Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study
Source at http://dx.doi.org/10.1080/16549716.2017.1270536 Background: Factors contributing to perinatalmortality (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 M...
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ftunivtroemsoe:oai:munin.uit.no:10037/11411 2023-05-15T17:46:04+02:00 Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study Usynina, Anna Alexandrovna Grjibovski, Andrej M Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander Valerievich Anda, Erik Eik 2017-01-27 https://hdl.handle.net/10037/11411 https://doi.org/10.1080/16549716.2017.1270536 eng eng Taylor & Francis Global health action http://www.tandfonline.com/doi/pdf/10.1080/16549716.2017.1270536?needAccess=true Usynina AA, Grjibovski A, Krettek AJ, Odland j, Kudryavtsev AV, Anda EE. Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study. Global health action. 2017;10 FRIDAID 1482608 doi:10.1080/16549716.2017.1270536 1654-9880 https://hdl.handle.net/10037/11411 openAccess VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.1080/16549716.2017.1270536 2021-06-25T17:55:20Z Source at http://dx.doi.org/10.1080/16549716.2017.1270536 Background: Factors contributing to perinatalmortality (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. Article in Journal/Newspaper Northwest Russia University of Tromsø: Munin Open Research Archive Murmansk Global Health Action 10 1 1270536 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
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ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 |
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VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 Usynina, Anna Alexandrovna Grjibovski, Andrej M Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander Valerievich Anda, Erik Eik Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study |
topic_facet |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 |
description |
Source at http://dx.doi.org/10.1080/16549716.2017.1270536 Background: Factors contributing to perinatalmortality (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. |
format |
Article in Journal/Newspaper |
author |
Usynina, Anna Alexandrovna Grjibovski, Andrej M Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander Valerievich Anda, Erik Eik |
author_facet |
Usynina, Anna Alexandrovna Grjibovski, Andrej M Krettek, Alexandra Odland, Jon Øyvind Kudryavtsev, Alexander Valerievich Anda, Erik Eik |
author_sort |
Usynina, Anna Alexandrovna |
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 |
Taylor & Francis |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/11411 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 http://www.tandfonline.com/doi/pdf/10.1080/16549716.2017.1270536?needAccess=true Usynina AA, Grjibovski A, Krettek AJ, Odland j, Kudryavtsev AV, Anda EE. Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study. Global health action. 2017;10 FRIDAID 1482608 doi:10.1080/16549716.2017.1270536 1654-9880 https://hdl.handle.net/10037/11411 |
op_rights |
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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1766149412781817856 |