Maternal morbidity: a longitudinal study of women's health during and up to 22 months after pregnancy in Jamaica.

Reece, Jody, McCauley, Mary, McCaw-Binns, Affette, White, Sarah A ORCID: 0000-0001-5535-8075, Samms-Vaughan, Maureen and van den Broek, Nynke ORCID: 0000-0001-8523-2684 (2020) Maternal morbidity: a longitudinal study of women's health during and up to 22 months after pregnancy in Jamaica. Psychology, health & medicine, 25 (6). pp. 687-702.

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Abstract

Our study evaluated factors associated with ill-health in a population-based longitudinal study of women who delivered a singleton live-born baby in a 3-month period across Jamaica. Socio-demographics, perception of health, chronic illnesses, frequency and reasons for hospital admission were assessed. Relationships between ill-health and maternal characteristics were estimated using log-normal regression analysis. Of 9,742 women interviewed at birth, 1,311 were assessed at four stages, 27.7% of whom reported ill-health at least once. Hospitalization rates were 20.9% during pregnancy, 6.1% up to 12 months and 0.5% up to 22 months after childbirth. Ill-health, reported by 11% of women, was less likely with better education (RR=0.62, 95%; 0.42-0.84). Hospital admission was associated with higher socio-economic status (RR=1.33, 95% 1.04-1.70) and Caesarean section [CS] (RR=1.57, 95%; 1.21-2.04). One in three (33.7%) women reported chronic illnesses, and the likelihood increased with age, parity and delivery by elective CS (RR=1.44, 95%; 1.20-1.73). In multivariable analyses, ill-health was more likely with chronic illness (RR=2.06, 95%; CI: 1.71-2.48) and hospital admission from 12 to 22 months after childbirth (RR=1.54, 95% CI: 1.12-2.12). Ill-health during pregnancy and after childbirth represent a significant burden of disease and requires a standardised comprehensive approach to measuring and addressing this disease burden.

Item Type:	Article
Uncontrolled Keywords:	Humans, Pregnancy Complications, Puerperal Disorders, Chronic Disease, Hospitalization, Prenatal Care, Cesarean Section, Morbidity, Multivariate Analysis, Risk Factors, Longitudinal Studies, Age Factors, Parity, Postpartum Period, Pregnancy, Parturition, Social Class, Adolescent, Adult, Women's Health, Educational Status, Jamaica, Female, Young Adult, Maternal Health
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User:	Symplectic Admin
Date Deposited:	03 Jun 2021 15:15
Last Modified:	18 Jan 2023 22:36
DOI:	10.1080/13548506.2019.1691243
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3125021