P1-289 The importance of the investigation of deaths and the committee's action in the diagnosis of maternal morbi-mortality

Abstract

continue post pregnancy. Pregnancy outcomes vary between Pakistani and white British pregnant women, but differences in health behaviours during pregnancy between these two groups are under researched. Methods 4807 (1831 white British, 2222 Pakistani and 754 of Other origin) pregnant women were interviewed at 26e28 weeks of gestation using a questionnaire which collected information on alcohol, cigarette, caffeine, pregnancy vitamin and fruit and vegetable consumption and exercise levels. Latent class analyses were conducted to identify subgroups (classes) of the cohort defined according to clustering of health behaviours. The association between ethnicity, and other characteristics, with class membership was then examined. Results Five independent classes of health behaviours were identified: three generally healthy classes that differed on alcohol and cigarette consumption, two unhealthy classes; one that smoked but didn't drink and one that was generally unhealthy. Although pregnant Pakistani and Other ethnicity women rarely reported smoking or alcohol consumption compared to white British women, other unhealthy behaviours such as lower rates of exercise and fruit and vegetable consumption were evident. Membership of the comprehensively unhealthy class was more likely in younger, white British pregnant women, of lower educational attainment. Conclusions These techniques provide better understanding of negative behavioural clusters and characteristics associated with cluster membership. This could aid clinicians' ability to identify pregnant women who would benefit from interventions to modify these behaviours.

SDGs: The Need for Vital Registration and Accurate Record Keeping

“…This is supported by a 1991 WHO statement that data used in most analyses were obtained from hospital records 8 . In Nigeria, only 35% of women deliver in hospital 9 .…”

Methods to estimate maternal mortality: a global perspective

“…However MMR estimates and accurate identification of the causes of maternal death are still a complex and difficult challenge. In most developing country settings, owing to the lack of complete and accurate civil registration systems, MMR estimates are based on data from a variety of alternative sources including censuses, household surveys, reproductive age mortality studies and verbal autopsies 2. The WHO classified 183 countries/territories according to the availability and quality of maternal mortality data: 67 countries (covering 17% of births) having complete civil registration data with good attribution of causes of death, 96 countries (covering 81% of births) having incomplete civil registration and/or other types of maternal mortality data and 20 countries (covering 2% of births) lacking national data on maternal mortality.…”