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.