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A global view of severe maternal morbidity: moving beyond maternal mortality

Overview of attention for article published in Reproductive Health, June 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#18 of 1,563)
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (97th percentile)

Mentioned by

news
10 news outlets
policy
1 policy source
twitter
89 X users
facebook
3 Facebook pages

Citations

dimensions_citation
218 Dimensions

Readers on

mendeley
743 Mendeley
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Title
A global view of severe maternal morbidity: moving beyond maternal mortality
Published in
Reproductive Health, June 2018
DOI 10.1186/s12978-018-0527-2
Pubmed ID
Authors

Stacie E. Geller, Abigail R. Koch, Caitlin E. Garland, E. Jane MacDonald, Francesca Storey, Beverley Lawton

Abstract

Maternal mortality continues to be of great public health importance, however for each woman who dies as the direct or indirect result of pregnancy, many more women experience life-threatening complications. The global burden of severe maternal morbidity (SMM) is not known, but the World Bank estimates that it is increasing over time. Consistent with rates of maternal mortality, SMM rates are higher in low- and middle-income countries (LMICs) than in high-income countries (HICs). Since the WHO recommended that HICs with low maternal mortality ratios begin to examine SMM to identify systems failures and intervention priorities, researchers in many HICs have turned their attention to SMM. Where surveillance has been conducted, the most common etiologies of SMM have been major obstetric hemorrhage and hypertensive disorders. Of the countries that have conducted SMM reviews, the most common preventable factors were provider-related, specifically failure to identify "high risk" status, delays in diagnosis, and delays in treatment. The highest burden of SMM is in Sub-Saharan Africa, where estimates of SMM are as high as 198 per 1000 live births. Hemorrhage and hypertensive disorders are the leading conditions contributing to SMM across all regions. Case reviews are rare, but have revealed patterns of substandard maternal health care and suboptimal use of evidence-based strategies to prevent and treat morbidity. Severe maternal morbidity not only puts the woman's life at risk, her fetus/neonate may suffer consequences of morbidity and mortality as well. Adverse delivery outcomes occur at a higher frequency among women with SMM. Reducing preventable severe maternal morbidity not only reduces the potential for maternal mortality but also improves the health and well-being of the newborn. Increasing global maternal morbidity is a failure to achieve broad public health goals of improved women's and infants' health. It is incumbent upon all countries to implement surveillance initiatives to understand the burden of severe morbidity and to implement review processes for assessing potential preventability.

X Demographics

X Demographics

The data shown below were collected from the profiles of 89 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 743 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 743 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 115 15%
Student > Bachelor 76 10%
Researcher 59 8%
Student > Ph. D. Student 43 6%
Student > Postgraduate 42 6%
Other 126 17%
Unknown 282 38%
Readers by discipline Count As %
Medicine and Dentistry 173 23%
Nursing and Health Professions 117 16%
Social Sciences 44 6%
Agricultural and Biological Sciences 13 2%
Unspecified 11 1%
Other 73 10%
Unknown 312 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 142. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2023.
All research outputs
#290,640
of 25,376,646 outputs
Outputs from Reproductive Health
#18
of 1,563 outputs
Outputs of similar age
#6,350
of 336,107 outputs
Outputs of similar age from Reproductive Health
#2
of 48 outputs
Altmetric has tracked 25,376,646 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,563 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.9. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 336,107 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 48 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 97% of its contemporaries.