Maternal mortality among women with sickle cell disease in Jamaica over two decades (1998-2017).

ABSTRACT:

Background

Sickle cell disease (SCD) affects 2.8% of Jamaican antenatal women. Between 1998-2007 their maternal mortality ratio was 7-11 times higher than women without these disorders. We aim to determine if outcomes improved between 2008 and 17 amid declining fertility and changes in referral obstetric care.

Methods

Maternal deaths in Jamaica's maternal mortality surveillance database (assembled since 1998) with SCD reported as underlying or associated cause of death were compared to those without known SCD, over two decades from 1998 to 2017. Social, demographic and health service variables were analysed using SPSS and EpiInfo Open.

Findings

Over the two decades from 1998 to 2017, 806 (74%) of the 1082 pregnancy-associated deaths documented by the Jamaican Ministry

SUBMITTER: McCaw-Binns A 

PROVIDER: S-EPMC8683691 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature