Screening for Emergent Threats to Maternal and Newborn Health: A Literature Review

Avery Morse; Aulia Ulfah Mutiara Dewi; Aliva Nabila Farinisa; Sri Winarni; Martha Irene Kartasurya

doi:10.14710/jphtcr.v7i2.24242

DOI: https://doi.org/10.14710/jphtcr.v7i2.24242

Screening for Emergent Threats to Maternal and Newborn Health: A Literature Review

Avery Morse¹ , Aulia Ulfah Mutiara Dewi², Aliva Nabila Farinisa³, Sri Winarni³, Martha Irene Kartasurya³

¹Rollins School of Public Health, Emory University, Atlanta, Georgia, United States, United States

²Master’s Program in Public Health, Faculty of Public Health, Universitas Diponegoro,Semarang,Jawa Tengah, Indonesia

³Master’s Program in Biomedics, Faculty of Medicine, Universitas Diponegoro,Semarang,Jawa Tengah, Indonesia

Received: 21 Aug 2024; Published: 30 Aug 2024.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPHTCR24242,
    author = {Avery Morse and Aulia Mutiara Dewi and Aliva Farinisa and Sri Winarni and Martha Kartasurya},
    title = {Screening for Emergent Threats to Maternal and Newborn Health: A Literature Review},
    journal = {Journal of Public Health for Tropical and Coastal Region},
  volume = {7},
    number = {2},
    year = {2024},
    keywords = {antenatal care, diagnostic tools, laboratory, ultrasound},
    abstract = {  Abstract    Introduction:  Though global trends for maternal and newborn mortality have improved, the COVID-19 pandemic had a negative impact on maternal and newborn health (MNH), increasing risk of complicated births. Indonesia’s Ministry of Health (IMOH) has made significant progress in expanding MNH services; however, challenges remain in improving screening for emergent threats (ET) to MNH, which includes emerging infectious diseases. This review aimed to compare antenatal care (ANC) standards in Indonesia to WHO guidelines and to evaluate the role of laboratory services and ultrasound (USG) for ANC.   Methods:  A narrative literature review was conducted through PubMed and Google Scholar. Articles were also found from the IMOH and the World Health Organization (WHO). Search terms included antenatal care, laboratory, ultrasound, and doppler, yielding sixteen articles in total. Nine articles published between 2010 and 2023 were included for review.   Results:  Compared to WHO standards of 8 ANC visits and 1 USG, Indonesia has a lower number of required ANC visits (6), but a higher requirement for USG visits (2); though, conflicting evidence exists for USG recommendations during pregnancy. One article evaluated standard laboratory tests administered during the first ANC visit, finding no records of testing at the  puskesmas  (primary healthcare center) level, while another cited improved infectious disease (ID) detection using screening questionnaires.   Conclusion:  In comparison to global standards, Indonesia may benefit from an increased number of ANC visits, ID screening in non-endemic areas, and studies on adherence to national screening guidelines. Further research is needed to evaluate the optimal timing of USG during the prenatal period.     },
   issn = {2597-4378},   pages = {185--192}  doi = {10.14710/jphtcr.v7i2.24242},
    url = {https://ejournal2.undip.ac.id/index.php/jphtr/article/view/24242}
}

Citation Format:

Abstract

Introduction: Though global trends for maternal and newborn mortality have improved, the COVID-19 pandemic had a negative impact on maternal and newborn health (MNH), increasing risk of complicated births. Indonesia’s Ministry of Health (IMOH) has made significant progress in expanding MNH services; however, challenges remain in improving screening for emergent threats (ET) to MNH, which includes emerging infectious diseases. This review aimed to compare antenatal care (ANC) standards in Indonesia to WHO guidelines and to evaluate the role of laboratory services and ultrasound (USG) for ANC.

Methods: A narrative literature review was conducted through PubMed and Google Scholar. Articles were also found from the IMOH and the World Health Organization (WHO). Search terms included antenatal care, laboratory, ultrasound, and doppler, yielding sixteen articles in total. Nine articles published between 2010 and 2023 were included for review.

Results: Compared to WHO standards of 8 ANC visits and 1 USG, Indonesia has a lower number of required ANC visits (6), but a higher requirement for USG visits (2); though, conflicting evidence exists for USG recommendations during pregnancy. One article evaluated standard laboratory tests administered during the first ANC visit, finding no records of testing at the puskesmas (primary healthcare center) level, while another cited improved infectious disease (ID) detection using screening questionnaires.

Conclusion: In comparison to global standards, Indonesia may benefit from an increased number of ANC visits, ID screening in non-endemic areas, and studies on adherence to national screening guidelines. Further research is needed to evaluate the optimal timing of USG during the prenatal period.

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Keywords: antenatal care, diagnostic tools, laboratory, ultrasound

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Language : EN

In Vol 7, No 2 (2024): Journal of Public Health for Tropical and Coastal Region

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