Tag Archives: ICD-PM

The WHO application of ICD-10 to deaths during the perinatal period: ICD-PM

This is the first publication to help countries strengthen their data on maternal and neonatal deaths, and stillbirths that the WHO launched in August, 2016. This report presents a standardised system that enables the accurate capture and categorisation of stillbirths and neonatal deaths around the world. The ICD-PM is meant to guide those assisting healthcare providers and those tasked with death certification to accurately classify perinatal deaths.

Three distinct features of the ICD-PM are worth noting:

  • It captures the time of the perinatal death – either before, during or seven days after labour
  • It applies a multi-faceted approach to categorising the cause of death
  • It links a perinatal death to the mother’s condition (e.g. diabetes or hypertension), even if there is no condition to report. This feature aligns with the recommendation of the Every Newborn Action Plan to capture maternal complications with the registration of a perinatal death

The report includes tools and classification codes to facilitate consistent reporting. This is the first time that all stillbirths, and neonatal and maternal deaths can be consistently classified across all low-, middle- and high-income settings.

Visit the MamaYe-E4A website to read the evidence summary, and to link to the report and other relevant publications.

Making Every Baby Count: Audit and review of stillbirths and neonatal deaths

This second publication – launched by the WHO in August, 2016 – aims to help countries improve their data on maternal and neonatal deaths, and stillbirths. This document provides guidance on the review and investigation of perinatal deaths to recommend and put into action solutions to avoid future cases of similar causes. The guide and tools have been developed to be used at multiple levels of a health system from a few individuals at a health facility to a national programme. The tools offer a simpler version of the WHO application of ICD-10 (ICD-10) to deaths during the perinatal period (ICD-PM) to be used in low-resource settings to help initiate and build up audit (or review) systems.

Moreover, the guide integrates elements of the ICD-PM classification system to carry out an in-depth review of the causes and factors leading to all stillbirths and neonatal deaths.

The structure of the guide provides an overview of the key components to develop an audit system by:

  • justifying the purpose of the guide and development of an audit system
  • discussing the issues around defining and categorising causes of death, and providing examples of differing systems to classify preventable causes of deaths and near misses
  • defining six necessary approaches to set up and complete an audit cycle at the facility level
  • describing how to integrate community deaths into an established facility-based audit system
  • promoting a supportive atmosphere for the success of an audit system and giving advice on how to create an enabling environment
  • providing guidance on how to extend an audit system to a regional or national level as well as strengthening links to civil registration and community surveillance systems

Visit the MamaYe-E4A website to read the evidence summary, and to link to the report and other relevant publications.

Time to Respond: a report on the global implementation of maternal death surveillance and response

This is the third publication that the WHO launched in August 2016 to help countries improve their data on maternal and neonatal deaths, and stillbirths. This document presents the findings of a global survey conducted by the WHO and UNFPA to determine the status of MDSR implementation in countries where there is a national system.

The report helps countries improve their review process for maternal deaths at the facility level (hospitals and clinics). It also gives guidance for developing a safe environment (free of blame) for healthcare providers to improve the quality of care at facilities. Lastly, it offers an approach to capture deaths taking place beyond the health system (e.g. home births).

The document presents implementation and case study insights, which include identifying barriers to successful systems. The next global survey will take place in 2017 and will be repeated every two years.

Visit the MamaYe-E4A website to read the evidence summary, and to link to the report and other relevant publications.