Unattended Pregnancies and Perinatal Mortality in Georgia
Tinatin Manjavidze,1 Charlotta Rylander,1 Finn Egil Skjeldestad,1 Nata Kazakhashvili,2 Erik Eik Anda1 1Department of Community Medicine, Faculty of Health Sciences, University of Tromsø – The Arctic University of Norway, Tromsø 9037, Norway; 2Department of Public Health, Faculty of Medicine, Ivane J...
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ftdovepress:oai:dovepress.com/53069 2023-05-15T18:49:26+02:00 Unattended Pregnancies and Perinatal Mortality in Georgia Manjavidze,Tinatin Rylander,Charlotta Skjeldestad,Finn Egil Kazakhashvili,Nata Anda,Erik Eik 2020-04-15 text/html https://www.dovepress.com/unattended-pregnancies-and-perinatal-mortality-in-georgia-peer-reviewed-fulltext-article-RMHP en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/RMHP.S243207 https://www.dovepress.com/unattended-pregnancies-and-perinatal-mortality-in-georgia-peer-reviewed-fulltext-article-RMHP info:eu-repo/semantics/openAccess Risk Management and Healthcare Policy Original Research info:eu-repo/semantics/article 2020 ftdovepress https://doi.org/10.2147/RMHP.S243207 2022-12-27T22:49:27Z Tinatin Manjavidze,1 Charlotta Rylander,1 Finn Egil Skjeldestad,1 Nata Kazakhashvili,2 Erik Eik Anda1 1Department of Community Medicine, Faculty of Health Sciences, University of Tromsø – The Arctic University of Norway, Tromsø 9037, Norway; 2Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi 0179, GeorgiaCorrespondence: Tinatin Manjavidze 35a Guramishvili Ave, Tbilisi 0178, GeorgiaTel +995 598292936Email tinatin.manjavidze@uit.noIntroduction: The majority of pregnant women in Georgia attend the free-of-charge, national antenatal care (ANC) programme, but over 5% of pregnancies in the country are unattended. Moreover, Georgia has one of the highest perinatal mortality (PM) rates in Europe (11.7/1000 births).Purpose: To assess the association between unattended pregnancies and the risk of PM.Methods: Data were extracted from the Georgian Birth Registry (GBR) and the national vital registration system. All mothers who had singleton births and delivered in medical facilities in Georgia in 2017– 2018 were included in the study and categorised into attended pregnancies (at least one ANC visit during pregnancy) and unattended pregnancies (no ANC visits during pregnancy). After exclusions, the study sample included 101,663 women and their newborns, of which 1186 were either stillborn or died within 7 days. Logistic regression analysis was used to assess the effect of unattended pregnancies on PM.Results: During the study period, the PM rate was 12.9/1000 births. In total, 5.6% of women had unattended pregnancies. The odds of PM among women with unattended pregnancies were more than double those among women with attended pregnancies (odds ratio=2.21, [95% confidence interval: 1.81– 2.70]). Multiparous women with higher education and who resided/delivered outside of Tbilisi were significantly less likely to experience PM.Conclusion: The risk of PM doubled among women with unattended pregnancies. Six percent of PM cases were attributable to unattended pregnancies. ... Article in Journal/Newspaper Arctic University of Norway University of Tromsø Dove Medical Press Arctic Norway Tromsø Finn ENVELOPE(12.739,12.739,65.935,65.935) Tbilisi ENVELOPE(80.581,80.581,72.391,72.391) Eik ENVELOPE(6.668,6.668,62.627,62.627) Risk Management and Healthcare Policy Volume 13 313 321 |
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English |
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Risk Management and Healthcare Policy |
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Risk Management and Healthcare Policy Manjavidze,Tinatin Rylander,Charlotta Skjeldestad,Finn Egil Kazakhashvili,Nata Anda,Erik Eik Unattended Pregnancies and Perinatal Mortality in Georgia |
