|Title||Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Chou, D, Tunçalp, Ö, Firoz, T, Barreix, M, Filippi, V, von Dadelszen, P, van den Broek, N, J Cecatti, G, Say, L|
|Corporate Authors||Maternal Morbidity Working Group|
|Journal||BMC Pregnancy Childbirth|
|Date Published||2016 Mar 02|
|Keywords||Female, Humans, Maternal Health, Maternal Morbidity Working Group, Morbidity, Pregnancy, Pregnancy Complications, Terminology as Topic|
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.
|Alternate Journal||BMC Pregnancy Childbirth|
|PubMed Central ID||PMC4774187|
|Grant List||001 / / World Health Organization / International|