Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study
BACKGROUND: Factors contributing to perinatal mortality (PM) in Northwest Russia remain unclear. This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry. OBJECTIVE: This study inve...
Published in: | Global Health Action |
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Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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Högskolan i Skövde, Institutionen för hälsa och lärande
2017
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Subjects: | |
Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13371 https://doi.org/10.1080/16549716.2017.1270536 |
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ftskoevdehoeg:oai:DiVA.org:his-13371 |
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Open Polar |
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University of Skövde: Publications (DiVA) |
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English |
topic |
Birth registry Northwest Russia Perinatal death Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Birth registry Northwest Russia Perinatal death Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Usynina, Anna A. Grjibovski, Andrej M. Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander V. Anda, Erik Eik Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study |
topic_facet |
Birth registry Northwest Russia Perinatal death Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
BACKGROUND: Factors contributing to perinatal mortality (PM) in Northwest Russia remain unclear. This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry. OBJECTIVE: This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry. METHODS: The study population consisted of all live- and stillbirths registered in the Murmansk County Birth Registry during 2006-2011 (n = 52,806). We excluded multiple births, births prior to 22 and after 45 completed weeks of gestation, infants with congenital malformations, and births with missing information regarding gestational age (a total of n = 3,666) and/or the studied characteristics (n = 2,356). Possible associations between maternal socio-demographic and lifestyle characteristics, maternal pre-pregnancy characteristics, pregnancy characteristics, and PM were studied by multivariable logistic regression. Crude and adjusted odds ratios with 95% confidence intervals were calculated. RESULTS: Of the 49,140 births eligible for prevalence analysis, 338 were identified as perinatal deaths (6.9 per 1,000 births). After adjustment for other factors, maternal low education level, prior preterm delivery, spontaneous or induced abortions, antepartum hemorrhage, antenatally detected or suspected fetal growth retardation, and alcohol abuse during pregnancy all significantly increased the risk of PM. We observed a higher risk of PM in unmarried women, as well as overweight or obese mothers. Maternal underweight reduced the risk of PM. CONCLUSIONS: Our results suggest that both social and medical factors are important correlates of perinatal mortality in Northwest Russia. CC BY 4.0 |
format |
Article in Journal/Newspaper |
author |
Usynina, Anna A. Grjibovski, Andrej M. Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander V. Anda, Erik Eik |
author_facet |
Usynina, Anna A. Grjibovski, Andrej M. Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander V. Anda, Erik Eik |
author_sort |
Usynina, Anna A. |
title |
Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study |
title_short |
Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study |
title_full |
Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study |
title_fullStr |
Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study |
title_full_unstemmed |
Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study |
title_sort |
risk factors for perinatal mortality in murmansk county, russia : a registry-based study |
publisher |
Högskolan i Skövde, Institutionen för hälsa och lärande |
publishDate |
2017 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13371 https://doi.org/10.1080/16549716.2017.1270536 |
geographic |
Murmansk |
geographic_facet |
Murmansk |
genre |
Northwest Russia |
genre_facet |
Northwest Russia |
op_relation |
Global Health Action, 1654-9716, 2017, 10:1, s. 1-10 http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13371 doi:10.1080/16549716.2017.1270536 PMID 28156197 ISI:000397602100001 Scopus 2-s2.0-85015252462 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/16549716.2017.1270536 |
container_title |
Global Health Action |
container_volume |
10 |
container_issue |
1 |
container_start_page |
1270536 |
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1766149394695979008 |
spelling |
ftskoevdehoeg:oai:DiVA.org:his-13371 2023-05-15T17:46:03+02:00 Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study Usynina, Anna A. Grjibovski, Andrej M. Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander V. Anda, Erik Eik 2017 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13371 https://doi.org/10.1080/16549716.2017.1270536 eng eng Högskolan i Skövde, Institutionen för hälsa och lärande Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / International School of Public Health, Northern State Medical University, Arkhangelsk, Russia International School of Public Health, Northern State Medical University, Arkhangelsk, Russia / Department of Preventive Medicine, International Kazakh-Turkish University, Turkestan, Kazakhstan / Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway / Department of Public Health, Hygiene and Bioethics, Institute of Medicine, North-Eastern Federal University, Yakutsk, Russia Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway Global Health Action, 1654-9716, 2017, 10:1, s. 1-10 http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13371 doi:10.1080/16549716.2017.1270536 PMID 28156197 ISI:000397602100001 Scopus 2-s2.0-85015252462 info:eu-repo/semantics/openAccess Birth registry Northwest Russia Perinatal death Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2017 ftskoevdehoeg https://doi.org/10.1080/16549716.2017.1270536 2022-10-25T20:52:17Z BACKGROUND: Factors contributing to perinatal mortality (PM) in Northwest Russia remain unclear. This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry. OBJECTIVE: This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry. METHODS: The study population consisted of all live- and stillbirths registered in the Murmansk County Birth Registry during 2006-2011 (n = 52,806). We excluded multiple births, births prior to 22 and after 45 completed weeks of gestation, infants with congenital malformations, and births with missing information regarding gestational age (a total of n = 3,666) and/or the studied characteristics (n = 2,356). Possible associations between maternal socio-demographic and lifestyle characteristics, maternal pre-pregnancy characteristics, pregnancy characteristics, and PM were studied by multivariable logistic regression. Crude and adjusted odds ratios with 95% confidence intervals were calculated. RESULTS: Of the 49,140 births eligible for prevalence analysis, 338 were identified as perinatal deaths (6.9 per 1,000 births). After adjustment for other factors, maternal low education level, prior preterm delivery, spontaneous or induced abortions, antepartum hemorrhage, antenatally detected or suspected fetal growth retardation, and alcohol abuse during pregnancy all significantly increased the risk of PM. We observed a higher risk of PM in unmarried women, as well as overweight or obese mothers. Maternal underweight reduced the risk of PM. CONCLUSIONS: Our results suggest that both social and medical factors are important correlates of perinatal mortality in Northwest Russia. CC BY 4.0 Article in Journal/Newspaper Northwest Russia University of Skövde: Publications (DiVA) Murmansk Global Health Action 10 1 1270536 |