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- During the later stages of the epidemiologic transition, the ratio of neonatal to postneonatal deaths is not a good indicator of a region’s position in the epidemiologic transition (this thesis).
- In the low-mortality countries (i.e. the ‘established market economies’) and Kerala, the risk factors congenital anomalies, low birth weight, preterm birth, intrauterine growth retardation/small-for-gestational-age, and birth asphyxia account for a large share of the neonatal deaths in the population. In both populations, over 60% of neonatal deaths can be attributed to a birth weight below 2,500 g and more than 40% of deaths to preterm birth (this thesis).
- During the later stages of the epidemiologic or health transition, the distributions of registered/reported births by weight and age within the high-risk categories of low birth weight (< 2,500 g) and preterm birth (< 37 weeks) shift towards the extremely low-weight and extremely preterm groups. These developments hide improvements in survival. The increased reporting and registration is probably the result of lower viability limits and more aggressive life-saving efforts at lower weights and younger ages. In addition, many women in regions that are less advanced in the health transition may not be able to reach high-level medical care in time in the event of sudden and rapidly progressing complications, or unexpected and extremely preterm labour (this thesis).
- Among the population in SAT Hospital in Thiruvananthapuram, Kerala, the presence of hypertensive disorders in pregnancy is an important risk factor for adverse outcome for the child, both at the level of the individual and at the population level (this thesis).
- The high proportions of obstructed labour and caesarean sections in SAT Hospital and Kerala are part of a global trend of medicalisation of pregnancy and birth. Rather than signalling epidemiological changes or changes in health conditions, they refer to a transition in health care (cf. the health care transition) (this thesis).
- In Kerala, the paradox is that a lack of resources, in combination with higher demands set by the population, is resulting in medicalisation (this thesis).
- Hospital records and surveys become increasingly important data sources for demographers.
- The average infant in Kerala, South India, owns more gold and silver than the average Dutch infant.
- Following the adoption of the concept of ‘placenta brain’ (zwangerschapsdementie), the concept of ‘dissertation brain’ (proefschriftsdementie) should find recognition.
| Last modified: | December 05, 2003 14:34 |
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