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Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity
- Source :
- Schaap, T, Bloemenkamp, K, Deneux-Tharaux, C, Knight, M, Langhoff-Roos, J, Sullivan, E, van den Akker, T & INOSS 2019, ' Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity ', BJOG: An International Journal of Obstetrics and Gynaecology, vol. 126, no. 3, pp. 394-401 . https://doi.org/10.1111/1471-0528.14833, BJOG: An International Journal of Obstetrics and Gynaecology, 126(3), 394-401. Wiley Online Library
- Publication Year :
- 2017
-
Abstract
- Objective Develop a core outcome set of international consensus definitions for severe maternal morbidities. Design Electronic Delphi study. Setting International. Population Eight expert panels. Methods All 13 high-income countries represented in the International Network of Obstetric Surveillance Systems (INOSS) nominated five experts per condition of morbidity, who submitted possible definitions. From these suggestions, a steering committee distilled critical components: eclampsia: 23, amniotic fluid embolism: 15, pregnancy-related hysterectomy: 11, severe primary postpartum haemorrhage: 19, uterine rupture: 20, abnormally invasive placentation: 12, spontaneous haemoperitoneum in pregnancy: 16, and cardiac arrest in pregnancy: 10. These components were assessed by the expert panel using a 5-point Likert scale, following which a framework for an encompassing definition was constructed. Possible definitions were evaluated in rounds until a rate of agreement of more than 70% was reached. Expert commentaries were used in each round to improve definitions. Main outcome measures Definitions with a rate of agreement of more than 70%. Results The invitation to participate in one or more of eight Delphi processes was accepted by 103 experts from 13 high-income countries. Consensus definitions were developed for all of the conditions. Conclusion Consensus definitions for eight morbidity conditions were successfully developed using the Delphi process. These should be used in national registrations and international studies, and should be taken up by the Core Outcomes in Women's and Newborn Health initiative. Tweetable abstract Consensus definitions for eight morbidity conditions were successfully developed using the Delphi process.
- Subjects :
- Embolism, Amniotic Fluid
medicine.medical_specialty
Consensus
Placenta Diseases
Delphi Technique
Quality Assurance, Health Care
International studies
International Cooperation
Population
education
Pregnancy Complications, Cardiovascular
Delphi method
Hysterectomy
Severity of Illness Index
Likert scale
03 medical and health sciences
Amniotic fluid embolism
0302 clinical medicine
Obstetrics and gynaecology
Uterine Rupture
Pregnancy
Outcome Assessment, Health Care
medicine
Humans
Eclampsia
computer.programming_language
education.field_of_study
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
Developed Countries
Postpartum Hemorrhage
Obstetrics and Gynecology
medicine.disease
Heart Arrest
Pregnancy Complications
Family medicine
Hemoperitoneum
Female
business
computer
Delphi
Subjects
Details
- ISSN :
- 14710528 and 14700328
- Volume :
- 126
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- BJOG : an international journal of obstetrics and gynaecology
- Accession number :
- edsair.doi.dedup.....cdda927308033dbb8706889390d6104a