratification strategies, better point-of-care testing, and identification of promising vaccine strategies.
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