ArticleReproductive health2020
Childbirth outcomes and ethnic disparities in Suriname: a nationwide registry-based study in a middle-income country.
Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Eclampsia Incidence, Management and Outcomes Across Multi-Country Surveillance Cohorts: Individual Participant Data Meta-Analysis.BJOG : an international journal of obstetrics and gynaecology · 2026Pooled it
- Postpartum hemorrhage in Suriname: A national descriptive study of hospital births and an audit of case management.PloS one · 2020Trial
- Leakage-Controlled and Survey-Weighted Machine Learning for Neonatal Mortality Risk Prediction Using NFHS-5 Data.Healthcare (Basel, Switzerland) · 2026Article
- Perinatal Deaths in Suriname: A Nationwide Cohort Study on Causes of Death and Lessons Learned from Facility-Based Audits.Maternal and child health journal · 2026Article
- Two-Year Longitudinal Motor Performance of Very Preterm and/or Very-Low-Birth-Weight Infants in Suriname.Children (Basel, Switzerland) · 2025Article
- Mercury Exposure and Health Effects: What Do We Really Know?International journal of molecular sciences · 2025Review
- Cesarean section in Suriname using robson classification: a two-year nationwide cross-sectional study on rates, risk factors and perinatal outcomes of cesarean section.BMC pregnancy and childbirth · 2025Observational
- Challenges and opportunities in perinatal public health: the utility of perinatal health inequality dashboards in addressing disparities in maternal and neonatal outcomes.BMC pregnancy and childbirth · 2024Article
- Association between Liver and Kidney Function and Birth Outcomes in Pregnant Surinamese Women Exposed to Mercury and Lead in the Caribbean Consortium for Research in Environmental and Occupational Health (CCREOH) Environmental Epidemiologic Cohort Study.Journal of xenobiotics · 2024Article
- Article
- The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname.AJOG global reports · 2021Article
- The Cumulative Risk of Prenatal Exposures to Chemical and Non-Chemical Stressors on Birth Outcomes in Suriname.International journal of environmental research and public health · 2021Article
- From Passive Surveillance to Response: Suriname's Efforts to Implement Maternal Death Surveillance and Response.Global health, science and practice · 2021Review
- Association of Mercury Exposure and Maternal Sociodemographics on Birth Outcomes of Indigenous and Tribal Women in Suriname.International journal of environmental research and public health · 2021Article
- Trends in maternal mortality in Suriname: 3 confidential enquiries in 3 decades.AJOG global reports · 2021Article
- Prevalence and safety of prescription medicine use during pregnancy in the Republic of Suriname in the year 2017: a pharmacoepidemiological analysis.Advances in pharmacoepidemiology & drug safety · 2021Article
- Hydrogen Sulfide Contributes to Uterine Quiescence Through Inhibition of NLRP3 Inflammasome Activation by Suppressing the TLR4/NF-κB Signalling Pathway.Journal of inflammation research · 2021Article
- Investigation of stillbirth causes in Suriname: application of the WHO ICD-PM tool to national-level hospital data.Global health action · 2020Article
- Applicability of the WHO maternal near-miss tool: A nationwide surveillance study in Suriname.Journal of global health · 2020Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur study aims to evaluate the current perinatal registry, analyze national childbirth outcomes and study ethnic disparities in middle-income country Suriname, South America.
methodsA nationwide birth registry study was conducted in Suriname. Data were collected for 2016 and 2017 from the childbirth books of all five hospital maternity wards, covering 86% of all births in the country. Multinomial regression analyses were used to assess ethnic disparities in outcomes of maternal deaths, stillbirths, teenage pregnancy, cesarean delivery, low birth weight and preterm birth with Hindustani women as reference group.
results18.290 women gave birth to 18.118 (98%) live born children in the five hospitals. Hospital-based maternal mortality ratio was 112 per 100.000 live births. Hospital-based late stillbirth rate was 16 per 1000 births. Stillbirth rate was highest among Maroon (African-descendent) women (25 per 1000 births, aOR 2.0 (95%CI 1.3-2.8) and lowest among Javanese women (6 stillbirths per 1000 births, aOR 0.5, 95%CI 0.2-1.2). Preterm birth and low birthweight occurred in 14 and 15% of all births. Teenage pregnancy accounted for 14% of all births and was higher in Maroon women (18%) compared to Hindustani women (10%, aOR 2.1, 95%CI 1.8-2.4). The national cesarean section rate was 24% and was lower in Maroon (17%) than in Hindustani (32%) women (aOR 0.5 (95%CI 0.5-0.6)). Cesarean section rates varied between the hospitals from 17 to 36%.
conclusionThis is the first nationwide comprehensive overview of maternal and perinatal health in a middle income country. Disaggregated perinatal health data in Suriname shows substantial inequities in outcomes by ethnicity which need to be targetted by health professionals, researchers and policy makers.
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