1
|
Jobarteh ML, Saxena DB, Kulkarni B, Shah K, Banjara SK, Shah PA, Memon F, Chilumula M, Palepu DP, Selvaraj K, Dasi T, Madhari R, Calvo-Urbano B, Dockrell J, Antalek C, Davies-Kershaw H, Ferguson E, Heffernan C. Impact of SARS-CoV-2 infection and mitigation strategy during pregnancy on prenatal outcome, growth and development in early childhood in India: a UKRI GCRF Action Against Stunting Hub protocol paper. BMJ Paediatr Open 2024; 8:e001900. [PMID: 38417925 PMCID: PMC10900341 DOI: 10.1136/bmjpo-2023-001900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 06/11/2023] [Indexed: 03/01/2024] Open
Abstract
INTRODUCTION The COVID-19 pandemic has offset some of the gains achieved in global health, particularly in relation to maternal, child health and nutrition. As pregnancy is a period of plasticity where insults acting on maternal environment have far-reaching consequences, the pandemic has had a significant impact on prenatal outcomes, intrauterine and postnatal development of infants. This research will investigate both the direct and indirect impacts of the COVID-19 pandemic during pregnancy on prenatal outcomes, growth and development in early childhood. METHODS AND ANALYSIS Community and hospital data in Hyderabad and Gujarat, India will be used to recruit women who were pregnant during the COVID-19 pandemic and contracted SARS-CoV-2 infection. In comparison with women who were pregnant around the same time and did not contract the virus, the study will investigate the impact of the pandemic on access to healthcare, diet, nutrition, mental health and prenatal outcomes in 712 women (356 per study arm). Children born to the women will be followed prospectively for an 18-month period to investigate the impact of the pandemic on nutrition, health, growth and neurocognition in early childhood. ETHICS AND DISSEMINATION Ethics approval was granted from the institutional ethics committees of the Indian Institute of Public Health Gandhinagar (SHSRC/2021/2185), Indian Council of Medical Research-National Institute of Nutrition (EC/NEW/INST/2021/1206), and London School of Hygiene and Tropical Medicine (72848). The findings of the study will be disseminated to policy and research communities through engagements, scientific conferences, seminars, and open-access, peer-reviewed publication.
Collapse
Affiliation(s)
- Modou Lamin Jobarteh
- Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Deepak B Saxena
- Department of Epidemiology, Indian Institute of Public Health, Gandhinagar, India
| | - Bharati Kulkarni
- Clinical Division, ICMR-National Institute of Nutrition, Hyderabad, India
| | - Komal Shah
- Department of Epidemiology, Indian Institute of Public Health, Gandhinagar, India
| | | | - Priyanka Akshay Shah
- Department of Epidemiology, Indian Institute of Public Health, Gandhinagar, India
| | - Farjana Memon
- Department of Epidemiology, Indian Institute of Public Health, Gandhinagar, India
| | - Monica Chilumula
- Maternal and Child Health and Nutrition, National Institute of Nutrition, Hyderabad, India
| | | | - Kiruthika Selvaraj
- Clinical Division, ICMR-National Institute of Nutrition, Hyderabad, India
| | - Teena Dasi
- Clinical Division, ICMR-National Institute of Nutrition, Hyderabad, India
| | - Radhika Madhari
- Clinical Division, ICMR-National Institute of Nutrition, Hyderabad, India
| | - Beatriz Calvo-Urbano
- Department of Pathobiology and Population Sciences, University of London, London, UK
| | - Julie Dockrell
- Faculty of Children and Learning, University of London Institute of Education, London, UK
| | - Catherine Antalek
- Faculty of Children and Health, University of London Institute of Education, London, UK
| | - Hilary Davies-Kershaw
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Elaine Ferguson
- Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Claire Heffernan
- Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
- Department of Pathobiology and Population Sciences, London International Development Centre, London, UK
| |
Collapse
|