{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:00:27Z","timestamp":1792101627399,"version":"4.4.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2019,9,1]],"date-time":"2019-09-01T00:00:00Z","timestamp":1567296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,9,1]],"date-time":"2019-09-01T00:00:00Z","timestamp":1567296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008272","name":"Novartis Pharmaceuticals Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,9]]},"DOI":"10.1016\/j.ajog.2019.06.025","type":"journal-article","created":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T18:45:49Z","timestamp":1561056349000},"page":"271.e1-271.e10","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":118,"title":["A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery"],"prefix":"10.1016","volume":"221","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0150-3537","authenticated-orcid":false,"given":"Sarah Rae","family":"Easter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian T.","family":"Bateman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie Horton","family":"Sweeney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Manganaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah C.","family":"Lassey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua J.","family":"Gagne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian N.","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajog.2019.06.025_bib1","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1097\/AOG.0000000000002114","article-title":"Pregnancy-related mortality in the United States, 2011-2013","volume":"130","author":"Creanga","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/AOG.0000000000000564","article-title":"Pregnancy-related mortality in the United States, 2006-2010","volume":"125","author":"Creanga","year":"2015","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib3","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1097\/AOG.0b013e31826d60c5","article-title":"Severe maternal morbidity during delivery and hospitalizations in the United States","volume":"120","author":"Callaghan","year":"2012","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib4","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1097\/AOG.0000000000000480","article-title":"The maternal early warning criteria: a proposal from the national partnership for maternal safety","volume":"124","author":"Mhyre","year":"2014","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib5","first-page":"257.e1","article-title":"Use of maternal early warning trigger tool reduces maternal morbidity","volume":"214","author":"Shields","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib6","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1097\/01.AOG.0000435079.10951.5f","article-title":"Understanding and reducing serious maternal morbidity: a step in the right direction","volume":"122","author":"Macones","year":"2013","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib7","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.ajog.2014.12.030","article-title":"Levels of maternal care","volume":"212","author":"Menard","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib8","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1097\/AOG.0b013e31826af878","article-title":"Maternal mortality, near misses, and severe morbidity: lowering rates through designated levels of maternity care","volume":"120","author":"Hankins","year":"2012","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib9","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1097\/AOG.0b013e3182a603bb","article-title":"Development of a comorbidity index for use in obstetric patients","volume":"122","author":"Bateman","year":"2013","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib10","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.1111\/1471-0528.13254","article-title":"Validation of an obstetric comorbidity index in an external population","volume":"122","author":"Metcalfe","year":"2015","journal-title":"BJOG"},{"key":"10.1016\/j.ajog.2019.06.025_bib11","doi-asserted-by":"crossref","first-page":"B17","DOI":"10.1016\/j.ajog.2016.07.050","article-title":"Severe maternal morbidity: screening and review","volume":"215","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib13","doi-asserted-by":"crossref","first-page":"736.e1","DOI":"10.1016\/j.ajog.2016.08.016","article-title":"The \u201cvirtual\u201d obstetrical intensive care unit: providing critical care for contemporary obstetrics in nontraditional locations","volume":"215","author":"Leovic","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib14","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J\u00a0Biomed Inform"},{"key":"10.1016\/j.ajog.2019.06.025_bib15","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1097\/AOG.0000000000000423","article-title":"Maternal physiologic parameters in relationship to systemic inflammatory response syndrome criteria: a systematic review and meta-analysis","volume":"124","author":"Bauer","year":"2014","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib16","doi-asserted-by":"crossref","first-page":"536.e1","DOI":"10.1016\/j.ajog.2014.11.007","article-title":"Modified obstetric early warning scoring systems (MOWES): validating the diagnostic performance for severe sepsis in women with chorioamnionitis","volume":"212","author":"Edwards","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib17","doi-asserted-by":"crossref","first-page":"39.e1","DOI":"10.1016\/j.ajog.2014.03.010","article-title":"The