To implement an effective but low-cost strategy to decrease SCD maternal and perinatal mortality in Ghana. The objectives are to 1) assess the impact of a multidisciplinary SCD-obstetric team for decreasing mortality across three hospital sites in Ghana. 2) assess the implementation fidelity for 2a) preventing and 2b) treating acute chest syndrome in pregnant women with SCD admitted to the hospital. 3) standardize an ultrasound protocol for the prospective monitoring of fetal growth among pregnant women with SCD.
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Maternal and Perinatal Mortality Rates
Timeframe: Baseline- 6 weeks post delivery
The Fidelity to the Evidence-Based Guidelines
Timeframe: Baseline- 6 weeks post delivery
Participants with Acute Chest Syndrome
Timeframe: Baseline- 6 weeks post delivery
The Fidelity to the Standardized Ultrasound Protocol
Timeframe: Baseline- 6 weeks post delivery
Maternal Nutrition Supply Association to Fetus
Timeframe: Baseline- 6 weeks post delivery
Maternal Nutrition Supply Association to Fetus
Timeframe: Baseline- 6 weeks post delivery
Maternal Nutrition Supply Association to Fetus
Timeframe: Baseline- 6 weeks post delivery