Artículos de revistas
Constructing Maternal Morbidity - Towards A Standard Tool To Measure And Monitor Maternal Health Beyond Mortality
Registro en:
Bmc Pregnancy And Childbirth. Biomed Central Ltd, v. 16, p. , 2016.
1471-2393
WOS:000371574100001
10.1186/s12884-015-0789-4
Autor
Chou
Doris; Tuncalp
Oezge; Firoz
Tabassum; Barreix
Maria; Filippi
Veronique; von Dadelszen
Peter; van den Broek
Nynke; Cecatti
Jose Guilherme; Say
Lale
Institución
Resumen
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. 16 45 Bill and Melinda Gates Foundation WHO's Department of Reproductive Health and Research through the Special Programme of Research, Development and Research Training in Human Reproduction