Incidence and Causes of Perinatal Mortality in Georgia
Georgia has one of the highest perinatal mortality rates (i.e., stillbirths and early neonatal deaths combined) in Europe. The Georgian Birth Registry was started in 2016 to provide data for preventive measures of maternal and child health. In this study, we aim to determine the incidence of perinat...
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| Format: | Article |
| Language: | English |
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Springer
2019-08-01
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| Series: | Journal of Epidemiology and Global Health |
| Subjects: | |
| Online Access: | https://www.atlantis-press.com/article/125917030/view |
| _version_ | 1818540019385630720 |
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| author | Tinatin Manjavidze Charlotta Rylander Finn Egil Skjeldestad Nata Kazakhashvili Erik Eik Anda |
| author_facet | Tinatin Manjavidze Charlotta Rylander Finn Egil Skjeldestad Nata Kazakhashvili Erik Eik Anda |
| author_sort | Tinatin Manjavidze |
| collection | DOAJ |
| description | Georgia has one of the highest perinatal mortality rates (i.e., stillbirths and early neonatal deaths combined) in Europe. The Georgian Birth Registry was started in 2016 to provide data for preventive measures of maternal and child health. In this study, we aim to determine the incidence of perinatal mortality, assess the distribution of stillbirths and early neonatal deaths, and to determine the major causes of perinatal mortality in Georgia. Data sources were the Georgian Birth Registry and the vital registration system for the year 2017. Causes of early neonatal deaths were assigned into five categories, using the Wigglesworth classification with the Neonatal and Intrauterine deaths Classification according to Etiology modification. The study used descriptive statistics only, specifically counts, means, proportions, and rates, using the statistical software STATA version 15.0. (StataCorp, College Station, TX, USA). In 2017, 489 stillbirths and 238 early neonatal deaths were recorded, resulting in a perinatal mortality rate of 13.6 per 1000 births. About 80% of stillbirths had an unknown cause of death. The majority of stillbirths occurred before the start of labor (85%), and almost one-third were delivered by caesarean section (28%). Prematurity (58%) and congenital malformations (23%) were the main causes of early neonatal deaths, and 70% of early neonatal deaths occurred after the first day of life. The perinatal mortality rate in Georgia remained high in 2017. The major causes of early neonatal deaths were comparable to those of many high-income countries. Contrary to global data, most early neonatal deaths occurred after the first day of life. |
| first_indexed | 2024-12-11T21:49:50Z |
| format | Article |
| id | doaj.art-df9b1d66db364dd1b34307880b10587d |
| institution | Directory Open Access Journal |
| issn | 2210-6014 |
| language | English |
| last_indexed | 2024-12-11T21:49:50Z |
| publishDate | 2019-08-01 |
| publisher | Springer |
| record_format | Article |
| series | Journal of Epidemiology and Global Health |
| spelling | doaj.art-df9b1d66db364dd1b34307880b10587d2022-12-22T00:49:30ZengSpringerJournal of Epidemiology and Global Health2210-60142019-08-019310.2991/jegh.k.190818.001Incidence and Causes of Perinatal Mortality in GeorgiaTinatin ManjavidzeCharlotta RylanderFinn Egil SkjeldestadNata KazakhashviliErik Eik AndaGeorgia has one of the highest perinatal mortality rates (i.e., stillbirths and early neonatal deaths combined) in Europe. The Georgian Birth Registry was started in 2016 to provide data for preventive measures of maternal and child health. In this study, we aim to determine the incidence of perinatal mortality, assess the distribution of stillbirths and early neonatal deaths, and to determine the major causes of perinatal mortality in Georgia. Data sources were the Georgian Birth Registry and the vital registration system for the year 2017. Causes of early neonatal deaths were assigned into five categories, using the Wigglesworth classification with the Neonatal and Intrauterine deaths Classification according to Etiology modification. The study used descriptive statistics only, specifically counts, means, proportions, and rates, using the statistical software STATA version 15.0. (StataCorp, College Station, TX, USA). In 2017, 489 stillbirths and 238 early neonatal deaths were recorded, resulting in a perinatal mortality rate of 13.6 per 1000 births. About 80% of stillbirths had an unknown cause of death. The majority of stillbirths occurred before the start of labor (85%), and almost one-third were delivered by caesarean section (28%). Prematurity (58%) and congenital malformations (23%) were the main causes of early neonatal deaths, and 70% of early neonatal deaths occurred after the first day of life. The perinatal mortality rate in Georgia remained high in 2017. The major causes of early neonatal deaths were comparable to those of many high-income countries. Contrary to global data, most early neonatal deaths occurred after the first day of life.https://www.atlantis-press.com/article/125917030/viewBirth registryperinatal mortalitystillbirthearly neonatal deathcause of death |
| spellingShingle | Tinatin Manjavidze Charlotta Rylander Finn Egil Skjeldestad Nata Kazakhashvili Erik Eik Anda Incidence and Causes of Perinatal Mortality in Georgia Journal of Epidemiology and Global Health Birth registry perinatal mortality stillbirth early neonatal death cause of death |
| title | Incidence and Causes of Perinatal Mortality in Georgia |
| title_full | Incidence and Causes of Perinatal Mortality in Georgia |
| title_fullStr | Incidence and Causes of Perinatal Mortality in Georgia |
| title_full_unstemmed | Incidence and Causes of Perinatal Mortality in Georgia |
| title_short | Incidence and Causes of Perinatal Mortality in Georgia |
| title_sort | incidence and causes of perinatal mortality in georgia |
| topic | Birth registry perinatal mortality stillbirth early neonatal death cause of death |
| url | https://www.atlantis-press.com/article/125917030/view |
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