AUTHOR=Kasonia Kambale , Brindle Hannah , Manno Daniela , Edwards Tansy , Gardais Soazic , Mambula Grace , Mossoko Zephirin , Choi Edward M. , Connor Nicholas E. , Mukadi Pierre , Grais Rebecca F. , Keshinro Babajide , Roberts Chrissy H. , Kavunga-Membo Hugo , Bausch Daniel G. , Muyembe Jean-Jacques , Watson-Jones Deborah 

TITLE=Pregnancy and neonatal outcomes in Eastern Democratic Republic of the Congo: a systematic review

JOURNAL=Frontiers in Global Women's Health

VOLUME=Volume 5 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/global-womens-health/articles/10.3389/fgwh.2024.1412403

DOI=10.3389/fgwh.2024.1412403

ISSN=2673-5059

ABSTRACT=BackgroundConflict is known to impact maternal and neonatal health in Eastern Democratic Republic of the Congo (DRC), an area of longstanding insecurity. We conducted a systematic review on pregnancy and neonatal outcomes in this region to provide a comprehensive overview of maternal and neonatal outcomes over a 20-year period.MethodsWe systematically searched databases, such as Medline, EMBASE, Global Health, ClinicalTrials.gov and the Cochrane Library, along with grey literature, for articles published between 2001 and 2021. These articles provided quantitative data on selected pregnancy and neonatal outcomes in the provinces of Ituri, Maniema and North and South Kivu, Eastern DRC. We conducted a descriptive analysis, combining results from different data sources and comparing incidence of outcomes in North Kivu with those in other provinces in Eastern DRC.ResultsA total of 1,065 abstracts from peer-reviewed publications and 196 articles from the grey literature were screened, resulting in the inclusion of 14 scientific articles in the review. The most frequently reported pregnancy complications were caesarean sections (11.6%–48.3% of deliveries) and miscarriage (1.2%–30.0% of deliveries). The most common neonatal outcomes were low birth weight (3.8%–21.9% of live births), preterm birth (0.9%–74.0%) and neonatal death (0.2%–43.3%).ConclusionOur review provides data on pregnancy and neonatal outcomes in Eastern DRC, which will be valuable for future studies. Despite the area's ongoing armed conflict, the percentages of complications we noted in Eastern DRC are comparable with those observed in other countries in the region.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=262553, PROSPERO (CRD42021262553).