Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study

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dc.contributor.author Usynina, Anna A.
dc.contributor.author Grjibovski, Andrej M.
dc.contributor.author Krettek, Alexandra
dc.contributor.author Odland, Jon Oyvind
dc.contributor.author Kudryavtsev, Alexander V.
dc.contributor.author Anda, Erik Eik
dc.date.accessioned 2017-05-04T08:36:42Z
dc.date.available 2017-05-04T08:36:42Z
dc.date.issued 2017
dc.description.abstract 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. en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian am2017 en_ZA
dc.description.uri http://www.globalhealthaction.net/index.php/gha en_ZA
dc.identifier.citation Usynina, AA Grjibovski, AM Krettek, A, Odland, JO, Kudryavtsev AV & Anda, EE 2017, 'Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study', Global Health Action, vol. 10, art. no. 1270536, pp. 1-10. en_ZA
dc.identifier.issn 1654-9716 (print)
dc.identifier.issn 1654-9880 (online)
dc.identifier.other 10.1080/16549716.2017.1270536
dc.identifier.uri http://hdl.handle.net/2263/60230
dc.language.iso en en_ZA
dc.publisher Co-Action Publishing en_ZA
dc.rights © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. en_ZA
dc.subject Birth registry en_ZA
dc.subject Northwest Russia en_ZA
dc.subject Perinatal death en_ZA
dc.subject Perinatalmortality (PM) en_ZA
dc.title Risk factors for perinatal mortality in Murmansk County, Russia : a registry-based study en_ZA
dc.type Article en_ZA


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