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. 2023 Mar 8;23(1):150.
doi: 10.1186/s12884-023-05470-3.

Pregnancy outcomes among Indian women: increased prevalence of miscarriage and stillbirth during 2015-2021

Periyasamy Kuppusamy  1 , Ranjan K Prusty  2 , Itta K Chaaithanya  3 , Rahul K Gajbhiye  4 , Geetanjali Sachdeva  5
Affiliations

Pregnancy outcomes among Indian women: increased prevalence of miscarriage and stillbirth during 2015-2021

Periyasamy Kuppusamy et al. BMC Pregnancy Childbirth. .

Abstract

Background: Pregnancy outcome is an important health indicator of the quality of maternal health. Adverse pregnancy outcomes is a major public health problem, which can lead to poor maternal and neonatal outcomes. This study investigates the trends in pregnancy outcomes prevalent during 2015-2021 in Indian women.

Methods: The study analysed the data presented in the fourth (2015-16) and fifth (2019-21) rounds of National Family Health Survey (NFHS). The absolute and relative changes in the birth outcomes of last pregnancy during the five years preceding the surveys were estimated using data collected from 195,470 women in NFHS-4 and from 255,549 women in NFHS-5.

Results: Livebirth decreased by 1.3 points (90.2% vs. 88.9%), and nearly half of the Indian states/UTs (n = 17/36) had lower than the national average of livebirth (88.9%) reported during 2019-21. A higher proportion of pregnancy loss was noted, particularly miscarriages increased in both urban (6.4% vs. 8.5%) and rural areas (5.3% vs. 6.9%), and stillbirth increased by 28.6% (0.7% vs. 0.9%). The number of abortions decreased (3.4% vs. 2.9%) among Indian women. Nearly half of the abortions were due to unplanned pregnancies (47.6%) and more than one-fourth (26.9%) of abortions were performed by self. Abortions among adolescent women in Telangana was eleven times higher during 2019-21 as compared to 2015-16 (8.0% vs. 0.7%).

Conclusion: Our study presents evidence of a decrease in the livebirth and an increase in the frequency of miscarriage and stillbirth among Indian women during 2015-2021. This study emphasises that there is a need of regional-specific, comprehensive and quality maternal healthcare programs for improving livebirth among Indian women.

Keywords: Abortion; Miscarriage; Pregnancy loss; Pregnancy outcomes; Stillbirth.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Prevalence of pregnancy loss among Indian women during 2015-21. (Note: Proportion of birth outcomes of the last pregnancy in the five years preceding the survey of women age 15–49; Pregnancy loss includes miscarriage, stillbirth and abortion)
See this image and copyright information in PMC

References

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