Perinatal Mortality During Fifteen-year period in Tuzla Canton, Bosnia and Herzegovina - Zdravlje, medicina, lijecenje, zdravstveni portal

Perinatal Mortality During Fifteen-year period in Tuzla Canton, Bosnia and Herzegovina

Perinatal Mortality During Fifteen-year period in Tuzla Canton, Bosnia and Herzegovina
Jasenko Fatusic, Igor Hudic, Zlatan Fatusic
Med Arh. 2012; 66(4): 258-261

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Abstract

The aim was to determine the incidence of perinatal mortality, as well as the frequency of premature deliveries. Methods: We analyzed the data of birth protocol at the Clinics for Gynecology and Obstetrition at the University Clinical Centre in Tuzla in period 1992-2006. Results: Perinatal mortality gradu-ally declines in the period of 1992-2000. The decline owns mostly to early neonatal mortality more than to fetal which also shows the trend of decrease. During the first analyzed years (1992 and 1993) the incidence of premature deliveries was below 10% but that number increased during 1994 and 1995 (15.8%). The most interesting finding is that the highest level of incidence of premature deliveries was registered in the first postwar year – 1996 (16.4%) when we also noted the largest number of deliveries for the analyzed period and most of which were finished between 32 and 36 weeks. The frequency of delivery of underweight babies (500-2499g) was between 3.8 to 12.2%. The highest frequency was registered during the 1994 and 1995 when it reached 12.2%. The frequency of delivery of extremely underweight babies (500 – 999g) for the analyzed period was about 0.1% with significant increase during the wartime (1995 even 0.6%). Conclusion: We found that during the period of 15 years a significant decline of perinatal mortality is registered, due to early neonatal death. Limited accessibility and quality of perinatal health care during the war period had detrimental effects on the healt and survival of newborns.

REFERENCES

1. Hudić I, Radončić F, Fatušić Z. Incidence and causes of maternal death during 20- year period (1986-2005) in Tuzla Canton, Bosnia and Herzegovina. J Matern Fetal Neonatal Med. 2011; 24(10): 1286-1288.

2. Begić K, Dizdarević J, Boloban H, Hadžić N, Maksić H. Perinatal mortality at Gynecology-Obstetrics Clinic in Sarajevo in 2001. Med Arh. 2003; 57(4): 231-232.

3. Fatušić Z, Kurjak A, Grgić G, Tulumović A. The influenze of the war on perinatal and maternal mortality in Bosnia. J Ma- ternal-Fetal Neonatal Med. 2005; 18(4): 259-263.

4. Rodin U. Perinatal mortality in Croa- tia in 1999. Gynaecol Perinatol. 2000; 9: 112-117.

5. Dražančić A. Antenatal care and perina- tal mortality. Gynaecol Perinatol. 1998; 7(2): 49-54.

6. Kos M, Rodin U, Dražančić A. Causes of perinatal mortality in Croatia in 1999. Gynaecol Perinatol. 2000; 9: 128-132.

7. Marjanović K, Dmitrović B, Blažević V, Dumenčić B, Bartoić K. Causes of perinatal mortality in Universit y Clinics in Osijek, Croatia. Gynaecol Perinatol. 2004; 13: 141.

8. Balić D, Latifagić A, Hudić I. Insulin- like grow th factor-binding protein-1 (IGFBP-1) in cervical secretions as a pre- dictor of preterm delivery. J Matern Fe- tal Neonatal Med. 2008; 21(5): 297-300.

9. Skokić F, Muratović S, Radoja G. Perinatal and Maternal Outcomes in Tuzla Canton during 1992-1995 War in Bos- nia and Herzegovina. Croat Med J. 2006; 47: 77-84.

10. Wigglesworth JS. Monitoring perinatal mortality. A pathophysiological ap- proach. Lancet. 1980; 2: 684-686.

11. Farr V, Kerridge DF, Mitchell RG. The value of some external characteristics in the assessment of gestational age at birth. Dev Med Child Neurol. 1996; 8: 657-660.

12. Kurjak A, Bekavac I. Perinatal problems in developing countries: Lessons learned and future challenges. J Perinat Med. 2001; 29: 179-187.

13. Fatušić Z. Perinatal mortality in the Fed- eration of Bosnia and Herzegovina. J Perinatal Med. 2001; 29: 247-249.

14. Hudić I, Radoncić F, Balić A, Fatusić Z. Operative deliveries in Clinic of Gynecology and Obstetrics Tuzla, Bosnia and Herzegovina, during 1986-2005. Lijec Vjesn. 2009; 131(9-10): 248-250.

15. Radoncić F, Hudić I, Balić A, Fatusić Z. Perinatal outcomes during 1986-2005 in Tuzla Canton, Bosnia and Herzegov- ina. J Matern Fetal Neonatal Med. 2008 21(8): 567-572.

16. Fatusić Z, Grgić G, Musić A, Hudić I. Rupture of the uterus as a complication in delivery after cesarean section. Med Arh. 2005; 59(1): 11-13

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