Open AccessSevere Maternal or Near Miss Morbidity: Implications for Public Health Surveillance and Clinical Audit
Author(s) -
Elena V. Kuklina,
David A. Goodman
Publication year - 2018
Publication title -
clinical obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.927
H-Index - 75
eISSN - 1532-5520
pISSN - 0009-9201
DOI - 10.1097/grf.0000000000000375
Subject(s) - medicine , audit , clinical audit , public health , identification (biology) , medical emergency , nursing , accounting , business , botany , biology
This chapter reviews the historical development of indicators to identify severe maternal morbidity/maternal near miss (SMM/MNM), and their use for public health surveillance, research, and clinical audit. While there has been progress toward identifying standard definitions for SMM/MNM within countries, there remain inconsistencies in the definition of SMM/MNM indicators and their application between countries. Using these indicators to screen for events that then trigger a clinical audit may both under identify select SMM/MNM (false negative)and over identify select SMM/MNM (false positive). Thus, indicators which support the efficient identification of SMM/MNM for the purpose of facility-based clinical audits are still needed.