The lived experience of severe maternal morbidity among Black women

2021 ◽  
Author(s):  
Lucinda Canty
Keyword(s):  
Black Women ◽  
Lived Experience ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity

Monitoring Maternal Near Miss/Severe Maternal Morbidity: A Systematic Review

2019 ◽  
Author(s):  
Natalie England ◽  
Julia Madill ◽  
Amy Metcalfe ◽  
Laura Magee ◽  
Stephanie Cooper ◽  
...  
Keyword(s):  
Systematic Review ◽  
Maternal Morbidity ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

scholarly journals 397 Can obesity explain racial disparities in severe maternal morbidity?

2021 ◽  
Vol 224 (2) ◽  
pp. S257
Author(s):  
Ayesha SIDDIQUI ◽  
Catherine Deneux-Tharaux ◽  
Elizabeth Howell ◽  
Elie Azria
Keyword(s):  
Racial Disparities ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity

scholarly journals 639 Co-occuring opioid and methamphetamine use disorder and severe maternal morbidity and mortality in Utah

2021 ◽  
Vol 224 (2) ◽  
pp. S401-S402
Author(s):  
Marcela Smid ◽  
Amanda A. Allshouse ◽  
Kristine Campbell ◽  
Michelle P. Debbink ◽  
Adam G. Gordon ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Severe Maternal Morbidity ◽  
Methamphetamine Use ◽  
Maternal Morbidity And Mortality ◽  
Methamphetamine Use Disorder

Severe Maternal Morbidity: A Comparison of Definitions and Data Sources

2021 ◽  
Author(s):  
Jonathan M Snowden ◽  
Audrey Lyndon ◽  
Peiyi Kan ◽  
Alison El Ayadi ◽  
Elliott Main ◽  
...  
Keyword(s):  
Administrative Data ◽  
Maternal Morbidity ◽  
Claims Data ◽  
Birth Certificate ◽  
Population Level ◽  
Kappa Statistic ◽  
Data Sources ◽  
Severe Maternal Morbidity ◽  
Fine Grained ◽  
Control And Prevention

Abstract Severe maternal morbidity (SMM) is a composite outcome measure that indicates serious, potentially life-threatening maternal health problems. There is great interest in defining SMM using administrative data for surveillance and research. In the US, one common way of defining SMM at the population level is an index developed by the Centers for Disease Control and Prevention. Modifications have been proposed to this index (e.g., excluding maternal transfusion); some research defines SMM using an index introduced by Bateman et al. Birth certificate data are also increasingly being used to define SMM. We compared commonly used US definitions of SMM to each other among all California births, 2007-2012, using the Kappa statistic and other measures. We also evaluated agreement between maternal morbidity fields on the birth certificate compared to claims data. Concordance was generally low between the 7 definitions of SMM analyzed (i.e., κ < 0.4 for 13 of 21 two-way comparisons), Low concordance was particularly driven by presence/absence of transfusion and claims data versus birth certificate definitions. Low agreement between administrative data-based definitions of SMM highlights that results can be expected to differ between them. Further research is needed on validity of SMM definitions, using more fine-grained data sources.

scholarly journals 46 Length of labor and severe maternal morbidity in the NTSV population

2021 ◽  
Vol 224 (2) ◽  
pp. S33
Author(s):  
Benjamin J. Lengerich ◽  
Rich Caruana ◽  
William B. Weeks ◽  
Ian Painter ◽  
Sydney Spencer ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severe Maternal Morbidity

scholarly journals Multidimensional assessment of women after severe maternal morbidity: the COMMAG cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041138
Author(s):  
Elton C Ferreira ◽  
Maria Laura Costa ◽  
Rodolfo C Pacagnella ◽  
Carla Silveira ◽  
Carla B Andreucci ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sexual Function ◽  
Screening Test ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Medium Term ◽  
Short Term ◽  
Multidimensional Assessment ◽  
Index Pregnancy ◽  
Sf 36

