Table 1.
Eligibility criteria
| Inclusion Criteria | Exclusion Criteria | |
|---|---|---|
| Population | Pregnant women - studies with infants as the primary population of interest were included if multimorbidity during pregnancy was analysed in relation to outcomes within the first year of life. | Non-pregnant women, men, or children. |
| Exposure | Multimorbidity or multiple conditions, including infectious diseases, NCDs*, mental health conditions, environmental exposures, and substance use disorders. | Single chronic conditions, without considering the impact of multimorbidity. |
| Outcome | Neonatal and perinatal outcomes (e.g. preterm birth, low birth weight, neonatal mortality) within one year after birth. | No relevant perinatal or neonatal outcomes reported within the first year of life. |
| Design | Studies of observational or interventional design with more than 100 participants, published after January 1 st, 2015, in any language or location. | Publications with unclear methodologies or incomplete data, or of non-observational study designs such as reviews, editorials, and letters to the editor. Animal studies and laboratory-based research were excluded to maintain the scope of this study. |
*NCDs defined in our review as: physical conditions not caused by infectious agents that often cause chronic health consequences and require long-term treatment or care. Physical NCDs were separated from mental health conditions to provide additional analysis on how these exposures impact neonatal and perinatal outcomes