{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:02:05Z","timestamp":1791201725827,"version":"4.2.0"},"reference-count":21,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","jognn.awhonn.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Obstetric, Gynecologic, & Neonatal Nursing"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jogn.2026.02.003","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T21:08:18Z","timestamp":1773263298000},"page":"492-500","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Seeking a Universal Definition for Severe Maternal Morbidity"],"prefix":"10.1016","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9828-0851","authenticated-orcid":false,"given":"Tina","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3902-2683","authenticated-orcid":false,"given":"Julie","family":"Schexnayder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1594-2415","authenticated-orcid":false,"given":"Hsiao-Lan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4354-1697","authenticated-orcid":false,"given":"Allison","family":"Shorten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jogn.2026.02.003_bib29","article-title":"Measurement and improvement strategies for reduction of severe maternal morbidity","author":"Creanga","year":"2026","journal-title":"Obstetrics and Gynecology"},{"issue":"3","key":"10.1016\/j.jogn.2026.02.003_bib1","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","author":"Kilpatrick","year":"2016","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.jogn.2026.02.003_bib2","unstructured":"Association of Women\u2019s Health, Obstetric and Neonatal Nurses. (n.d.). Getting things straight: MMM terms & timing. https:\/\/website-assets-2020.s3.amazonaws.com\/downloadable-products\/MMM+Infographic+Getting+Things+Straight.pdf?utm_source=web&utm_medium=AWHONN_MMM_site&utm_campaign=MMM_resources."},{"issue":"18","key":"10.1016\/j.jogn.2026.02.003_bib3","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1001\/jama.2023.21294","article-title":"Addressing the public health crisis of maternal mortality: A national research agenda","volume":"330","author":"Bianchi","year":"2023","journal-title":"Journal of the American Medical Association"},{"issue":"3","key":"10.1016\/j.jogn.2026.02.003_bib4","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.whi.2021.11.006","article-title":"Ways forward in preventing severe maternal morbidity and maternal health inequities: Conceptual frameworks, definitions, and data, from a population health perspective","volume":"32","author":"Carmichael","year":"2022","journal-title":"Women's Health Issues"},{"issue":"2","key":"10.1016\/j.jogn.2026.02.003_bib9","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1089\/jwh.2020.8882","article-title":"Social and structural determinants of health inequities in maternal health","volume":"30","author":"Crear-Perry","year":"2021","journal-title":"Journal of Women's Health"},{"issue":"2","key":"10.1016\/j.jogn.2026.02.003_bib10","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jogn.2025.01.004","article-title":"Call to action to quantify non-severe and severe maternal morbidity","volume":"54","author":"Dreisbach","year":"2025","journal-title":"Journal of Obstetric, Gynecologic, & Neonatal Nursing"},{"key":"10.1016\/j.jogn.2026.02.003_bib11","unstructured":"Eunice Kennedy Shriver National Institute of Child Health and Human Development. (n.d.). About maternal morbidity and mortality. https:\/\/www.nichd.nih.gov\/health\/topics\/maternal-morbidity-mortality\/conditioninfo."},{"key":"10.1016\/j.jogn.2026.02.003_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2025.103105","article-title":"Severe maternal morbidity in the high income setting: A systematic review of composite definitions","volume":"81","author":"Henderson","year":"2025","journal-title":"EClinicalMedicine"},{"key":"10.1016\/j.jogn.2026.02.003_bib14","unstructured":"International Federation of Gynecology and Obstetrics. (n.d.). Combating severe maternal morbidity. https:\/\/www.figo.org\/events\/figo-webinars\/combating-severe-maternal-morbidity"},{"issue":"5","key":"10.1016\/j.jogn.2026.02.003_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2023.100882","article-title":"What we talk about when we talk about severe maternal morbidity: A call to action to critically review severe maternal morbidity as an outcome measure","volume":"5","author":"Kern-Goldberger","year":"2023","journal-title":"American Journal of Obstetrics & Gynecology MFM"},{"issue":"3","key":"10.1016\/j.jogn.2026.02.003_bib16","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1111\/1471-0528.16880","article-title":"Maternal morbidity and mortality: An iceberg phenomenon","volume":"29","author":"Leitao","year":"2022","journal-title":"British Journal of Obstetrics and Gynaecology"},{"key":"10.1016\/j.jogn.2026.02.003_bib17","unstructured":"Maternal and Child Health Bureau. (n.d.). State maternal health innovation (MHI) Program. https:\/\/mchb.hrsa.gov\/programs\/state-mhi."},{"key":"10.1016\/j.jogn.2026.02.003_bib19","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2022.861028","article-title":"The prevalence and risk factors for severe maternal morbidities: A systematic review and meta-analysis","volume":"9","author":"Nik Hazlina","year":"2022","journal-title":"Frontiers in Medicine"},{"key":"10.1016\/j.jogn.2026.02.003_bib20","series-title":"Pathways to Prevention (P2P) Program. Identifying risks and interventions to optimize postpartum health","year":"2024"},{"key":"10.1016\/j.jogn.2026.02.003_bib21","year":"2025","journal-title":"Journal of Women\u2019s Health special issue discusses maternal morbidity and mortality"},{"issue":"10","key":"10.1016\/j.jogn.2026.02.003_bib22","article-title":"Societal cost of nine selected maternal morbidities in the United States","volume":"17","author":"O'Neil","year":"2022","journal-title":"PLoS One"},{"issue":"5","key":"10.1016\/j.jogn.2026.02.003_bib23","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1053\/j.semperi.2017.04.009","article-title":"Global disparities in maternal morbidity and mortality","volume":"41","author":"Small","year":"2017","journal-title":"Seminars in Perinatology"},{"issue":"9","key":"10.1016\/j.jogn.2026.02.003_bib24","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1093\/aje\/kwab077","article-title":"Severe maternal morbidity: A comparison of definitions and data sources","volume":"190","author":"Snowden","year":"2021","journal-title":"American Journal of Epidemiology"},{"key":"10.1016\/j.jogn.2026.02.003_bib25","article-title":"US maternal mortality is far higher than that of other rich nations, study reports","volume":"385","author":"Tanne","year":"2024","journal-title":"BMJ"},{"issue":"5","key":"10.1016\/j.jogn.2026.02.003_bib26","first-page":"521","article-title":"Prioritizing maternal mental health in addressing morbidity and mortality","volume":"81","author":"Wisner","year":"2024","journal-title":"Journal of the American Medical Association Psychiatry"}],"container-title":["Journal of Obstetric, Gynecologic, & Neonatal Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0884217526000353?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0884217526000353?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:35:06Z","timestamp":1791200106000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0884217526000353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0884217526000353"],"URL":"https:\/\/doi.org\/10.1016\/j.jogn.2026.02.003","relation":{},"ISSN":["0884-2175"],"issn-type":[{"value":"0884-2175","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Seeking a Universal Definition for Severe Maternal Morbidity","name":"articletitle","label":"Article Title"},{"value":"Journal of Obstetric, Gynecologic, & Neonatal Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jogn.2026.02.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 AWHONN. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}