Abstract
BackgroundThe quality of prenatal care is critical for the prevention of adverse pregnancy outcomes. However, according to the World Health Organization (WHO), only 64 % of women worldwide have access to over four sessions of prenatal care throughout their pregnancy. Thus, studies that address factors affecting maternal and child health status before and after pregnancy are of immense importance. The primary aim of the mothers and their children’s health (MATCH) cohort study is to evaluate the effect of nutrition, sleep quality, and lifestyle on maternal and neonatal outcomes.MethodsA prospective cohort of > 2500 pregnant women in the first trimester (before 12 weeks’ gestation) will be recruited at Arash Women’s Hospital in Tehran, Iran between February 2020 and August 2021. All eligible pregnant women will be followed from their first trimester of pregnancy until delivery at four time points and assessed through a series of in-person visits with interviewer-administered questionnaires and telephone interviews. Detailed data will be collected on maternal demographics, lifestyle, medical history, reproductive history, obstetric history, dietary intake, sleep pattern, blood specimens, and anthropometric measurements, alongside paternal demographics, lifestyle, and family history. The outcomes will include antenatal, peripartum, and postnatal maternal complications and infant growth and neurodevelopment.DiscussionThe results of the MATCH cohort study will support the development of contextual interventions that can enhance antenatal, peripartum, and postnatal status, neonatal outcomes, and longevity mother and child.
Highlights
The quality of prenatal care is critical for the prevention of adverse pregnancy outcomes
The results of the mothers and their children’s health (MATCH) cohort study will support the development of contextual interventions that can enhance antenatal, peripartum, and postnatal status, neonatal outcomes, and longevity mother and child
The results emphasized that the current total number of deaths in children under five can be reduced by 15 % if pregnant women can access ten evidencebased nutritional interventions at 90 % coverage
Summary
The quality of prenatal care is critical for the prevention of adverse pregnancy outcomes. According to the World Health Organization (WHO), only 64 % of women worldwide have access to over four sessions of prenatal care throughout their pregnancy. Improvement of maternal health is one of the essential priorities of the WHO with a goal to decrease MMR to fewer than 70 deaths per 100,000 live births globally by 2030. To reach this goal, the WHO works to implement clinical evidence-based guidelines and programs, set global standards, and provide technical support to Member States [3]. Maternal health has been accepted as one of the United Nations Millennium Development goals, furthering international support for decreasing maternal mortality [5]
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