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Standardizing the measurement of maternal morbidity: Pilot study results.
Barreix, Maria; Barbour, Kelli; McCaw-Binns, Affette; Chou, Doris; Petzold, Max; Gichuhi, Gathari N; Gadama, Luis; Taulo, Frank; Tunçalp, Özge; Say, Lale.
Afiliação
  • Barreix M; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
  • Barbour K; Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, USA.
  • McCaw-Binns A; Department of Community Health and Psychiatry, University of the West Indies, Mona, Kingston, Jamaica.
  • Chou D; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
  • Petzold M; Center for Applied Biostatistics, University of Gothenburg, Gothenburg, Sweden.
  • Gichuhi GN; Maternal and Child Survival Program, Jhpiego - Kenya, Nairobi, Kenya.
  • Gadama L; Department of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
  • Taulo F; Department of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
  • Tunçalp Ö; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
  • Say L; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
Int J Gynaecol Obstet ; 141 Suppl 1: 10-19, 2018 May.
Article em En | MEDLINE | ID: mdl-29851115
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pré-Natal / Saúde Mental / Período Pós-Parto Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa / Caribe ingles / Jamaica Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Suíça País de publicação: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pré-Natal / Saúde Mental / Período Pós-Parto Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa / Caribe ingles / Jamaica Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Suíça País de publicação: Estados Unidos