WHO multicountry survey on maternal and newborn health 2010-2012
About the study
This study suggests that to achieve a substantial reduction in maternal mortality, a comprehensive approach to emergency care, and overall improvements in the quality of maternal health care will be needed.
WHO conducted the largest study to date assessing severe complications and ‘near misses’ in pregnancy. The WHO Multicountry Survey on Maternal and Newborn Health found that ‘essential interventions’ – simple treatments which are indispensable for effective maternal care, such as providing uterotonics for preventing postpartum haemorrhage, or magnesium sulphate for eclampsia – do not necessarily reduce maternal mortality in health care facilities which provide them.
The study examined data from more than 300 000 women attending 357 health care facilities in 29 countries and determined how many pregnant women had a severe maternal outcome (defined as either maternal death or a near miss), as well as the coverage of essential interventions in the health care facilities studied.
Methodology and tools
Maternal severity index (MSI) calculator
This simple calculator is designed to facilitate the use of the Maternal Severity Index (MSI). Just tick the conditions present in clinical cases and obtain the MSI. This is a useful tool for health services benchmarking and research.
WHO multicountry survey on maternal and newborn health: study protocol
Evaluating the quality of care for severe pregnancy complications: the WHO near-miss approach for maternal health
WHO maternal near-miss approach and the maternal severity index model (MSI): tools for assessing the management of severe maternal morbidity.
Participating countries and territories (29)
Afghanistan, Angola, Argentina, Brazil Cambodia, China, Democratic Republic of the Congo, Ecuador, India, Japan, Jordan Kenya, Lebanon, Mexico, Mongolia, Nepal, Nicaragua, Niger, Nigeria, occupied Palestinian territory, Pakistan, Paraguay, Peru, Philippines, Qatar, Sri Lanka, Thailand, Uganda, Viet Nam.