N. Siva , Baby S. Nayak , Arpita Roy , Leslie Edward S Lewis , Shyamala G , Judith Angelita Noronha , Vasudeva Guddattu
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引用次数: 0
Abstract
Objectives
Stillbirths, the tragic loss of a baby before or during delivery, presents a profound global health concern. Investigating the diverse causes and risk factors is essential to develop targeted interventions, enhance perinatal care, and reduce the incidence of this devastating outcome. The aim of this study was to identify the causes and possible risk factors of stillbirths in India.
Study design
The study design is a protocol for systematic review.
Methods
This systematic review will include all types of observational studies, such a cross-sectional surveys, descriptive studies, cohort studies and case-control studies from India. Studies will be retrieved from global databases like CINAHL, Medline through PubMed, EMBASE, SCOPUS, Web of Science, ProQuest Medical Library, Microsoft Academia, DOAJ, and Indian databases like Indian Citation Index, J-Gate, and Neonatal Database using database-specific keywords. Additionally, online hand searching will be done on the websites of the relevant Indian institutions. Primary studies’ reference lists will be scrutinized for additional references if required. Two review authors (SN & AR) will independently screen, extract data, and critically appraise included studies. The Joanna Briggs Institute Critical Appraisal Checklist will be used to identify the quality and risk of bias of included studies. Any disagreements will be resolved in consultation with a third reviewer (BSN).
Results
Results will be reported as per the PRISMA guidelines. This systematic review will.
identify and highlight the causes and potential risk factors of stillbirths in India, which will guide the healthcare team in planning and developing a standard protocol and policies to promote successful antenatal care, implement effective early interventions, and improve access to quality healthcare to reduce stillbirth rates in institutional, rural, and underserved areas as per the Indian healthcare system.
Conclusion
These findings on causes and risk factors for stillbirth in India address a crucial gap in th literature and allow us to prepare a foundation for targeted interventions and policy recommendations in the healthcare system trajectory. Protocol registration: The Protocol is registered in the International Prospective Register of Systematic reviews PROSPERO (CRD - 42024506186).
目的:死产,即在分娩前或分娩过程中不幸失去婴儿,是一个深刻的全球卫生问题。调查各种原因和风险因素对于制定有针对性的干预措施、加强围产期护理和减少这种毁灭性后果的发生率至关重要。本研究的目的是确定印度死产的原因和可能的危险因素。研究设计:研究设计为系统评价方案。方法:本系统综述将包括所有类型的观察性研究,如横断面调查、描述性研究、队列研究和来自印度的病例对照研究。研究将通过PubMed, EMBASE, SCOPUS, Web of Science, ProQuest Medical Library, Microsoft Academia, DOAJ和印度数据库(如印度引文索引,J-Gate和新生儿数据库)使用数据库特定的关键字从CINAHL, Medline等全球数据库中检索。此外,将在印度相关机构的网站上进行在线手工搜索。如有需要,将仔细审查初级研究的参考文献列表,以获得额外的参考文献。两位综述作者(SN和AR)将独立筛选、提取数据,并对纳入的研究进行批判性评价。乔安娜布里格斯研究所关键评估清单将用于确定纳入研究的质量和偏倚风险。任何分歧将与第三方审稿人(BSN)协商解决。结果:结果将按照PRISMA指南报告。这篇系统的综述将。确定并强调印度死产的原因和潜在风险因素,这将指导医疗团队规划和制定标准协议和政策,以促进成功的产前护理,实施有效的早期干预,并改善获得高质量医疗保健的机会,以减少印度医疗体系中机构、农村和服务不足地区的死产率。结论:这些关于印度死产的原因和风险因素的研究结果解决了文献中的一个关键空白,并使我们能够为医疗保健系统轨迹中有针对性的干预和政策建议奠定基础。方案注册:该方案已在国际前瞻性系统评价登记册PROSPERO (CRD - 42024506186)中注册。
期刊介绍:
Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.