topic_facet |
Risk Management and Healthcare Policy |
description |
Tinatin Manjavidze,1 Charlotta Rylander,1 Finn Egil Skjeldestad,1 Nata Kazakhashvili,2 Erik Eik Anda1 1Department of Community Medicine, Faculty of Health Sciences, University of Tromsø – The Arctic University of Norway, Tromsø 9037, Norway; 2Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi 0179, GeorgiaCorrespondence: Tinatin Manjavidze 35a Guramishvili Ave, Tbilisi 0178, GeorgiaTel +995 598292936Email tinatin.manjavidze@uit.noIntroduction: The majority of pregnant women in Georgia attend the free-of-charge, national antenatal care (ANC) programme, but over 5% of pregnancies in the country are unattended. Moreover, Georgia has one of the highest perinatal mortality (PM) rates in Europe (11.7/1000 births).Purpose: To assess the association between unattended pregnancies and the risk of PM.Methods: Data were extracted from the Georgian Birth Registry (GBR) and the national vital registration system. All mothers who had singleton births and delivered in medical facilities in Georgia in 2017– 2018 were included in the study and categorised into attended pregnancies (at least one ANC visit during pregnancy) and unattended pregnancies (no ANC visits during pregnancy). After exclusions, the study sample included 101,663 women and their newborns, of which 1186 were either stillborn or died within 7 days. Logistic regression analysis was used to assess the effect of unattended pregnancies on PM.Results: During the study period, the PM rate was 12.9/1000 births. In total, 5.6% of women had unattended pregnancies. The odds of PM among women with unattended pregnancies were more than double those among women with attended pregnancies (odds ratio=2.21, [95% confidence interval: 1.81– 2.70]). Multiparous women with higher education and who resided/delivered outside of Tbilisi were significantly less likely to experience PM.Conclusion: The risk of PM doubled among women with unattended pregnancies. Six percent of PM cases were attributable to unattended pregnancies. ... |
format |
Article in Journal/Newspaper |
author |
Manjavidze,Tinatin Rylander,Charlotta Skjeldestad,Finn Egil Kazakhashvili,Nata Anda,Erik Eik |
author_facet |
Manjavidze,Tinatin Rylander,Charlotta Skjeldestad,Finn Egil Kazakhashvili,Nata Anda,Erik Eik |
author_sort |
Manjavidze,Tinatin |
title |
Unattended Pregnancies and Perinatal Mortality in Georgia |
title_short |
Unattended Pregnancies and Perinatal Mortality in Georgia |
title_full |
Unattended Pregnancies and Perinatal Mortality in Georgia |
title_fullStr |
Unattended Pregnancies and Perinatal Mortality in Georgia |
title_full_unstemmed |
Unattended Pregnancies and Perinatal Mortality in Georgia |
title_sort |
unattended pregnancies and perinatal mortality in georgia |
publisher |
Dove Press |
publishDate |
2020 |
url |
https://www.dovepress.com/unattended-pregnancies-and-perinatal-mortality-in-georgia-peer-reviewed-fulltext-article-RMHP |
long_lat |
ENVELOPE(12.739,12.739,65.935,65.935) ENVELOPE(80.581,80.581,72.391,72.391) ENVELOPE(6.668,6.668,62.627,62.627) |
geographic |
Arctic Norway Tromsø Finn Tbilisi Eik |
geographic_facet |
Arctic Norway Tromsø Finn Tbilisi Eik |
genre |
Arctic University of Norway University of Tromsø |
genre_facet |
Arctic University of Norway University of Tromsø |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/RMHP.S243207 https://www.dovepress.com/unattended-pregnancies-and-perinatal-mortality-in-georgia-peer-reviewed-fulltext-article-RMHP |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/RMHP.S243207 |
container_title |
Risk Management and Healthcare Policy |
container_volume |
Volume 13 |
container_start_page |
313 |
op_container_end_page |
321 |
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1766243033022464000 |