title: Assessment of risk factors for stillbirth among pregnant women in Jamaica.
abstract: A case - control study was conducted to assess the risk factors of stillbirth among pregnant women in Jamaica. A total of 314 women participated (160 with stillborn babies and 154 with live-born babies). A questionnaire designed to collect information on sociodemographic characteristics, antenatal care, medical and sexually transmitted disease (STD) history, method of delivery and infant birth and health status was administered to each woman. Medical records were reviewed to verify medical history. Six variables were found to be significant predictors of stillbirth by multivariate logistic regression. Low birth weight (OR = 4.3, CI = 2.4 - 7.7), complications during pregnancy or delivery (OR = .19, CI = 0.09 - 0.41), method of delivery (caesarean section; OR = 7.2, CI = 1.6 - 33.2), number of living children (OR = 0.54, CI = 0.40 - 0.73), number of antenatal visits (less than three; OR = 2.0, CI = 1.3 - 3.1), and presence of unfavourable and /or adverse fetal outcome (OR = 4.0, CI = 1.8 - 9.2) were found to be associated with stillbirth. These findings have important implications in establishing policies for prenatal care in Jamaica.
authors.affiliation: Department of Epidemiology and International Health, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL 35294, USA..
authors.forename: Gelen R
authors.initials: GR
authors.lastname: Del Rosario
authors.forename: Terri
authors.initials: T
authors.lastname: Lewis
authors.forename: Beryl
authors.initials: B
authors.lastname: Irons
authors.forename: Sheila
authors.initials: S
authors.lastname: Campbell-Forrester
authors.forename: Heidi L
authors.initials: HL
authors.lastname: Weiss
authors.forename: Pauline E
authors.initials: PE
authors.lastname: Jolly
mesh_terms: D000328:Adult; D001724:Birth Weight; D002585:Cesarean Section; D004522:Educational Status; D005260:Female; D005865:Gestational Age; D006801:Humans; D007563:Jamaica / Q000453:epidemiology; D016015:Logistic Models; D017533:Marital Status; D007744:Obstetric Labor Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011295:Prenatal Care; D012307:Risk Factors