Steps through the Revision Process of Reproductive Health Sections of ICD-11

Tunçalp, Özge; Hotamisligil, Selen; Norman, JE; L, Say; Volkmer, Bjoern G.; Pattinson, Bob; Rooney, C.; Serour, Gamal I.; J, de Mouzon; Gardosi, Jason; Thueroff, J; Mark, Mordechai; D’Hooghe, Thomas

doi:10.1159/000343062

Cited by 5 publications

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“…These inconsistencies have compounded the difficulties in interpreting statistics on maternal mortality and in part led to the development of the WHO application of ICD-10 to deaths during pregnancy, childbirth, and the puerperium: ICD-MM [45]. The classification system ultimately proposed by the Maternal Morbidity Working Group will draw lessons from that endeavour and further contribute to the 11 th revision of the key standards for health conditions ICD-11 [46,47]. …”

Section: Discussionmentioning

confidence: 99%

Framing maternal morbidity: WHO scoping exercise

Vanderkruik

Tunçalp

Say

2013

BMC Pregnancy Childbirth

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BackgroundMaternal morbidity estimations are not based on well-documented methodologies and thus have limited validity for informing efforts to address the issue and improve maternal health. To fill this gap, maternal morbidity needs to be clearly defined, driving the development of tools and indicators to measure and monitor maternal health. This article describes the scoping exercise conducted by the World Health Organization’s Department of Reproductive of Health and Research (WHO/RHR), as an essential first step in this process.MethodsA literature review was conducted to identify the range of definitions and conditions included in various studies of maternal morbidity with a special focus on the similarities and discrepancies of the definitions used across the studies. Furthermore a questionnaire was developed which included sections on key areas identified during the review and was sent out electronically to 130 international experts in the field of maternal health.ResultsMaternal morbidities have been categorized in a variety of ways based on the causes, types of complications, and/or timeline. Issues regarding the time frame, severity, identification and classification and demographics were identified as key areas in the literature that require further investigation to achieve consensus on a maternal morbidity definition. Fifty-five (N = 55) individuals responded with completed questionnaires. Respondents’ views on the time frame for the postpartum period varied from 6 weeks to beyond one year postpartum, it was noted that time frame depended on the type of complication. The majority of respondents said maternal morbidity should comprise a continuum of severity, whereas the identification of the cases should use a mixed criteria employing multiple methods.ConclusionsSignificant discrepancy in literature and expert opinion exists concerning elements of a maternal morbidity definition. There is a clear need for a concrete definition that would allow for consistent measurement and monitoring of maternal morbidity across settings and time.

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Section: Discussionmentioning

confidence: 99%

Framing maternal morbidity: WHO scoping exercise

Vanderkruik

Tunçalp

Say

2013

BMC Pregnancy Childbirth

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“…One of the aims of the WHO application of ICD‐10 to deaths during the perinatal period is that it is clinically relevant and easy to use. Although we believe we have demonstrated this, a change in rules with the upcoming 11th revision of ICD, such that the ICD codes from ICD‐MM can be used in the ICD‐PM, would further strengthen this aim. It is clear from our analysis that the ICD‐MM codes are also applicable for the main maternal condition in ICD‐PM.…”

Section: Discussionmentioning

confidence: 82%

“…Although we believe we have demonstrated this, 7 a change in rules with the upcoming 11th revision of ICD, 19 such that the ICD codes from ICD-MM can be used in the ICD-PM, would further strengthen this aim. It is clear from our analysis that the ICD-MM codes are also applicable for the main maternal condition in ICD- Figure 1.…”

Section: Discussionmentioning

confidence: 84%

Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death

Allanson

Tuncalp

Gardosi

et al. 2016

BJOG

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Objective The WHO application of the tenth edition of the International Classification of Diseases (ICD-10) to deaths during the perinatal period (ICD Perinatal Mortality, ICD-PM) captures the essential characteristics of the mother-baby dyad that contribute to perinatal deaths. We compare the capture of maternal conditions in the existing ICD-PM with the maternal codes from the WHO application of ICD-10 to deaths during pregnancy, childbirth, and the puerperium (ICD Maternal Mortality, ICD-MM) to explore potential benefits in the quality of data received.Design Retrospective application of ICD-PM.Setting South Africa and the UK.Population Perinatal death databases.Methods The maternal conditions were classified using the ICD-PM groupings for maternal condition in perinatal death, and then mapped to the ICD-MM groupings of maternal conditions.Main outcome measures Main maternal conditions in perinatal deaths.Results We reviewed 9661 perinatal deaths. The largest group (4766 cases, 49.3%) in both classifications captures deaths where there was no contributing maternal condition. Each of the other ICD-PM groups map to between three and six ICD-MM groups. If the cases in each ICD-PM group are re-coded using ICD-MM, each group becomes multiple, more specific groups. For example, the 712 cases in group M4 in ICD-PM become 14 different and more specific main disease categories when the ICD-MM is applied instead.Conclusions As we move towards ICD-11, the use of the more specific, applicable, and relevant codes outlined in ICD-MM for both maternal deaths and the maternal condition at the time of a perinatal death would be preferable, and would provide important additional information about perinatal deaths.

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“…Consensus was reached on an expanded number of terms and definitions [31] and, as stated, ‘The need for standard definitions is critical for benchmarking the outcomes of assisted reproductive technology procedures, at both a national and an international level ... standardization is necessary so that monitoring of efficacy, safety, and quality of procedures and multinational research can be undertaken’. The glossary definitions are currently being assessed for integration into the ICD10 revision [32] and have, to date, been translated into 6 languages, including Dutch [33]. A pre-meeting and the second half of the consultation reviewed the status of existing WHO tools for providers which address infertility prevention, diagnosis, and management at primary, secondary, and tertiary levels of care, including the draft guidance for primary care health care workers.…”

Section: The Art and Science Of Resolving A Child Wishmentioning

confidence: 99%

Historical Walk: The HRP Special Programme and Infertility

Poel¹

2012

Gynecol Obstet Invest

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Background/Aims: The HRP Special Programme (HRP) began addressing ‘reproduction’ problems (infertility) at the same time as ‘fertility regulation’ (contraception). Methods: This report is based upon data collected from official HRP Scientific and Technical Reports. Results: In the 1970s, HRP supported research on human and nonhuman primate models to address the basic biology of reproduction. Importantly, however, it was the multicountry clinical research studies sponsored by HRP during the 1970s and 1980s which led to the identification of not only the large burden of disease but also global patterns of causation of infertility. The next decade saw the development of WHO guidelines and manuals for diagnosis, management, and treatment of infertile women and men, with HRP-sponsored operations research focused on adaptation within primary health care settings. Consensus consultations held during 2001 through 2011 resulted in recommendations to stakeholders, as well as the identification of barriers and inequities in access to infertility care services. Conclusion: With renewed focus on infertility through the current development of revised guidelines and manuals, and the desire to support critical clinical research protocols, including adaptation and implementation research for management and monitoring tools being developed through international partners, HRP will continue to support future success stories in family, maternal, child, and reproductive health.

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Steps through the Revision Process of Reproductive Health Sections of ICD-11

Cited by 5 publications

References 0 publications

Framing maternal morbidity: WHO scoping exercise

Framing maternal morbidity: WHO scoping exercise

Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death

Historical Walk: The HRP Special Programme and Infertility

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