Overview of maternal morbidity in Morocco Marrakech-Safi region

ObjectivesThe measurement of less severe maternal morbidity represents many challenges for women during pregnancy and postpartum, and for the organization of health services. This article aims to test the tools for measuring maternal morbidity less severe proposed by the WHO and describe the state of play of this morbidity at the level of the prefecture of Marrakech. The second phase is to study the feasibility and acceptability of integrating these tools into the Pregnancy and Childbirth Surveillance Program. MethodsThe analysis focused on the maternal morbidities declared and diagnosed in the test, and related the feasibility and acceptability as well as the relevance of the tools tested. ResultsMost of the women who participated in the study (55.95% antenatal and 52.17% postpartum care) were not in good health (A medical or obstetric condition is diagnosed). Of these women, 35.79% had direct (obstetric) complications and 33.85% indirect (medical) complications. In terms of feasibility, the results suggest that the implementation of the tools presents challenges in terms of time, resources and coordination. Regarding the acceptability of the WMOs, the women surveyed perceive it as a useful information tool that promotes communication with health professionals and makes it possible to assess their state of health and ensure their holistic care. ConclusionConsidering these results, the approach supports the relevance of implementing the MM measure in antenatal and postpartum care to improve the quality of care for women, to promote communication and continuity of care. However, constraints of time, resources and coordination must be taken into account for its implementation at primary health care.