Safe motherhood programmes most often focus on reducing maternal death
in developing countries, but rarely pay attention to the women who
survive severe obstetric complications and the often inadequate care
To help these women who have long been neglected, Immpact, a global
research initiative, sought to improve the design and evaluation of safe
motherhood programmes by increasing the knowledge of the health, social,
and economic consequences of pregnancy and delivery-related
complications for women.
These consequences, or \"outcomes after pregnancy,\" include diagnosed
and perceived illness or disability following pregnancy (including
psychiatric illness) and social and economic consequences of pregnancy
and delivery-related complications (see figure). The burden of disease
from maternal causes has been underestimated due to lack of attention to
outcomes after pregnancy. When planning or evaluating safe motherhood
programmes, one must pay attention to the outcomes after pregnancy in
addition to data on maternal death in order to create a more holistic
and longer-term approach to maternal health.
Measuring and Addressing Outcomes After PregnancyA Holistic Approach to Maternal Health, Immpact, University of Aberdeen, UK, 2 pp.
Measuring and Addressing Outcomes After Pregnancy. A Holistic Approach to Maternal Health.