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Type: Artigo
Title: Constructing Maternal Morbidity - Towards A Standard Tool To Measure And Monitor Maternal Health Beyond Mortality
Author: Chou
Doris; Tuncalp
Oezge; Firoz
Tabassum; Barreix
Maria; Filippi
Veronique; von Dadelszen
Peter; van den Broek
Nynke; Cecatti
Jose Guilherme; Say
Abstract: 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.
Subject: Maternal Morbidity
Sustainable Development Goals (sdgs)
Editor: Biomed Central Ltd
Citation: Bmc Pregnancy And Childbirth. Biomed Central Ltd, v. 16, p. , 2016.
Rights: aberto
Identifier DOI: 10.1186/s12884-015-0789-4
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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