A framework for healthcare interventions to address maternal morbidity. (23rd May 2018)

• Record Type: Journal Article
• Authors: Firoz, Tabassum; McCaw‐Binns, Affette; Filippi, Veronique; Magee, Laura A.; Costa, Maria L.; Cecatti, Jose G.; Barreix, Maria; Adanu, Richard; Chou, Doris; Say, Lale
• Other Names: Barbour Kelli investigator.; Cottler Sara investigator.; Fawole Olubukola investigator.; Gadama Luis investigator.; Ghérissi Atf investigator.; Gyte Gill investigator.; Hindin Michelle investigator.; Jayathilaka Anoma investigator.; Kalamar Amanda investigator.; Kone Yacouba investigator.; Kostanjsek Nenad investigator.; Lange Isabelle investigator.; Mathur Arvind investigator.; Morgan Mark investigator.; Munjanja Stephen investigator.; Gichuhi Gathari N. investigator.; Petzold Max investigator.; Sullivan Elizabeth investigator.; Taulo Frank investigator.; Tunçalp Özge investigator.; Vanderkruik Rachel investigator.; von Dadelszen Peter investigator.
• Is Part Of: International journal of gynaecology and obstetrics. Volume 141(2018)Supplement 1
• Page Start: 61
• Page End: 68
• Publication Date: 2018-05-23
• Subjects: Healthcare interventions -- Maternal morbidity -- Noncommunicable diseases -- Pregnancy complications; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.12469
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: The maternal health agenda is undergoing a paradigm shift from preventing maternal deaths to promoting women's health and wellness. A critical focus of this trajectory includes addressing maternal morbidity and the increasing burden of chronic and noncommunicable diseases (NCD) among pregnant women. The WHO convened the Maternal Morbidity Working Group (MMWG) to improve the scientific basis for defining, measuring, and monitoring maternal morbidity. Based on the MMWG's work, we propose paradigms for conceptualizing maternal health and related interventions, and call for greater integration between maternal health and NCD programs. This integration can be synergistic, given the links between chronic conditions, morbidity in pregnancy, and long‐term health. Pregnancy should be viewed as a window of opportunity into the current and future health of women, and offers critical entry points for women who may otherwise not seek or have access to care for chronic conditions. Maternal health services should move beyond the focus on emergency obstetric care, to a broader approach that encompasses preventive and early interventions, and integration with existing services. Health systems need to respond by prioritizing funding for developing integrated health programs, and workforce strengthening. The MMWG's efforts have highlighted the changing landscape of maternal health, and the need to expand the narrow focus of maternal health, moving beyond surviving to thriving . Abstract : An outline of the impact of the paradigm shift from preventing maternal deaths to addressing maternal morbidity on healthcare interventions, integrating care for chronic conditions in pregnancy.