TY - JOUR
T1 - A framework for healthcare interventions to address maternal morbidity
AU - the members of the WHO Maternal Morbidity Working Group (MMWG)
AU - Firoz, Tabassum
AU - McCaw-Binns, Affette
AU - Filippi, Veronique
AU - Magee, Laura A.
AU - Costa, Maria L.
AU - Cecatti, Jose G.
AU - Barreix, Maria
AU - Adanu, Richard
AU - Chou, Doris
AU - Say, Lale
AU - Barbour, Kelli
AU - Cottler, Sara
AU - Fawole, Olubukola
AU - Gadama, Luis
AU - Ghérissi, Atf
AU - Gyte, Gill
AU - Hindin, Michelle
AU - Jayathilaka, Anoma
AU - Kalamar, Amanda
AU - Kone, Yacouba
AU - Kostanjsek, Nenad
AU - Lange, Isabelle
AU - Mathur, Arvind
AU - Morgan, Mark
AU - Munjanja, Stephen
AU - Gichuhi, Gathari N.
AU - Petzold, Max
AU - Sullivan, Elizabeth
AU - Taulo, Frank
AU - Tunçalp, Özge
AU - Vanderkruik, Rachel
AU - von Dadelszen, Peter
N1 - Publisher Copyright:
© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
PY - 2018/5
Y1 - 2018/5
N2 - 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.
AB - 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.
KW - Healthcare interventions
KW - Maternal morbidity
KW - Noncommunicable diseases
KW - Pregnancy complications
UR - http://www.scopus.com/inward/record.url?scp=85047904343&partnerID=8YFLogxK
U2 - 10.1002/ijgo.12469
DO - 10.1002/ijgo.12469
M3 - Review article
C2 - 29851114
AN - SCOPUS:85047904343
SN - 0020-7292
VL - 141
SP - 61
EP - 68
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
ER -