Analysis of Maternal Morbidity in India and Hyderabad, Public Health

This report examines the issue of maternal morbidity, focusing on the context of India and Hyderabad. It begins by analyzing the methods used in a scoping exercise, including literature reviews and questionnaires, to understand the definition, conditions, and classification of maternal morbidity. The report summarizes current research, evidence, and the policy framework related to this topic, while also discussing the strengths and weaknesses of the methodologies employed. Key findings and recommendations are presented, highlighting the importance of clear definitions and regular measurement of maternal morbidity for informing policies and programs. The conclusion emphasizes the need for resource allocation to reduce maternal morbidity and recommends a clearer definition of maternal morbidity for consistent monitoring. The report underscores the critical need for comprehensive public health strategies to address this significant concern.

Public Health Evidence

TABLE OF CONTENT
1. ANALYZING THE METHODS OR TECHNIQUES ADOPTED IN ORDER TO APPROACH
SCOPING EXERCISE
2. SUMMARY OF CURRENT RESEARCH, EVIDENCE AND KNOWLEDGE BASE INCLUDING
POLICY FRAMEWORK
3. STRENGTH AND WEAKNESS OF RANGE OF METHODOLOGIES
4. SUMMARY OF KEY FINDINGS AND RECOMMENDATIONS
5. CONCLUSION
6. REFERENCES

INTRODUCTION
In present scenario, there has been increase in concern related to the increase in maternal morality in global
community in India and place Hyderabad . The main reason for increase death of women in country India and
place Hyderabad is complications in pregnancy, postpartum period, etc. It has been analyzed from the previous
studies conducted that mostly women's suffer morbidity during as well as after pregnancy. Maternal morbidity can
be defined as the base of iceberg (Kuklina & Goodman, 2018).

Analyzing the methods or techniques adopted
in order to approach scoping exercise
 A systematic investigation has been conducted by scholar in India and place chosen for investigation is
Hyderabad. In addition to this, literature review has been conducted with the intention of identifying as well as
synthesizing the types as well as different conditions. Questionnaire form has been used as the method for
collecting the information related to the topic of investigation. The questions which has been addressed during
the investigation are :
 How is maternal morbidity defined in existing literature ?
 Whether Conditions are included in definitions of maternal morbidity?
 How are such conditions classified and identified?

Summary of current research, evidence and
Knowledge base including policy
Framework
There are few limitations of the research conducted on the topic maternal morbidity In India and
place Hyderabad. Literature review which has been executed in order to as a part of our scoping
exercise but questionnaire was not a systematic review (Hitti, Sienas, Walker & Easterling, 2018).
Questionnaire has not proven to be very much effective as response rate was too low.

Strength and weakness of range of
methodologies
In context of present research on morbidity, questionnaire method has been used as a coping exercise. Strength of
the method is that respondents has favored the classifying material morbidity into different segments like direct,
incidental and indirect. Another major strength is that expert advice has been taken by scholar before finalizing
the questionnaire which has supported investigator in getting the relevant information about maternal morbidity
(Bartels, Rogers & Brennan, 2018). But the weakness of the questionnaire is that because of the lengthiness the
response rate of the questionnaire was only fifty percent.

Summary of key Findings and
recommendations
 It includes the findings of the scoping exercise related to the maternal morbidity which was included in the
Literature review section. The objective of performing the literature review was to develop the understanding
about the different definitions as well as conditions related to the maternal morbidity Among women in India
and place Hyderabad. Questionnaire has been developed based on the finding of literature review. Delphi
method has been utilized for finalizing the questionnaire. It has been summarized that there has been great
progress in efforts to measuring and monitoring aspects of severe maternal morbidity

CONCLUSION
It has been concluded from the above that measurement of maternal morbidity is very at regular interval of time is
much essential for informing policies as well as programs. The other fact which has been found is that proper
allocation of resources can be very much helpful in context of reducing the death maternal morbidity (Teal,
Lewkowitz & Gaw, 2018).
 It has been recommended that there is great requirement of clear definition of maternal morbidity. As clear
definition of maternal morbidity will help in consistent measurement as well as monitoring of maternal morbidity
across time.

REFERENCES
 Kuklina, E. V., & Goodman, D. A. (2018). Severe Maternal or Near Miss Morbidity: Implications for Public Health Surveillance
and Clinical Audit. Clinical obstetrics and gynecology, 61(2), 307-318.
 Bartels, H. C., Rogers, A. C., O’Brien, D., McVey, R., Walsh, J., & Brennan, D. J. (2018). Association of Implementing a
Multidisciplinary Team Approach in the Management of Morbidly Adherent Placenta With Maternal Morbidity and Mortality.
Obstetrics & Gynecology, 132(5), 1167-1176
Hitti, J., Sienas, L., Walker, S., Benedetti, T. J., & Easterling, T. (2018). Contribution of hypertension to severe maternal morbidity.
American journal of obstetrics and gynecology, 219(4), 405-e1.
Teal, E. N., Lewkowitz, A., Tran, C., Koser, S., Siegel, M., & Gaw, S. (2018). Maternal Morbidity Associated With Duration of Labor
Induction [34K]. Obstetrics & Gynecology, 131, 128S.
Luke, B., Brown, M. B., Liu, C. L., Diop, H., & Stern, J. E. (2018). Validation of severe maternal morbidity on the US certificate of live
birth. Epidemiology, 29(4), e31-e32..

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