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Maternal mortality in Jamaica.

G J Walker, D E Ashley, A M McCaw

    Lancet (London, England)
    |March 1, 1986
    PubMed
    Summary
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    Perinatal factors in students admitted to the University of the West Indies data from the Jamaican Perinatal Study.

    The West Indian medical journal·2011

    Jamaica

    Area of Science:

    • Obstetrics and Gynecology
    • Public Health
    • Epidemiology

    Background:

    • Maternal mortality rates in Jamaica were significantly higher than officially reported.
    • A confidential inquiry identified 192 maternal deaths between 1981 and 1983.
    • The true maternal mortality rate was 10.8 per 10,000 live births, more than double the official rate.

    Purpose of the Study:

    • To conduct a confidential inquiry into all maternal deaths in Jamaica over a three-year period.
    • To determine the actual maternal mortality rate and identify its primary causes.
    • To analyze factors contributing to maternal mortality to inform prevention strategies.

    Main Methods:

    • A comprehensive review of maternal deaths was conducted using multiple identification methods.
    Keywords:
    AmericasCaribbeanCauses Of DeathDelivery Of Health CareDemographic FactorsDeveloped CountriesDeveloping CountriesHealthHealth ServicesJamaicaMaternal HealthMaternal Health ServicesMaternal Mortality--etiologyMaternal-child Health ServicesMedicineMortalityNorth AmericaPopulationPopulation DynamicsPrenatal CarePrimary Health Care

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  • Data on 192 maternal deaths were collected and analyzed.
  • Causes of death, maternal age, parity, and avoidable factors were examined.

    • Main Results:

    • The maternal mortality rate was found to be 10.8 per 10,000 live births.
    • Leading causes of death included hypertensive diseases (26%), hemorrhage (20%), ectopic pregnancy (10%), pulmonary embolism (8%), and sepsis (8%).
    • Maternal mortality showed a strong correlation with maternal age and parity, with lower rates in specific age and parity groups.

    Conclusions:

    • Significant deficiencies in antenatal care and hospital delivery for high-risk pregnancies were identified as avoidable factors.
    • Delays in managing obstetric complications before, during, and after delivery contributed to preventable deaths.
    • Improved antenatal care, timely hospital interventions, and prompt management of complications are crucial for reducing maternal mortality in Jamaica.