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Publication Type
Journal Article
Author, Analytic
Greenwood, Rosemary; Foster-Williams, Karen; Ashley, Deanna E.; Keeling, Jean W.; Golding, Jean
Author Affiliation, Ana.
Health Centre
Article Title
The epidemiology of antepartum fetal death in Jamaica
Medium Designator
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Connective Phrase
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Journal Title
Paediatric and Perinatal Epidemiology
Translated Title
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Reprint Status
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Date of Publication
1994
Volume ID
8 Suppl 1
Issue ID
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Page(s)
98-100
Language
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Connective Phrase
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Location/URL
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ISSN
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Notes
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Abstract
Classifies all perinatal deaths occurring over a 12-month period on the island of Jamaica 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. Concludes that appropriate 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.....
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Keywords
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