Generating evidence on screening, diagnosis and management of non-communicable diseases during pregnancy; a scoping review of current gap and practice in India with a comparison of Asian context

Background Children born to high-risk pregnancies are more likely experience adverse health outcomes later in life. As estimated, 15% of all at risk various life-threatening conditions leading maternal and foetal outcomes. Millennium Development Goal resulted the global reduction death from 390,000 275000 1990–2015). Similarly, keep this momentum, current United Nations Sustainable (SDG: 3.1) aims reducing mortality ratio less than 70 per 100,000 live births by 2030, can be achieved addressing pregnancy contributing significant morbidity. In India, gestational diabetes, hypertension, hypothyroidism were identified as factors pregnancy. This review summarises commonly used approach for screening, diagnosis, management these Asian population. It draws a comparison with protocols guidelines Indian setting. Methods Electronic search PubMed Google Scholar, reference snowballing, done between January 2010 October 2019. Published studies reporting Screening, included. Articles selected then screened, appraised quality, extract relevant data, synthesised. Results three vary no single universally accepted criteria diagnosis exist date. national available have not been evaluated feasibility implementation community level. There PIH despite increasing burden contribution perinatal morbidity mortality. Criteria varies but overall early screening predicting risk, reported majority articles, effective minimizing outcome. Conclusion Existing National Diagnosis, Management Gestational Diabetes Mellitus (2018) Hypothyroidism (2014) need contextualized modified based on local population treatment. Findings show that an preventive strategy. However, reports related definitive medical heterogeneous.