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.

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