Maternal mortality and the consequences on infant and child survival in rural Haiti

To determine the odds of death of children when a woman of reproductive age dies from maternal or non maternal causes in rural Haiti. Deaths among reproductive aged women between 1997 and 1999 in and around Jeremie, Haiti were classified as maternal or non maternal and matched to female, non-decease...

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Veröffentlicht in:Maternal and child health journal 2007-07, Vol.11 (4), p.395-401
Hauptverfasser: Anderson, Frank W J, Morton, Sarah U, Naik, Sujata, Gebrian, Bette
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container_issue 4
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container_title Maternal and child health journal
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creator Anderson, Frank W J
Morton, Sarah U
Naik, Sujata
Gebrian, Bette
description To determine the odds of death of children when a woman of reproductive age dies from maternal or non maternal causes in rural Haiti. Deaths among reproductive aged women between 1997 and 1999 in and around Jeremie, Haiti were classified as maternal or non maternal and matched to female, non-deceasesd controls based on village, age, and parity. Information regarding the health and survival of all of the offspring under 12 years old of the identified women was extracted from the Haitian Health Foundation (HHF) Health Information System (HIS). Additional demographic information was obtained through interviews with the mothers for controls and with family members for cases. Two analyses on child death were conducted; 1) the odds of death for each individual child after a mother's death and 2) the odds of one of the children in a family dying after the mother's death. If a family experiences a maternal death, that family has a 55.0% increased odds of experiencing the loss of a child less than 12, whereas when a non maternal death occurs, no increased odds exists. When children of cases were compared to children of controls, mean weight z-scores were the same for the periods corresponding to before and after the maternal deaths. After a maternal death, dosage of BCG (Bacillus Calmette-Guerin) TB (tuberculosis) immunization for the surviving child is significantly lower, as are dosage of measles immunization and the first dose of vitamin A. This study shows that a maternal death significantly effects the survival of children in a family in a greater way than a non maternal death.
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Deaths among reproductive aged women between 1997 and 1999 in and around Jeremie, Haiti were classified as maternal or non maternal and matched to female, non-deceasesd controls based on village, age, and parity. Information regarding the health and survival of all of the offspring under 12 years old of the identified women was extracted from the Haitian Health Foundation (HHF) Health Information System (HIS). Additional demographic information was obtained through interviews with the mothers for controls and with family members for cases. Two analyses on child death were conducted; 1) the odds of death for each individual child after a mother's death and 2) the odds of one of the children in a family dying after the mother's death. If a family experiences a maternal death, that family has a 55.0% increased odds of experiencing the loss of a child less than 12, whereas when a non maternal death occurs, no increased odds exists. When children of cases were compared to children of controls, mean weight z-scores were the same for the periods corresponding to before and after the maternal deaths. After a maternal death, dosage of BCG (Bacillus Calmette-Guerin) TB (tuberculosis) immunization for the surviving child is significantly lower, as are dosage of measles immunization and the first dose of vitamin A. This study shows that a maternal death significantly effects the survival of children in a family in a greater way than a non maternal death.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>17265193</pmid><doi>10.1007/s10995-006-0173-0</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Age
Births
Child Mortality
Child, Preschool
Children & youth
Childrens health
Death & dying
Developing countries
Families & family life
Female
Gynecology
Haiti
Humans
Immunization
Infant
Infant Mortality
Infant, Newborn
Information systems
LDCs
Male
Maternal Mortality
Mothers
Mycobacterium
Obstetrics
Odds Ratio
Offspring
Pregnancy
Rural areas
Rural Population
Survival
Survival analysis
Womens health
title Maternal mortality and the consequences on infant and child survival in rural Haiti
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