Evidence map›Paper›PMID 29851114›Full record

ReviewInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2018

A framework for healthcare interventions to address maternal morbidity.

Tabassum Firoz, Affette McCaw-Binns, Veronique Filippi, Laura A Magee, Maria L Costa, Jose G Cecatti, Maria Barreix, Richard Adanu, Doris Chou, Lale Say and 1 more

Abstract readReview
In one paragraph

Review in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Trial
  8. Article
  9. Article
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  13. Article
  14. Radical Healing Approaches For Black Maternal Health: A Critical Review.Journal of racial and ethnic health disparities · 2025
    Review
  15. Article
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  18. Call to Action to Quantify Non-Severe and Severe Maternal Morbidity.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tabassum FirozDepartment of Medicine, Brown University, Providence, RI, USA.
Affette McCaw-BinnsDepartment of Community Health and Psychiatry, University of the West Indies, Mona, Kingston, Jamaica.
Veronique FilippiDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Laura A MageeDepartment of Women's Health, King's College London, London, UK.
Maria L CostaDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Jose G CecattiDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Maria BarreixUNDP-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.
Richard AdanuSchool of Public Health, Department of Population, Family and Reproductive Health, University of Ghana, Accra, Ghana.
Doris ChouUNDP-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.
Lale SayUNDP-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.
members of the WHO Maternal Morbidity Working Group (MMWG)

Funding

World Health Organization 001
6 · The paper itself

Abstract

The maternal health agenda is undergoing a paradigm shift from preventing maternal deaths to promoting women's health and wellness. A critical focus of this trajectory includes addressing maternal morbidity and the increasing burden of chronic and noncommunicable diseases (NCD) among pregnant women. The WHO convened the Maternal Morbidity Working Group (MMWG) to improve the scientific basis for defining, measuring, and monitoring maternal morbidity. Based on the MMWG's work, we propose paradigms for conceptualizing maternal health and related interventions, and call for greater integration between maternal health and NCD programs. This integration can be synergistic, given the links between chronic conditions, morbidity in pregnancy, and long-term health. Pregnancy should be viewed as a window of opportunity into the current and future health of women, and offers critical entry points for women who may otherwise not seek or have access to care for chronic conditions. Maternal health services should move beyond the focus on emergency obstetric care, to a broader approach that encompasses preventive and early interventions, and integration with existing services. Health systems need to respond by prioritizing funding for developing integrated health programs, and workforce strengthening. The MMWG's efforts have highlighted the changing landscape of maternal health, and the need to expand the narrow focus of maternal health, moving beyond surviving to thriving.

Indexed as

Delivery of Health CareFemaleHumansMaternal Health ServicesMorbidityPregnancyPregnancy ComplicationsWomen's HealthHealthcare interventionsMaternal morbidityNoncommunicable diseasesPregnancy complications

Identifiers

PMID29851114
PMCPMC6001624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.