Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal

dc.contributor.authorNijagal, Malini A.en_ZA
dc.contributor.authorWissig, Stephanieen_ZA
dc.contributor.authorStowell, Caleben_ZA
dc.contributor.authorOlson, Elizabethen_ZA
dc.contributor.authorAmer-Wahlin, Isisen_ZA
dc.contributor.authorBonsel, Goukeen_ZA
dc.contributor.authorBrooks, Allysonen_ZA
dc.contributor.authorColeman, Matthewen_ZA
dc.contributor.authorKaralasingam, Shamala Devien_ZA
dc.contributor.authorDuffy, James M. N.en_ZA
dc.contributor.authorFlanagan, Tracyen_ZA
dc.contributor.authorGebhardt, Stefanen_ZA
dc.contributor.authorGreene, Meridith E.en_ZA
dc.contributor.authorGroenendaal, Florisen_ZA
dc.contributor.authorJeganathan, J. Ravichandran R.en_ZA
dc.contributor.authorKowaliw, Tessaen_ZA
dc.contributor.authorLamain-de-Ruiter, Marijeen_ZA
dc.contributor.authorMain, Elliotten_ZA
dc.contributor.authorOwens, Michelleen_ZA
dc.contributor.authorPetersen, Roden_ZA
dc.contributor.authorReiss, Irwinen_ZA
dc.contributor.authorSakala, Carolen_ZA
dc.contributor.authorSpeciale, Anna Mariaen_ZA
dc.contributor.authorThompson, Rachelen_ZA
dc.contributor.authorOkunade, Oluwakemien_ZA
dc.contributor.authorFranx, Arieen_ZA
dc.identifier.citationNijagal, M. A., et al. 2018. Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal. BMC Health Services Research, 18:953, doi:10.1186/s12913-018-3732-3
dc.identifier.issn1472-6963 (online)
dc.descriptionCITATION: Nijagal, M. A., et al. 2018. Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal. BMC Health Services Research, 18:953, doi:10.1186/s12913-018-3732-3.
dc.descriptionThe original publication is available at
dc.description.abstractBackground: Value-based health care aims to optimize the balance of patient outcomes and health care costs. To improve value in perinatal care using this strategy, standard outcomes must first be defined. The objective of this work was to define a minimum, internationally appropriate set of outcome measures for evaluating and improving perinatal care with a focus on outcomes that matter to women and their families. Methods: An interdisciplinary and international Working Group was assembled. Existing literature and current measurement initiatives were reviewed. Serial guided discussions and validation surveys provided consumer input. A series of nine teleconferences, incorporating a modified Delphi process, were held to reach consensus on the proposed Standard Set. Results: The Working Group selected 24 outcome measures to evaluate care during pregnancy and up to 6 months postpartum. These include clinical outcomes such as maternal and neonatal mortality and morbidity, stillbirth, preterm birth, birth injury and patient-reported outcome measures (PROMs) that assess health-related quality of life (HRQoL), mental health, mother-infant bonding, confidence and success with breastfeeding, incontinence, and satisfaction with care and birth experience. To support analysis of these outcome measures, pertinent baseline characteristics and risk factor metrics were also defined. Conclusions: We propose a set of outcome measures for evaluating the care that women and infants receive during pregnancy and the postpartum period. While validation and refinement via pilot implementation projects are needed, we view this as an important initial step towards value-based improvements in care.
dc.format.extent12 pagesen_ZA
dc.publisherBMC (part of Springer Nature)en_ZA
dc.subjectLabor (Obstetrics)en_ZA
dc.subjectNewborn infants -- Medical careen_ZA
dc.subjectPatient care plansen_ZA
dc.subjectPregnant women -- Care and treatmenten_ZA
dc.titleStandardized outcome measures for pregnancy and childbirth, an ICHOM proposalen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyrighten_ZA

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