2018
DOI: 10.1002/ijgo.12468
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Abstract: BackgroundEstimates of the burden of maternal morbidity are patchy.ObjectiveTo conduct a systematic review of systematic reviews of maternal conditions to: (1) make available the most up‐to‐date frequency estimates; (2) identify which conditions do not have reliable estimates; and (3) scrutinize the quality of the available reviews.Search strategyWe searched Embase, MEDLINE, and CINAHL, combining terms for pregnancy, frequency (e.g. prevalence, incidence), publication type, and specific terms for each of 121 c… Show more

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Cited by 36 publications
(31 citation statements)
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References 67 publications
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“…Based on the available data, global estimates were presented for direct maternal morbidities, including post-partum haemorrhage 6-11%, preeclampsia 2.3%, severe complications of unsafe abortion 0.6%, eclampsia 0.5% and regional estimates for gestational diabetes mellitus (5.1% in Africa and 25.1% in the Western Pacific Region). Estimates of indirect maternal morbidities included obstetric fistula in LMICs 0-1.6% of post-partum women, post-partum depression in LMICs 1-50%, anxiety during pregnancy 4.4-39% worldwide, post-partum anxiety 8.5% worldwide, pooled HIV incidence rate in sub-Saharan Africa at 4.7 per 100 person-years during pregnancy and 2.9 per 100 personyears during the post-partum period, syphilis in pregnancy in LMICs 0.5-8.3%, chlamydia in pregnancy in LMICs 0.4-16.4%, malaria during pregnancy 29.5% in East and Central Africa and 35.1% in West and Central Africa, and a median of 4.3% of pregnancies are diagnosed with seroprevalence of hepatitis B serum antigen (HBsAg), and between 2.5% and 3.0% of pregnant women in Africa are infected with hepatitis C [109].…”
Section: Maternal Morbiditymentioning
confidence: 99%
“…Based on the available data, global estimates were presented for direct maternal morbidities, including post-partum haemorrhage 6-11%, preeclampsia 2.3%, severe complications of unsafe abortion 0.6%, eclampsia 0.5% and regional estimates for gestational diabetes mellitus (5.1% in Africa and 25.1% in the Western Pacific Region). Estimates of indirect maternal morbidities included obstetric fistula in LMICs 0-1.6% of post-partum women, post-partum depression in LMICs 1-50%, anxiety during pregnancy 4.4-39% worldwide, post-partum anxiety 8.5% worldwide, pooled HIV incidence rate in sub-Saharan Africa at 4.7 per 100 person-years during pregnancy and 2.9 per 100 personyears during the post-partum period, syphilis in pregnancy in LMICs 0.5-8.3%, chlamydia in pregnancy in LMICs 0.4-16.4%, malaria during pregnancy 29.5% in East and Central Africa and 35.1% in West and Central Africa, and a median of 4.3% of pregnancies are diagnosed with seroprevalence of hepatitis B serum antigen (HBsAg), and between 2.5% and 3.0% of pregnant women in Africa are infected with hepatitis C [109].…”
Section: Maternal Morbiditymentioning
confidence: 99%
“…The reported incidence does not include many other health problems that are common during pregnancy and postpartum, such as depression, incontinence, sexual health issues, and pelvic girdle pain. [2][3][4][5][6] These types of health problems are frequently underreported and undertreated, due to their sensitive nature, or a belief that they are normal, selflimiting symptoms of pregnancy and birth. [7][8][9] There is a growing body of research describing their prevalence, which indicates that almost all women (94%) experience at least one major health problem in the first year after having a baby, with up to one in five (20%) reporting depressive symptoms and almost half (47%) reporting urinary incontinence.…”
Section: Introductionmentioning
confidence: 99%
“…In 2015, an estimated 303 000 women died during or after pregnancy [1]. Despite the global focus on maternal mortality, deaths represent only a small fraction of the total burden of ill-health due to inadequate maternal healthcare [2]. The World Health Organization (WHO) estimates that, in 2016 alone, maternal conditions contributed to around 19 million disability-adjusted life years lost [3].…”
Section: Introductionmentioning
confidence: 99%