ReviewThe Lancet. Global health2024
Neglected medium-term and long-term consequences of labour and childbirth: a systematic analysis of the burden, recommended practices, and a way forward.
Review in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06955312 (The Effect of Paint-by-Numbers Activity on Stress and Prenatal Attachment in High-Risk Pregnancies), which is not on this map. Cited by 63 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Paint-by-Numbers Activity on Stress and Prenatal Attachment in High-Risk Pregnancies
Who cites it
63 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of discharge planning interventions on health-related outcomes among postpartum women: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Effectiveness of education and training programmes to help clinicians assess and classify perineal tears: a systematic review.BMJ open · 2025Pooled it
- Sphincter repair procedures may be favored in the treatment of obstetrical recto-vaginal fistula: a systematic review of the literature and meta-analysis.Techniques in coloproctology · 2025Pooled it
- Global and regional causes of maternal deaths 2009-20: a WHO systematic analysis.The Lancet. Global health · 2025Pooled it
- Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women-A follow-up of a randomized controlled trial.Acta obstetricia et gynecologica Scandinavica · 2026Trial
- Transition in the Composition of Maternal Mortality in Korea: Implications for Extremely Low Fertility Societies.Journal of Korean medical science · 2026Observational
- Estimating the prevalence of vaginal birth after cesarean section and repeat cesarean section: An analysis of nationally representative household surveys in 59 low- and middle-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Postpartum Health Disparities During the Birth Hospitalization in the United States: A Scoping Review.Journal of racial and ethnic health disparities · 2026Article
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- Practice and Costs of Pelvic Floor Rehabilitation: Analysis of the French National Health Data System.International urogynecology journal · 2026Article
- Relationship Between Maternal Death and Infant Outcomes in a Longitudinal, Population-Based Dataset.Obstetrics and gynecology · 2026Article
- Ectogenesis, gestational preferences and the social coercion argument.Monash bioethics review · 2026Article
- Safety of herbal medicine in the postpartum period: A hospital-based single-arm, prospective observational study (SAFEHERE-PC).Integrative medicine research · 2026Article
- Predictive value of serum S100A8/A9 for liver dysfunction in pregnant women with chronic hepatitis B.Virology journal · 2026Article
- On Lingering Pelvic Floor Musculoskeletal Injuries in the Postpartum Athlete: Are We Adequately Addressing Them?Sports health · 2026Article
- Chronic Maternal Pelvic Morbidity: A Neglected Tragedy: Where is Pelvic Maternal Morbidity in Maternal and Child Health? : Advocating for a Public Health Approach to Pelvic Floor Disorders Resulting from Pregnancy and Childbirth Trauma.International urogynecology journal · 2026Article
- Benefit of the N-of-1 Approach Versus Aggregate Analysis in Tracking Individual Trajectories During Pregnancy: Comparison of Longitudinal Wearable Observational Studies.JMIR formative research · 2026Article
- Factors Influencing Maternal Readiness for Hospital Discharge: A Cross-Sectional Study.Nursing open · 2026Article
- Epidemiology, Risk Factors, and Management of Pregnancy-Related Chronic Back Pain.Current pain and headache reports · 2026Review
3 more citing papers are in PubMed but not listed here.
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Authors and funding
21 authors.
Funding
Abstract
Over the past three decades, substantial progress has been made in reducing maternal mortality worldwide. However, the historical focus on mortality reduction has been accompanied by comparative neglect of labour and birth complications that can emerge or persist months or years postnatally. This paper addresses these overlooked conditions, arguing that their absence from the global health agenda and national action plans has led to the misconception that they are uncommon or unimportant. The historical limitation of postnatal care services to the 6 weeks after birth is also a contributing factor. We reviewed epidemiological data on medium-term and long-term complications arising from labour and childbirth beyond 6 weeks, along with high-quality clinical guidelines for their prevention, identification, and treatment. We explore the complex interplay of human evolution, maternal physiology, and inherent predispositions that contribute to these complications. We offer actionable recommendations to change the current trajectories of these neglected conditions and help achieve the targets of Sustainable Development Goal 3. This paper is the third in a Series of four papers about maternal health in the perinatal period and beyond.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.