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Pre-Conceptional and Antenatal Care for Improved Newborn and Child Survival in India: A Review

Hrishikesh Pai1,2, Surekha Tayade3, Sakshi Sharma4

  • 1National President, Federation of Obstetrics and Gynecological Societies of India (FOGSI), Mumbai, India.

Indian Journal of Pediatrics
|September 12, 2023
PubMed

Insights

Quality pre-conception and antenatal care significantly improve newborn survival. Implementing these services in India faces barriers like lack of care continuum, but reforms can strengthen services for better maternal and fetal outcomes.

Area of Science:

  • Public Health
  • Maternal Health
  • Reproductive Health

Background:

  • Quality pre-conceptional and antenatal care are scientifically proven to enhance newborn survival rates.
  • This review examines the concept and implementation of pre-conception care within India's healthcare system.

Purpose of the Study:

  • To understand the concept of pre-conception care.
  • To assess the implementation status of pre-conception care in India.
  • To identify interventions that improve pregnancy outcomes when provided as pre-conception care.

Main Methods:

  • Literature review to document effective pre-conception care interventions.
  • Analysis of implementation status and barriers in India.
  • Examination of culturally and linguistically appropriate care delivery.

Main Results:

  • Specific interventions effectively improve pregnancy outcomes when delivered as pre-conception care.
  • Key barriers to pre-conceptional and antenatal care in India include a lack of continuum of care and program linkages.
  • Culturally and linguistically appropriate care is crucial for accessibility and understanding.

Conclusions:

  • Healthcare providers should prioritize pre-conception care for women's health.
  • Strengthening pre-conceptional and antenatal care services is vital for improving maternal and fetal outcomes in India.
  • Leveraging primary healthcare reforms can enhance the quality and delivery of these essential services.

Keywords:
Antenatal careImproved child survivalImproved newborn survivalPre-conceptional carePrenatal care

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