The WHO application of ICD-10 to deaths during pregnancy, childbirth and puerperium: ICD MM
Reducing maternal mortality by 75% is the Millennium Development Goal 5a. To reach this goal, countries need an accurate picture of the causes and levels of maternal deaths. However, efforts to document the progress in decreasing maternal mortality must make adjustments for inconsistencies in country-reported maternal mortality. Completeness of maternal death reporting and accuracy of statements of causes of death need to be improved and may compromise the output resulting from subsequent standardized coding and classification according to the rules of the International Statistical Classification of Diseases (ICD).
The WHO Application of ICD-10 to deaths during pregnancy, childbirth, and the puerperium: ICD-Maternal Mortality (ICD-MM) is based upon the 10th revision of the ICD (ICD-10) and its coding rules. It is intended to facilitate the consistent collection, analysis and interpretation of information on maternal deaths. Improved reporting will also facilitate the coding of conditions. This document is primarily intended to assist health-care providers, those who complete death certification by clarifying the application of the ICD-10 and standardizing the identification of direct and indirect maternal deaths. Its principles should be applicable for categorizing deaths data collected through civil registration, surveys, hospital information systems, verbal autopsies, confidential enquiries and other special studies.