A new conceptual framework for maternal morbidity. (23rd May 2018)

• Record Type: Journal Article
• Authors: Filippi, Veronique; Chou, Doris; Barreix, Maria; Say, Lale
• Other Names: Barbour Kelli investigator.; Cecatti Jose G. investigator.; Costa Maria L. investigator.; Cottler Sara investigator.; Fawole Olubukola investigator.; Firoz Tabassum investigator.; Gadama Luis investigator.; Ghérissi Atf investigator.; Gichuhi Gathari N. investigator.; Gyte Gill investigator.; Hindin Michelle investigator.; Jayathilaka Anoma investigator.; Kalamar Amanda investigator.; Koblinsky Marge investigator.; Kone Yacouba investigator.; Kostanjsek Nenad investigator.; Lange Isabelle investigator.; Magee Laura A. investigator.; Mathur Arvind investigator.; McCaw‐Binns Affette investigator.; Morgan Mark investigator.; Munjanja Stephen 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: 4
• Page End: 9
• Publication Date: 2018-05-23
• Subjects: Conceptual framework -- Health‐related functioning -- Maternal morbidity -- Pregnancy complications -- Quality of life; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.12463
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Background: Globally, there is greater awareness of the plight of women who have complications associated with pregnancy or childbirth and who may continue to experience long‐term problems. In addition, the health of women and their ability to perform economic and social functions are central to the Sustainable Development Goals. Methods: In 2012, WHO began an initiative to standardize the definition, conceptualization, and assessment of maternal morbidity. The culmination of this work was a conceptual framework: the Maternal Morbidity Measurement (MMM) Framework. Results: The framework underscores the broad ramifications of maternal morbidity and highlights what types of measurement are needed to capture what matters to women, service providers, and policy makers. Using examples from the literature, we explain the framework's principles and its most important elements. Conclusions: We express the need for comprehensive research and detailed longitudinal studies of women from early pregnancy to the extended postpartum period to understand how health and symptoms and signs of ill health change. With respect to interventions, there may be gaps in healthcare provision for women with chronic conditions and who are about to conceive. Women also require continuity of care at the primary care level beyond the customary 6 weeks postpartum. Abstract : A new Maternal Morbidity Measurement framework is presented, highlighting the consequences of maternal morbidity and the measurement required to capture the needs of women, providers, and policy makers.