Evidence map›Paper›PMID 29851115›Full record

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

Standardizing the measurement of maternal morbidity: Pilot study results.

Maria Barreix, Kelli Barbour, Affette McCaw-Binns, Doris Chou, Max Petzold, Gathari N Gichuhi, Luis Gadama, Frank Taulo, Özge Tunçalp, Lale Say and 1 more

Abstract read
In one paragraph

Article 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 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Observational
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  8. Call to Action to Quantify Non-Severe and Severe Maternal Morbidity.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025
    Article
  9. Material properties of nonpregnant and pregnant human uterine layers.Journal of the mechanical behavior of biomedical materials · 2024
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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.

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.
Kelli BarbourDepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, USA.
Affette McCaw-BinnsDepartment of Community Health and Psychiatry, University of the West Indies, Mona, Kingston, Jamaica.
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.
Max PetzoldCenter for Applied Biostatistics, University of Gothenburg, Gothenburg, Sweden.
Gathari N GichuhiMaternal and Child Survival Program, Jhpiego - Kenya, Nairobi, Kenya.
Luis GadamaDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
Frank TauloDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
Özge TunçalpUNDP-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.
WHO Maternal Morbidity Working Group (MMWG)

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo field test a standardized instrument to measure nonsevere morbidity among antenatal and postpartum women.

methodsA 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.

resultsA 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.

conclusionNonsevere 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.

Indexed as

Mental HealthPostpartum PeriodAdultCross-Sectional StudiesFemaleHumansJamaicaKenyaMalawiPilot ProjectsPregnancyPrenatal CareYoung AdultAntenatal careInterpersonal violenceMaternal morbidityMeasurementNonsevere maternal morbidityPostpartum carePregnancy and puerperium

Identifiers

PMID29851115
PMCPMC6001807

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.