The only item that became non-significant when past obstetric history was included was maternal age. In total, 21 variables entered the first model and 24 the second. The first model omitted items concerning past obstetric history, but these were included in the second model. Singleton survivors from the cohort months were compared with all perinatal deaths in the 12-month period using logistic regression. Social, biological, environmental, life style and medical aspects of mothers and their pregnancies were collected on two inter-locking subsamples: (1) all births on the island of Jamaica in the 2 months of September and October 1986, the 'cohort months', and (2) all fetal deaths of weight 500 g or more, together with all neonatal deaths, in the 12-month period from 1 September 1986 to 31 August 1987. There is an urgent need for global consensus on routine measures of the burden and risk factors associated with obesity and development of culturally appropriate interventions.read more read lessĪbstract: Information from the Jamaican Perinatal Mortality Survey was used to identify features of mothers and their pregnancies that were independently associated with perinatal death. While survey diagnostic conditions require cautious interpretation of findings, it is clear that obesity and related medical conditions present a substantial public health problem for emerging LMICs like Jamaica. This is one of a few studies from a middle-income setting to explore maternal burden of obesity during pregnancy, which contributes to improving the knowledge base, identifying the gaps in information and increasing awareness of the growing problem of maternal overweight and obesity. Obesity was recorded in 10.5% of maternal deaths, with higher proportions of deaths due to hypertension in pregnancy (27.5%), circulatory/ cardiovascular disorders (13.0%), and diabetes (4.3%) compared to 21.9%, 6.9% and 2.6% respectively in non-obese women. Of those with high BMI, 5.5% were diabetic, 19.3% hypertensive and 2.8% were both diabetic and hypertensive.
Chip mccaw age full#
It was associated with increasing age, high gravidity and parity, and full time employment (p<0.001). High BMI (> = 25kg/m2) occurred in 63% of women aged between 15 and 49 years. Chi-squared and Fisher exact tests were used. A national maternal mortality surveillance database (1998–2012) of 798 maternal deaths was used to investigate maternal deaths in obese women. This study aims to investigate overweight and obesity and its consequences among Jamaican women of reproductive age, particularly development of diabetes, hypertension and the risk of maternal death.Ī national lifestyle survey (2007/8) of 1371 women of reproductive age provided data on the prevalence of high BMI, associated risk factors and co-morbidities. Obesity is rising globally and is associated with increased risk of adverse pregnancy outcomes. So, tackling other aspects of poverty will require additional policies and investments – and measures that incentivise and monitor progress on them.read more read less Ending $1.25/day poverty is unlikely to mean the end of the many overlapping disadvantages faced by people living in poverty, including malnutrition, poor sanitation, a lack of electricity, or ramshackle schools, as the estimates of Karver et al. Yet, as Amartya Sen has argued, income poverty measures need to be complemented by other poverty indicators. Most projections suggest ending $1.25/day poverty would not require much in the way of bending the current trend – so it is achievable. ‘headline’ MDG indicator – of multidimensional poverty? This brief proposes the consideration of a Multidimensional Poverty Index (MPI) 2.0 in post-2015 MDGs, as a headline indicator of multidimensional poverty that can reflect participatory inputs, and can be easily disaggregated. It measures deprivations directly, and shows where and how poverty is being reduced (see page 2 for more information). The MPI reported in UNDP’s Human Development Report is based on ten indicators of health, education and living standards, and shows both the incidence and intensity of poverty.
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