The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Facility-Based Identification of Women With Severe Maternal Morbidity: It Is Time to Start
Open accessAbstract
In Brief Although maternal deaths have been the traditional indicator of maternal health, these events are the “tip of the iceberg” in that there are many women who have significant complications of pregnancy, labor, and delivery. Identifying women who experience severe maternal morbidity and reviewing their care can provide critical information to inform quality improvement in obstetrics. In this commentary, we review methods to identify women who experienced severe complications of pregnancy. We propose a simple validated approach based on transfusion of four or more units of blood products, admission to an intensive care unit, or both as a starting point for identification and review of severe maternal morbidity in health care settings for the purpose of understanding successes and failures in systems of care. Facility-based identification of women with severe maternal morbidity and review of their care can further efforts to improve the quality of obstetric care.
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“Transfusion of ≥4 units is a marker of significant obstetrical morbidity (79).”
From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [79]
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Severe Maternal Morbidity Among Delivery and Postpartum Hospitalizations in the United States
Callaghan, W. M., Creanga, A. A., & Kuklina, E. V. (2012) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31826d60c5 · Cited by 935
Callaghan, W. M., MacKay, A. P., & Berg, C. J. (2008) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2007.12.020 · Cited by 306
Accuracy of obstetric diagnoses and procedures in hospital discharge data
Yasmeen, S., Romano, P. S., Schembri, M. E., Keyzer, J., & Gilbert, W. M. (2006) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2005.08.058 · Cited by 287
A scoring system identified near-miss maternal morbidity during pregnancy
GELLER, S. E., Rosenberg, D. L., Cox, S. M., Brown, M., Simonson, L., & Kilpatrick, S. J. (2004) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.01.003 · Cited by 226
Severe Obstetric Morbidity in the United States: 1998–2005
Kuklina, E. V., Meikle, S., Jamieson, D. J., Whiteman, M. K., Barfield, W. D., Hillis, S. D., & Posner, S. F. (2009) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181954e5b · Cited by 211
Epidemiology of Obstetric-Related ICU Admissions in Maryland
Wanderer, J. P., Leffert, L. R., Mhyre, J. M., Kuklina, E. V., Callaghan, W. M., & Bateman, B. T. (2013) · Critical Care Medicine · doi:10.1097/ccm.0b013e31828a3e24 · Cited by 204
Defining a conceptual framework for near-miss maternal morbidity.
GELLER, S. E., Rosenberg, D. L., Cox, S. M., & Kilpatrick, S. J. (2002) · PubMed · Cited by 104
Bouvier‐Colle, M., Hindori‐Mohangoo, A. D., Gissler, M., Novak‐Antolič, Ž., Vutuc, C., Szamotulska, K., & Zeitlin, J. A. (2012) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2012.03330.x · Cited by 100
Maternal Mortality, Near Misses, and Severe Morbidity
Hankins, G. D. V., Clark, S. L., Pacheco, L. D., O'Keeffe, D. F., D’Alton, M. E., & Saade, G. R. (2012) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31826af878 · Cited by 68
Simpson, K. R. (2011) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2011.01262.x · Cited by 59
Validation of a Scoring System to Identify Women with Near-Miss Maternal Morbidity
You, W. B., Chandrasekaran, S., Sullivan, J. T., & Grobman, W. A. (2012) · American Journal of Perinatology · doi:10.1055/s-0032-1321493 · Cited by 46
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National Partnership for Maternal Safety
Main, E. K., Goffman, D., Scavone, B. M., Low, L. K., Bingham, D., Fontaine, P. L., Gorlin, J. B., Lagrew, D. C., & Levy, B. S. (2015) · Anesthesia & Analgesia · doi:10.1097/aog.0000000000000869 · Cited by 398
A global view of severe maternal morbidity: moving beyond maternal mortality
GELLER, S. E., Koch, A. R., Garland, C. E., MacDonald, E. J., Storey, F., & LAWTON, B. A. (2018) · Reproductive Health · doi:10.1186/s12978-018-0527-2 · Cited by 394
Social Determinants of Pregnancy-Related Mortality and Morbidity in the United States
Wang, E., Glazer, K. B., Howell, E. A., & Janevic, T. M. (2020) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000003762 · Cited by 373
Severe maternal morbidity: screening and review
Kilpatrick, S. J., & Ecker, J. L. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.07.050 · Cited by 334
Measuring severe maternal morbidity: validation of potential measures
Main, E. K., Abreo, A. M., McNulty, J. A., Gilbert, W. M., McNally, C. M., Poeltler, D. M., Lanner-Cusin, K., Fenton, D., Gipps, T., Melsop, K. A., et al. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.11.004 · Cited by 314
Metadata
- Authors
- Callaghan, W. M., Grobman, W. A., Kilpatrick, S. J., Main, E. K., & D'Alton, M.
- Affiliations
- Northwestern University (US)
- Venue
- Obstetrics & Gynecology
- Published
- 2014-05
- Volume
- 123
- Issue
- 5
- Pages
- 978-981
- ISSN
- 0029-7844 (ISSN-L)
- PMC
- PMC4293012
- OpenAlex
- W2060359125
- Cited by
- 137
- References
- 11
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 4 · 2021: 12 · 2020: 16 · 2019: 15 · 2018: 16 · 2017: 12 · 2016: 12 · 2015: 17 · 2014: 4
- FWCI
- 14.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- severe maternal morbidity, obstetric quality improvement, maternal mortality, blood transfusion, intensive care unit admission, case review, systems of care, pregnancy complications
- MeSH terms
- Blood Transfusion, Critical Care, Female, Humans, Pregnancy, Pregnancy Complications, Severity of Illness Index, Quality Indicators, Health Care
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