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Review
. 2023 Dec;90(Suppl 1):10-19.
doi: 10.1007/s12098-023-04841-0. Epub 2023 Sep 13.

Pre-Conceptional and Antenatal Care for Improved Newborn and Child Survival in India: A Review

Hrishikesh Pai  1   2 , Surekha Tayade  3 , Sakshi Sharma  4 , Arnav Pai  5 , Rodney P Vaz  6   7 , Chandrakant Lahariya  6
Affiliations
Review

Pre-Conceptional and Antenatal Care for Improved Newborn and Child Survival in India: A Review

Hrishikesh Pai et al. Indian J Pediatr. 2023 Dec.

Abstract

There is sufficient scientific evidence that quality pre-conceptional care and antenatal care can improve newborn survival. This review was conducted to understand the concept of pre-conceptional care and its implementation status in India. The review documents the specific interventions that have been proven to effectively improve pregnancy outcome when provided as pre-conception care. Healthcare providers, particularly obstetricians/gynecologists and general physicians, should prioritize pre-conception care as an essential component of healthcare for women. However, the lack of continuum of care and program linkages are some of the key barriers in ensuring pre-conceptional and ante-natal care in India. Culturally and linguistically appropriate care should be provided to ensure that all women can access and understand the information and services needed to optimize their reproductive health and improve pregnancy outcomes. Prioritizing pre-conception and prenatal care, healthcare providers can improve maternal and fetal outcomes, reduce healthcare costs, and promote lifelong health for women and their families. The primary healthcare reforms being done in India can be and should be used to strengthen pre-conceptional and ante-natal care services and quality.

Keywords: Antenatal care; Improved child survival; Improved newborn survival; Pre-conceptional care; Prenatal care.

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