Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality.

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.

authors

Chou D,Tunçalp Ö,Firoz T,Barreix M,Filippi V,von Dadelszen P,van den Broek N,Cecatti JG,Say L,Maternal Morbidity Working Group.

doi

10.1186/s12884-015-0789-4

subject

Has Abstract

pub_date

2016-03-02 00:00:00

pages

45

issn

1471-2393

pii

10.1186/s12884-015-0789-4

journal_volume

16

pub_type

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