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

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...

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Autores principales: Chou, Doris, Tunçalp, Özge, Firoz, Tabassum, Barreix, Maria, Filippi, Veronique, von Dadelszen, Peter, van den Broek, Nynke, Cecatti, Jose Guilherme, Say, Lale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4774187/
https://www.ncbi.nlm.nih.gov/pubmed/26935070
http://dx.doi.org/10.1186/s12884-015-0789-4
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author Chou, Doris
Tunçalp, Özge
Firoz, Tabassum
Barreix, Maria
Filippi, Veronique
von Dadelszen, Peter
van den Broek, Nynke
Cecatti, Jose Guilherme
Say, Lale
author_facet Chou, Doris
Tunçalp, Özge
Firoz, Tabassum
Barreix, Maria
Filippi, Veronique
von Dadelszen, Peter
van den Broek, Nynke
Cecatti, Jose Guilherme
Say, Lale
author_sort Chou, Doris
collection PubMed
description 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. SUMMARY: 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.
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spelling pubmed-47741872016-03-03 Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality Chou, Doris Tunçalp, Özge Firoz, Tabassum Barreix, Maria Filippi, Veronique von Dadelszen, Peter van den Broek, Nynke Cecatti, Jose Guilherme Say, Lale BMC Pregnancy Childbirth Debate 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. SUMMARY: 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. BioMed Central 2016-03-02 /pmc/articles/PMC4774187/ /pubmed/26935070 http://dx.doi.org/10.1186/s12884-015-0789-4 Text en © Chou et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Debate
Chou, Doris
Tunçalp, Özge
Firoz, Tabassum
Barreix, Maria
Filippi, Veronique
von Dadelszen, Peter
van den Broek, Nynke
Cecatti, Jose Guilherme
Say, Lale
Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
title Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
title_full Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
title_fullStr Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
title_full_unstemmed Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
title_short Constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
title_sort constructing maternal morbidity – towards a standard tool to measure and monitor maternal health beyond mortality
topic Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4774187/
https://www.ncbi.nlm.nih.gov/pubmed/26935070
http://dx.doi.org/10.1186/s12884-015-0789-4
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