The epidemiology of antepartum fetal death in Jamaica
Paediatr Perinat Epidemiol
; 8(suppl 1): 98-100, April 1994.
Article
in English
| MedCarib
| ID: med-7245
Responsible library:
JM3.1
Localization: JM3.1; RG632.J3P47 1994
ABSTRACT
All perinatal deaths occurring over a 12-month period on the island of Jamaica were classified using the Wigglesworth schema. In all, there were 584 antepartum fetal deaths (incidence 10.7 per 1000 total births). Comparison of the 558 singleton deaths with 9919 singleton survivors revealed, using logistic regression, strong associations with union (marital) status, maternal employment status, the composition of the household, the sole use of a toilet by the household, the parish of residence, whether the mother was trying to get pregnant and the mother's age (the older the mother the higher the risk). Independent of these factors were strong statistically significant relationship with syphilis, diabetes, maternal anaemia, third-trimester bleeding, highest diastolic blood pressure of 90mm or more and highest proteinuria of ++ or more. Mothers who had taken prophylactic iron were at substantially lower risk compared with those who had not. We conclude that appropriated identification and treatment of syphilis, diabetes, anaemia and hypertension give the best chance of reduction of the high antepartum fetal death rate on the island (Summary)
Search on Google
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
Database:
MedCarib
Main subject:
Fetal Death
Type of study:
Etiology study
/
Incidence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
/
Pregnancy
Country/Region as subject:
English Caribbean
/
Jamaica
Language:
English
Journal:
Paediatr Perinat Epidemiol
Year:
1994
Document type:
Article