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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, Lale |
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. 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: | Morbidade materna |
Country: | Reino Unido |
Editor: | Springer Nature |
Rights: | Aberto |
Identifier DOI: | 10.1186/s12884-015-0789-4 |
Address: | https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0789-4 |
Date Issue: | 2016 |
Appears in Collections: | FCM - Artigos e Outros Documentos |
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