Postnatal maternal morbidity: extent, causes, prevention and treatment

  title={Postnatal maternal morbidity: extent, causes, prevention and treatment},
  author={Cathryn Ma Glazener and Mona Abdalla and P. Stroud and Allan Templeton and Ian T Russell and Simon Alexander Naji},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  • C. Glazener, M. Abdalla, S. Naji
  • Published 1 April 1995
  • Medicine, Education, Political Science
  • BJOG: An International Journal of Obstetrics & Gynaecology
Objective To describe the prevalence and causes of postnatal maternal morbidity. 

Postnatal morbidity after childbirth and severe obstetric morbidity

The impact of pregnancy and childbirth, and severe obstetric morbidity on outcome 6 to 12 months postpartum, and pregnancy-and- childbirth-related death and death after childbirth are studied.

Risk factors for persistent pain and its influence on maternal wellbeing after cesarean section

To investigate the overall incidence and risk factors for persistent pain and its interference with daily life after cesarean section, a large number of patients with atypical or high-risk pregnancies are surveyed.

Maternal health after childbirth: results of an Australian population based survey

The prevalence of maternal physical and emotional health problems six to seven months after birth is described to describe the presence of these problems in women.

Women's sexual health after childbirth

The impact of childbirth on the sexual health of primiparous women is investigated and factors associated with dyspareunia are identified.

Maternal morbidity during labour and the puerperium in rural homes and the need for medical attention: A prospective observational study in Gadchiroli, India

The incidence of maternal morbidity during labour and the puerperium in rural homes, the association with perinatal outcome and the proportion of women needing medical attention are estimated.

The effects of mode delivery on postpartum sexual function: a prospective study

To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12 months postpartum, a large number of women were surveyed for at least a year after giving birth.

Physical health problems after childbirth and maternal depression at six to seven months postpartum

  • S. BrownJ. Lumley
  • Medicine, Political Science
    BJOG : an international journal of obstetrics and gynaecology
  • 2000
The relationship between maternal physical and emotional health problems six to nine months after childbirth is investigated.

Incidence of severe pre‐eclampsia, postpartum haemorrhage and sepsis as a surrogate marker for severe maternal morbidity in a European population‐based study: the MOMS‐B survey

The incidence of three conditions of acute severe maternal morbidity in selected regions in nine European countries is described to describe the incidence of these conditions in selected countries.

Health in pregnancy and post-birth: contribution to improved child outcomes (Journal article)

The major factors affecting health during pregnancy, birth and the postnatal period are described and the evidence for interventions to improve outcomes in women and their children is outlined.



Postnatal care: a survey of patients’ experiences

A survey suggested that women’s health and needs are indeed neglected in the postnatal period, and it is argued that better prevention and treatment of the problems that occur, and support are needed.

Postnatal care in the 20th century.

  • J. Smibert
  • Medicine, Art
    Australian family physician
  • 1989
This first paper reviews the changes in post natal care which have occurred in the last half century and outlines what he feels should be the ideal care of the new mother and her baby.

The occurrence of symptoms and the proportion treated in Swedish infants and their mothers.

Although the level of maternal education differed between the two regions examined, the panorama of symptoms, the drug treatment, and the breastfeeding were reported mainly the same; symptoms were common both in the mothers and in their infants.

West Berkshire perineal management trial.

Findings provide little support either for liberal use of episiotomy or for claims that reduced use of the operation decreases postpartum morbidity.

Changes in women's mental and physical health from pregnancy through six months postpartum.

For women who did not return to work during the period of the study, a significant decline in depressive symptoms was observed from the prenatal period through the 6th postpartum month.

Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression.

Counselling by health visitors is valuable in managing non-psychotic postnatal depression.

Health after childbirth

It is hypothesized that the backache-producing mechanism is postural, occurring generally during labour, but exacerbated by epidural anaesthcsia, through loss of muscle tone, inability to move, and inhibition of discomfort-feedback in women giving birth to their most recent child.

West Berkshire perineal management trial: three year follow up.

Women who had participated in a randomised controlled trial of policies of restricted (10%) versus liberal (51%) episiotomy during spontaneous vaginal delivery were recontacted by postal questionnaire three years after delivery, and there was no evidence of a differential response rate between the two trial groups.

The fourth stage of labor: the health of birth mothers and adoptive mothers at six-weeks postpartum.

It is suggested that, for both adoptive and birth mothers, some aspects of postpartum recovery may continue up to and beyond the sixth post partum week.

Detection of Postnatal Depression

The development of a 10-item self-report scale (EPDS) to screen for Postnatal Depression in the community was found to have satisfactory sensitivity and specficity, and was also sensitive to change in the severity of depression over time.