ArticleReproductive health2016
Maternal morbidity measurement tool pilot: study protocol.
Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- The global prevalence of postpartum psychosis: a systematic review.BMC psychiatry · 2017Pooled it
- Clinical, psychosocial and cognitive outcomes following VBAC: a protocol for a sub-national cohort study in Saudi Arabia (2019-2024).BMJ open · 2026Article
- Observational
- How maternal morbidities impact women's quality of life during pregnancy and postpartum in sub-Saharan Africa and South Asia: A qualitative study.PLOS global public health · 2025Article
- Predominant approaches to measuring pregnancy-related anxiety in Sub-saharan Africa: a scoping review.BMC public health · 2024Article
- Extreme heat, pregnancy and women's well-being in Burkina Faso: an ethnographical study.BMJ global health · 2024Article
- Measurement of maternal morbidity during postpartum with the WHO-WOICE tools in Morocco.BMC pregnancy and childbirth · 2023Article
- Intimate Partner Violence During Pregnancy and Maternal Morbidity in South Ethiopia: A Cohort Study.Journal of multidisciplinary healthcare · 2023Article
- Article
- Article
- Implementing effective community-based surveillance in research studies of maternal, newborn and infant outcomes in low resource settings.Emerging themes in epidemiology · 2022Article
- Longitudinal functional status trajectories and its predictors among postpartum women with and without maternal morbidities in Northwest Ethiopia: a group based multi-trajectory modelling.BMJ global health · 2022Article
- Article
- Giving women WOICE postpartum: prevalence of maternal morbidity in high-risk pregnancies using the WHO-WOICE instrument.BMC pregnancy and childbirth · 2021Article
- Measurement of maternal functioning during pregnancy and postpartum: findings from the cross-sectional WHO pilot study in Jamaica, Kenya, and Malawi.BMC pregnancy and childbirth · 2020Article
- The PRECISE (PREgnancy Care Integrating translational Science, Everywhere) Network's first protocol: deep phenotyping in three sub-Saharan African countries.Reproductive health · 2020Article
- Description of Maternal Morbidities Amongst 1000 Women During Pregnancy in Ambanja, Madagascar - Opportunities and Challenges of Using an mHealth System.International journal of women's health · 2020Article
- Article
- Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument.BioMed research international · 2020Article
- Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 4 countries.
Funding
Abstract
backgroundWhile it is estimated that for every maternal death, 20-30 women suffer morbidity, these estimates are not based on standardized methods and measures. Lack of an agreed-upon definition, identification criteria, standardized assessment tools, and indicators has limited valid, routine, and comparable measurements of maternal morbidity. The World Health Organization (WHO) convened the Maternal Morbidity Working Group (MMWG) to develop standardized methods to improve estimates of maternal morbidity. To date, the MMWG has developed a definition and provided input into the development of a set of measurement tools. This protocol outlines the pilot test for measuring maternal morbidity in antenatal and postnatal clinical populations using these new tools.
methodsIn each setting, the tools will be piloted on approximately 250 women receiving antenatal care (ANC) (at least 28 weeks pregnant) and 250 women receiving postpartum care (PPC) (at least 6 weeks postpartum). The tools will be administered by trained health care workers. Each tool has three modules as follows: 1. personal history - socio-economic information, and risk-factors (such as violence and substance abuse) 2. patient symptoms - WHO Disability Assessment Schedule (WHODAS) 12-item, and mental health questionnaires, General Anxiety Disorder, 7-item (GAD-7) and Personal Health Questionnaire, 9-item (PHQ-9) 3. physical examination - signs, laboratory tests and results. DISCUSSION: This pilot (planned for Jamaica, Kenya and Malawi) will allow for comparing the types of morbidities women experience between and across settings, and determine the feasibility, acceptability and utility of using a modified, streamlined tool for routine measurement and summary estimates of morbidity to inform resource allocation and service provision. As part of the post-2015 Sustainable Development Goals (SDGs) estimating and measuring maternal morbidity will be essential to ensure appropriate resources are allocated to address its impact and improve well-being.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.