{
  "abstract": "Objectives This study aimed to determine the prevalence of non-communicable diseases (NCDs) among pregnant women in Sri Lanka and examine the association between NCDs and maternal and fetal outcomes.Design A hospital-based, descriptive cross-sectional study.Setting The study was conducted in three tertiary care hospitals in the Western Province and one intermediate obstetrics care facility in the Southern Province of Sri Lanka, encompassing diverse, multiethnic populations, over 3 months.Participants Data from 1350 pregnant women were collected from discharged bed head tickets of the postnatal obstetric wards using a standardised checklist.Primary and secondary outcome measures The primary outcomes were the prevalence of NCDs. Secondary outcomes included associations between maternal NCDs and adverse fetal outcomes such as preterm births and neonatal complications.Results Among the participants, 68.5% (n=926) had one or more NCDs, with anaemia (37.9%), obesity (18.1%), gestational diabetes mellitus (14.9%) and hypertensive disorders (13.6%) being the most prevalent. Women with NCDs were at significantly higher odds of adverse fetal outcomes, including preterm birth (OR=2.3, 95% CI: 1.5 to 3.4), neonatal sepsis (OR=2.5, 95% CI: 1.5 to 4.04) and hypoglycaemia (OR=3.5, 95% CI: 1.2 to 10.0). Maternal complications, including postpartum haemorrhage (3.3%) and placental abruption (0.7%), were also more frequent in this group.Conclusions NCDs are highly prevalent among pregnant women in Sri Lanka and are significantly associated with adverse maternal and fetal outcomes. Enhanced screening and management strategies during antenatal care are essential to mitigate risks and improve health outcomes, aligning with global efforts to reduce maternal and neonatal morbidity and mortality.",
  "authors": [
    {
      "affiliations": [
        "University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka"
      ],
      "name": "Anne Thushara Matthias"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of Colombo Faculty of Medicine, Colombo, WP, Sri Lanka"
      ],
      "name": "Probhodana Ranaweera"
    },
    {
      "affiliations": [
        "Government of Sri Lanka Ministry of Health Sri Lanka, Colombo, WP, Sri Lanka"
      ],
      "name": "Hiruni Abeysinghe"
    },
    {
      "affiliations": [
        "Government of Sri Lanka Ministry of Health Sri Lanka, Colombo, WP, Sri Lanka"
      ],
      "name": "R Prathapan"
    },
    {
      "affiliations": [
        "Government of Sri Lanka Ministry of Health Sri Lanka, Colombo, WP, Sri Lanka"
      ],
      "name": "Shanilka Marious"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka"
      ],
      "name": "Madura Jayawardena"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of Kelaniya Faculty of Medicine, Ragama, WP, Sri Lanka"
      ],
      "name": "Rasika Herath"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka"
      ],
      "name": "Rukshan Cleophas Fernandopulle"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka"
      ],
      "name": "Ajith Fernando"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka"
      ],
      "name": "Dhammike Silva"
    },
    {
      "affiliations": [
        "Government of Sri Lanka Ministry of Health Sri Lanka, Colombo, WP, Sri Lanka"
      ],
      "name": "Shameera Ruwan Chamara"
    },
    {
      "affiliations": [
        "Department of Community Medicine, University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka"
      ],
      "name": "Shamini Prathapan"
    }
  ],
  "title": "Unravelling non-communicable diseases among pregnant women in a lower-middle-income country and the feto-maternal outcomes: a descriptive cross-sectional study",
  "uid": "a5838710-c0dc-5193-af7b-81e381470589"
}