Pregnancy in Jamaican women with homozygous sickle cell disease. Fetal and maternal outcome
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1986.tb07973.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 93, Issue 7, pages 727–732, July 1986
Additional Information
How to Cite
PODDAR, D., MAUDE, G. H., PLANT, M. J., SCORER, H. and SERJEANT, G. R. (1986), Pregnancy in Jamaican women with homozygous sickle cell disease. Fetal and maternal outcome. BJOG: An International Journal of Obstetrics & Gynaecology, 93: 727–732. doi: 10.1111/j.1471-0528.1986.tb07973.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Received 11 June 1985, Accepted 1 October 1985
- Abstract
- References
- Cited By
Summary. The outcome of 664 pregnancies in 297 Jamaican women with homozygous sickle cell (SS) disease over the period 1959–1984 was reviewed. Overall, the spontaneous abortion rate was 118 per 1000 pregnancies, the stillbirth rate 128 per 1000 births, and perinatal mortality 171 per 1000 births. There was a striking secular increase in both spontaneous abortions and stillbirths which was accounted for, in part, by a trend for abortions to increase with maternal age up to the age of 30 years, a greater proportion of patients in the high-risk 25–29 year age group occurring in the 1980–1984 period. Another factor contributing to the poor obstetric performance in the 1980–1984 period was probably an increased survival and pregnancy rate in high-risk patients. Seven women had pregnancy-related deaths giving a pregnancy mortality rate of 1.1%.

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