Chou, Doris; Tunçalp, Özge; Firoz, Tabassum; Barreix, Maria; Filippi, Veronique; von Dadelszen, Peter; van den Broek, Nynke; Cecatti, Jose Guilherme; Say, Lale; Maternal Morbidity Working Group; (2016) Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality. BMC pregnancy and childbirth, 16 (1). 45-. ISSN 1471-2393 DOI: https://doi.org/10.1186/s12884-015-0789-4
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Abstract
BACKGROUND: Maternal morbidity is a complex entity and its presentation and severity are on a spectrum. This paper describes the conceptualization and development of a definition for maternal morbidity, and the framework for its measurement: the maternal morbidity matrix, which is the foundation for measuring maternal morbidity, thus, the assessment tool. DISCUSSION: We define maternal morbidity and associated disability as "any health condition attributed to and/or complicating pregnancy and childbirth that has a negative impact on the woman's wellbeing and/or functioning." A matrix of 121 conditions was generated through expert meetings, review of the International Classification of Diseases and related health problems (ICD-10), literature reviews, applying the definition of maternal morbidity and a cut-off of >0.1% prevalence. This matrix has three dimensions: identified morbidity category, reported functioning impact and maternal history. The identification criteria for morbidity include 58 symptoms, 29 signs, 44 investigations and 35 management strategies; these criteria are aimed at recognizing the medical condition, or the functional impact/disability component that will capture the negative impact experienced by the woman. The maternal morbidity matrix is a practical framework for assessing maternal morbidity beyond near-miss. In light of the emerging attention to Universal Health Coverage (UHC) as part of the post-2015 Sustainable Development Goals (SDGs) planning, a definition and standard identification criteria are essential to measuring its extent and impact.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology |
Research Centre |
Maternal Health Group Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 26935070 |
ISI | 371574100001 |
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