How should we measure severe maternal morbidity associated with pregnancy and birth?
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Abstract
As maternal mortality rates in developed countries fall, there is an increasing focus on measures of severe maternal morbidity (SMM) as clinical indicators. This approach, with the assumption that SMM predicts mortality risk, allows for analysis of risk factors for life‐threatening outcomes, which may improve our understanding of the antecedents of maternal death. However, there are challenges with this type of monitoring, especially when comparing between hospitals, and more so when comparing countries. First, there must be agreed definitions of SMM, developed using a rigorous approach. Second, the method of case‐ascertainment should be embedded in routinely collected pregnancy data. The third challenge is that comparisons are valid if the population data can be adjusted for risk factors.
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BJOG: An International Journal of Obstetrics and Gynaecology
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126
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10
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© 2019 RCOG. This is the peer reviewed version of the following article: How should we measure severe maternal morbidity associated with pregnancy and birth?, BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 126, Iss. 10, Sept. 2019, pages 1231-1231, which has been published in final form at 10.1111/1471-0528.15818. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
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Biomedical and clinical sciences
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Life Sciences & Biomedicine
Obstetrics & Gynecology
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Ellwood, DA, How should we measure severe maternal morbidity associated with pregnancy and birth?, BJOG: An International Journal of Obstetrics and Gynaecology, 2019, 126 (10), pp. 1231-1231