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. 2023 Jul 14;13(7):e065560. doi: 10.1136/bmjopen-2022-065560

Table 3.

Obstetrical health outcomes

Outcomes Definition Measurement tool
(1) Maternal obstetrical health outcomes
 Miscarriage The spontaneous loss of a fetus before week 20 of a pregnancy; also known as ‘spontaneous abortion’ Clinical documentation
 Late entry into prenatal care Prenatal care which started during the 3rd trimester (7–9 months) of pregnancy Clinical documentation
 Premature rupture of membranes The rupture of fetal membranes (ie, amniotic sac) before labour starts, given the pregnant person is after 37 weeks of gestation Clinical documentation of history and physical examination
 Inadequate weight gain during pregnancy Gestational weight gain less than guidelines, stratified based on pre-pregnancy BMI Weight measurements in clinic
 Hospitalisation during pregnancy Hospital admission during the pregnancy period Clinical documentation
 History of spontaneous abortion Any previous spontaneous abortion, as defined as the loss of pregnancy before 20 weeks of gestation Self-report or clinical documentation
 Dystocia Difficult or slow labour progression, including abnormal or slow dilation of cervix and/or descent of fetus during labour Clinical documentation
 Gestational hypertension Hypertension is defined as systolic blood pressure >140 mm Hg and diastolic blood pressure >90 mm Hg; hypertension during pregnancy or gestational hypertension Blood pressure measurements and clinical documentation
 Pre-eclampsia (1) Primary onset of hypertension with proteinuria; hypertension during pregnancy is defined as systolic blood pressure >140 mm Hg and diastolic blood pressure >90 mm Hg
or (2) primary onset of hypertension with end-organ damage after 20 weeks of gestation
Blood pressure measurements and clinical documentation
 Vaginal bleeding during pregnancy Any serious bleeding during pregnancy, as documented by clinician including antepartum haemorrhage, placental abruption, etc Clinical documentation
 Urinary tract infection Infection of urinary tract, including the ureters, bladder and urethra Clinical documentation
 Unintended pregnancy Unwanted or unintended pregnancy Interview with participant
 Unwanted abortion Unwanted abortion or loss of a fetus before 20 weeks of pregnancy Interview with participant
(2) Neonatal health outcomes
 Perinatal death Death of baby between 22 weeks of gestation and 7 days after birth Clinical documentation
 Stillbirth Death of baby after 22 weeks of gestation prior or during labour/birth Clinical documentation
 Preterm birth or prematurity Infants born before the 37th week of pregnancy Clinical documentation
 Low birth weight Less than 2500 g birth weight Clinical documentation of the first weight of the newborn
 Small for gestational age Newborn’s weight is lower than the 10th percentile for their sex and gestational age Weight measurement in clinic
 History of perinatal death Any previous perinatal death, as defined by death of an infant between 22 weeks of gestation and 7 days after birth Self-report or clinical documentation
 Fetal distress Clinical diagnosis of fetal hypoxia either before, during or after labour, clinical picture of non-reassuring fetal heart rate, fetal bradycardia, repetitive variable decelerations Clinical documentation
 Failed newborn-to-mother bonding Clinical diagnosis of the persistent lack of emotional bond between infant and parent Clinical documentation
 Intrauterine growth restriction Fetal weight lower than 10th percentile based on fetal age Clinical documentation, diagnosis also based on small gestational age
 Urgent Apgar score An Apgar score of neonate, based on appearance, pulse, grimace, activity and respiration of neonate; score of <3 Clinical documentation

All outcomes will be extracted and are not restricted to this list.

Studies examining outcomes involving feasibility of intervention, satisfaction and acceptance by patient and healthcare provider will also be collected.

BMI, body mass index.