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• W2009794900 abstract "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." @default.
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• W2009794900 date "2007-02-15" @default.
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• W2009794900 title "Epidemiologic transition in maternal mortality and morbidity: New challenges for Jamaica" @default.
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• W2009794900 doi "https://doi.org/10.1016/j.ijgo.2006.12.002" @default.
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