Standardizing the measurement of maternal morbidity: Pilot study results

Barreix, M; Barbour, K; McCaw-Binns, A; Chou, D; Petzold, M; Gichuhi, GN; Gadama, L; Taulo, F; Tunçalp, Ö; Say, L; Cecatti, JG; Costa, ML; Cottler, S; Fawole, O; Firoz, T; Filippi, V; Ghérissi, A; Gyte, G; Hindin, M; Jayathilaka, A; Kalamar, A; Kone, Y; Kostanjsek, N; Lange, I; Magee, LA; Mathur, A; Morgan, M; Munjanja, S; Sullivan, E; Vanderkruik, R; von Dadelszen, P

Standardizing the measurement of maternal morbidity: Pilot study results

Barreix, M Barbour, K McCaw-Binns, A Chou, D Petzold, M Gichuhi, GN Gadama, L Taulo, F Tunçalp, Ö Say, L Cecatti, JG Costa, ML Cottler, S Fawole, O Firoz, T Filippi, V Ghérissi, A Gyte, G Hindin, M Jayathilaka, A Kalamar, A Kone, Y Kostanjsek, N Lange, I Magee, LA Mathur, A Morgan, M Munjanja, S Sullivan, E

Vanderkruik, R von Dadelszen, P

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Publication Type:: Journal Article
Citation:: International Journal of Gynecology and Obstetrics, 2018, 141 pp. 10 - 19
Issue Date:: 2018-05-01

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Field	Value	Language
dc.contributor.author	Barreix, M	en_US
dc.contributor.author	Barbour, K	en_US
dc.contributor.author	McCaw-Binns, A	en_US
dc.contributor.author	Chou, D	en_US
dc.contributor.author	Petzold, M	en_US
dc.contributor.author	Gichuhi, GN	en_US
dc.contributor.author	Gadama, L	en_US
dc.contributor.author	Taulo, F	en_US
dc.contributor.author	Tunçalp, Ö	en_US
dc.contributor.author	Say, L	en_US
dc.contributor.author	Cecatti, JG	en_US
dc.contributor.author	Costa, ML	en_US
dc.contributor.author	Cottler, S	en_US
dc.contributor.author	Fawole, O	en_US
dc.contributor.author	Firoz, T	en_US
dc.contributor.author	Filippi, V	en_US
dc.contributor.author	Ghérissi, A	en_US
dc.contributor.author	Gyte, G	en_US
dc.contributor.author	Hindin, M	en_US
dc.contributor.author	Jayathilaka, A	en_US
dc.contributor.author	Kalamar, A	en_US
dc.contributor.author	Kone, Y	en_US
dc.contributor.author	Kostanjsek, N	en_US
dc.contributor.author	Lange, I	en_US
dc.contributor.author	Magee, LA	en_US
dc.contributor.author	Mathur, A	en_US
dc.contributor.author	Morgan, M	en_US
dc.contributor.author	Munjanja, S	en_US
dc.contributor.author	Sullivan, E https://orcid.org/0000-0002-8718-2753	en_US
dc.contributor.author	Vanderkruik, R	en_US
dc.contributor.author	von Dadelszen, P	en_US
dc.date.issued	2018-05-01	en_US
dc.identifier.citation	International Journal of Gynecology and Obstetrics, 2018, 141 pp. 10 - 19	en_US
dc.identifier.issn	0020-7292	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129811
dc.description.abstract	© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. Objective: To field test a standardized instrument to measure nonsevere morbidity among antenatal and postpartum women. Methods: A cross-sectional study was conducted in Jamaica, Kenya, and Malawi (2015–2016). Women presenting for antenatal care (ANC) or postpartum care (PPC) were recruited if they were at least 28 weeks into pregnancy or 6 weeks after delivery. They were interviewed and examined by a doctor, midwife, or nurse. Data were collected and securely stored electronically on a WHO server. Diagnosed conditions were coded and summarized using ICD-MM. Results: A total of 1490 women (750 ANC; 740 PPC) averaging 26 years of age participated. Most women (61.6% ANC, 79.1% PPC) were healthy (no diagnosed medical or obstetric conditions). Among ANC women with clinical diagnoses, 18.3% had direct (obstetric) conditions and 18.0% indirect (medical) problems. Prevalences among PPC women were lower (12.7% and 8.6%, respectively). When screening for factors in the expanded morbidity definition, 12.8% (ANC) and 11.0% (PPC) self-reported exposure to violence. Conclusion: Nonsevere conditions are distinct from the leading causes of maternal death and may vary across pregnancy and the puerperium. This effort to identify and measure nonsevere morbidity promotes a comprehensive understanding of morbidity, incorporating maternal self-reporting of exposure to violence, and mental health. Further validation is needed.	en_US
dc.relation.ispartof	International Journal of Gynecology and Obstetrics	en_US
dc.relation.isbasedon	10.1002/ijgo.12464	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Prenatal Care	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Pilot Projects	en_US
dc.subject.mesh	Mental Health	en_US
dc.subject.mesh	Postpartum Period	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Kenya	en_US
dc.subject.mesh	Malawi	en_US
dc.subject.mesh	Jamaica	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	Standardizing the measurement of maternal morbidity: Pilot study results	en_US
dc.type	Journal Article
utslib.citation.volume	141	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	141	en_US

Abstract:

© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. Objective: To field test a standardized instrument to measure nonsevere morbidity among antenatal and postpartum women. Methods: A cross-sectional study was conducted in Jamaica, Kenya, and Malawi (2015–2016). Women presenting for antenatal care (ANC) or postpartum care (PPC) were recruited if they were at least 28 weeks into pregnancy or 6 weeks after delivery. They were interviewed and examined by a doctor, midwife, or nurse. Data were collected and securely stored electronically on a WHO server. Diagnosed conditions were coded and summarized using ICD-MM. Results: A total of 1490 women (750 ANC; 740 PPC) averaging 26 years of age participated. Most women (61.6% ANC, 79.1% PPC) were healthy (no diagnosed medical or obstetric conditions). Among ANC women with clinical diagnoses, 18.3% had direct (obstetric) conditions and 18.0% indirect (medical) problems. Prevalences among PPC women were lower (12.7% and 8.6%, respectively). When screening for factors in the expanded morbidity definition, 12.8% (ANC) and 11.0% (PPC) self-reported exposure to violence. Conclusion: Nonsevere conditions are distinct from the leading causes of maternal death and may vary across pregnancy and the puerperium. This effort to identify and measure nonsevere morbidity promotes a comprehensive understanding of morbidity, incorporating maternal self-reporting of exposure to violence, and mental health. Further validation is needed.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/129811