ObjectivesTo perform a multidimensional assessment of women who experienced severe maternal morbidity (SMM) and its short-term and medium-term impact on the lives and health of women and their children.DesignA retrospective cohort study.SettingA tertiary maternity hospital from the southeast region of Brazil.ParticipantsThe exposed population was selected from intensive care unit admissions if presenting any diagnostic criteria for SMM. Controls were randomly selected among women without SMM admitted to the same maternity and same time of childbirth.Primary and secondary outcome variablesValidated tools were applied, addressing post-traumatic stress disorder (PTSD) and quality of life (SF-36) by phone, and then general and reproductive health, functioning (WHO Disability Assessment Schedule), sexual function (Female Sexual Function Index (FSFI)), substance abuse (Alcohol, Smoking and Substance Involvement Screening Test 2.0) and growth/development (Denver Developmental Screening Test) of children born in the index pregnancy in a face-to-face interview.ResultsAll instruments were applied to 638 women (315 had SMM; 323 were controls, with the assessment of 264 and 307 children, respectively). SF-36 score was significantly lower in the SMM group, while PTSD score was similar between groups. Women who had SMM became more frequently sterile, had more abnormal clinical conditions after the index pregnancy and a higher score for altered functioning, while proportions of FSFI score or any drug use were similar between groups. Furthermore, children from the SMM group were more likely to have weight (threefold) and height (1.5 fold) for age deficits and also impaired development (1.5-fold).ConclusionSMM impairs some aspects of the lives of women and their children. The focus should be directed towards monitoring these women and their children after birth, ensuring accessibility to health services and reducing short-term and medium-term repercussions on physical, reproductive and psychosocial health.

8 Augmenting or Replacing Obstetric Comorbidity Index with Labor & Delivery Features Improves Prediction of Non-Transfusion Severe Maternal Morbidity

2021 ◽  
Vol 224 (2) ◽  
pp. S5
Author(s):  
Matthew Oberhardt ◽  
Desmond Sutton ◽  
Corrina Oxford-Horrey ◽  
Malavika Prabhu ◽  
Jean Ju Sheen ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Comorbidity Index

Do Hospitals with a Higher Level of Maternal Care Designation Have Better Maternal Outcomes?

2018 ◽  
Vol 36 (06) ◽  
pp. 653-658 ◽  
Author(s):  
Sindhu Srinivas ◽  
Katy Kozhimannil ◽  
Peiyin Hung ◽  
Laura Attanasio ◽  
Judy Jou ◽  
...  
Keyword(s):  
High Risk ◽  
Maternal Care ◽  
Maternal Morbidity ◽  
Cross Sectional Study ◽  
Severe Maternal Morbidity ◽  
Maternal Outcomes ◽  
Cross Sectional ◽  
Discharge Data ◽  
Logistic Regression Models ◽  
The Impact

Background A recent document by the American Congress of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine introduced the concept of uniform levels of maternal care (LMCs). Objective We assessed LMC across hospitals and measured their association with maternal morbidity, focusing on women with high-risk conditions. Study Design We collected data from hospitals from May to November 2015 and linked survey responses to Statewide Inpatient Databases (SID) hospital discharge data in a retrospective cross-sectional study of 247,383 births admitted to 236 hospitals. Generalized logistic regression models were used to examine the associations between hospitals' LMC and the risk of severe maternal morbidity. Stratified analyses were conducted among women with high-risk conditions. Results High-risk pregnancies were more likely to be managed in hospitals with higher LMC (p < 0.001). Women with cardiac conditions had lower odds of maternal morbidity when delivered in level I compared with level IV units (adjusted odds ratio: 0.29; 95% confidence interval: 0.08–0.99; p = 0.049). There were no other significant associations between the LMC and severe maternal morbidity. Conclusion A higher proportion of high-risk pregnancies were managed within level IV units, although there was no overall evidence that these births had superior outcomes. Further prospective evaluation of LMC designation with patient outcomes is necessary to determine the impact of regionalization on maternal outcomes.

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