Sepsis in Obstetrics Score: a model to identify risk of morbidity from sepsis in pregnancy","volume":"211","author":"Albright","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib18","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1001\/jama.2016.0287","article-title":"The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)","volume":"315","author":"Singer","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2019.06.025_bib19","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/MLR.0b013e3182881c8e","article-title":"Risk-adjusting hospital mortality using a comprehensive electronic record in an integrated health care delivery system","volume":"51","author":"Escobar","year":"2013","journal-title":"Med Care"},{"key":"10.1016\/j.ajog.2019.06.025_bib20","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.ajog.2019.01.208","article-title":"Automated early detection of obstetric complications: theoretic and methodologic considerations","volume":"220","author":"Escobar","year":"2019","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib21","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1097\/AOG.0000000000001981","article-title":"Maternal cardiovascular mortality in Illinois, 2002-2011","volume":"129","author":"Briller","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib22","doi-asserted-by":"crossref","first-page":"218.e1","DOI":"10.1016\/j.ajog.2014.08.019","article-title":"Maternal morbidity in patients with morbidity adherent placenta treated with and without a standardized multidisciplinary approach","volume":"212","author":"Shamshirsaz","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib23","doi-asserted-by":"crossref","first-page":"640.e1","DOI":"10.1016\/j.ajog.2016.06.032","article-title":"Population-based risk for peripartum hysterectomy during low- and moderate-risk delivery hospitalizations","volume":"215","author":"Friedman","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib24","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1186\/s12889-018-5935-2","article-title":"Population-level factors associated with maternal mortality in the United States, 1997-2012","volume":"18","author":"Nelson","year":"2018","journal-title":"BMC Public Health"},{"key":"10.1016\/j.ajog.2019.06.025_bib25","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1097\/AOG.0000000000000173","article-title":"Frequency of and factors associated with severe maternal morbidity","volume":"123","author":"Grobman","year":"2014","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib26","doi-asserted-by":"crossref","first-page":"10951","DOI":"10.3390\/ijerph111010951","article-title":"Effects of non-differential exposure misclassification on false conclusions in hypothesis-generating studies","volume":"11","author":"Burstyn","year":"2014","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.ajog.2019.06.025_bib27","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/j.jclinepi.2004.01.003","article-title":"A\u00a0scoring system identified near-miss maternal morbidity during pregnancy","volume":"57","author":"Geller","year":"2004","journal-title":"J\u00a0Clin Epidemiol"},{"key":"10.1016\/j.ajog.2019.06.025_bib28","doi-asserted-by":"crossref","first-page":"38.e1","DOI":"10.1016\/j.ajog.2011.01.040","article-title":"Predictors of massive blood loss in women with placenta accreta","volume":"205","author":"Wright","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib29","first-page":"819","article-title":"American Academy of Pediatrics Committee on Fetus and Newborn; American College of Obstetricians and Gynecologists Committee on Obstetric Practice. The Apgar score","volume":"136","year":"2015","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajog.2019.06.025_bib30","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1097\/AOG.0000000000001579","article-title":"National Partnership for Maternal Safety: consensus bundle on venous thromboembolism","volume":"128","author":"D\u2019Alton","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib31","first-page":"155","article-title":"National Partnership for Maternal Safety: consensus bundle on obstetric hemorrhage","volume":"126","author":"Main","year":"2015","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib32","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1097\/AOG.0000000000002115","article-title":"National Partnership for Maternal Safety: consensus bundle on severe hypertension during pregnancy and the postpartum period","volume":"130","author":"Bernstein","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2019.06.025_bib33","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.ajog.2015.10.011","article-title":"Triggers, bundles, protocols, and checklists: what every maternal care provider needs to know","volume":"214","author":"Arora","year":"2016","journal-title":"Am J Obstet Gynecol"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937819307896?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937819307896?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:24:56Z","timestamp":1757589896000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937819307896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["S0002937819307896"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2019.06.025","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2019,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2019.06.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}