| Epidemiologic transition in maternal mortality and morbidity: new challenges for Jamaica. | |
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MedLine Citation:
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PMID: 17306270 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Given interventions implemented in recent years to reduce maternal deaths, we sought to determine the incidence and causes of maternal deaths for 1998-2003. METHOD: Records of public hospitals and state pathologists were reviewed to identify pregnancy-related deaths within 12 months of delivery and determine their underlying causes. RESULTS: Maternal mortality declined (p=0.023) since surveillance began in 1981-83. The fall in direct mortality (p=0.0003) included 24% fewer hypertension deaths (introduction of clinical guidelines, reorganization of antenatal services) and 36% fewer hemorrhage deaths (introduction of plasma expanders). These improvements were tempered by growing indirect mortality (p=0.057), moving to 31% of maternal deaths from 17% in 1993-95. INTERPRETATION: Declines in direct mortality may be associated with surveillance and related improvements in obstetric care. Increased indirect deaths from HIV/AIDS, cardiac disease, sickle cell disease and asthma suggests the need to improve collaboration with medical teams to implement guidelines to care for pregnant women with chronic diseases. |
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Authors:
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A McCaw-Binns; S F Alexander; J L M Lindo; C Escoffery; K Spence; K Lewis-Bell; G Lewis |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. Date: 2007-02-15 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 96 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-02-26 Completed Date: 2007-05-24 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 226-32 Citation Subset: IM |
Affiliation:
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University of the West Indies, Kingston, Jamaica. affette.mccawbinns@uwimona.edu.jm |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cause of Death* Female Hemorrhage / mortality Hospitals, Public Humans Hypertension, Pregnancy-Induced / mortality Jamaica / epidemiology Maternal Health Services Maternal Mortality / trends* Obstetric Labor Complications / mortality Population Surveillance Practice Guidelines as Topic Pregnancy Pregnancy Complications / mortality Pregnancy Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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