STILLBIRTHS IN EUROPE – SIGNIFICANT PUBLIC HEALTH PROBLEM
Journal Title: Management in Sanatate - Year 2018, Vol 22, Issue 4
Abstract
BACKGROUND Together with the achievements and efforts for further reduction of infant mortality and under-five-mortality the stillbirths remain a significant global public health problem. In 2015 the estimated number of stillbirths is 2.6 million, e.g. 7178 deaths per day (WHO). Most of these deaths occur in developing countries, but the problem is important for Europe as well in the context of ageing population and low birth rate. The aim of this report is to analyse the trends in stillbirth rates in European region since 1990s to 2015. METHODS Primary data on stillbirths were extracted from European database “Health for all”. The countries were grouped by Gross National Income (GNI) per capita according to World Bank criteria relevant to 2018-2019. The means of stillbirths in different countries groups were compared and Pearson’s correlation coefficients with GNI and other variables were calculated. Data processing was performed by SPSS v.24. RESULTS Decreasing trend in stillbirths has been observed in parallel with the increase of GNI, significantly more expressed in high-income countries. The mean stillbirth rate in the seven countries with lower-middle income was 2.5 times higher as compared to the mean for 34 high-income countries. The discrepancy in the mean GNI for both groups is over 16 times. For 12 higher-middle income countries the mean stillbirth rate is 1.5 times higher compared to high-income countries, and GNI – 6 times lower. A moderate correlation of stillbirths with GNI has been found and it increases from r=-0,305 in 1970s to r=-0,420 for 2013-2015. Some increase in correlation of stillbirths with proportion of live births to mothers aged under 20 years has also been observed - from r=+0.215 to r=+0.532. CONCLUSION Socio-economic development and decrease in early pregnancy are among the leading factors to further reduction of stillbirths in European region.
Authors and Affiliations
Gena G. GRANCHAROVA, Dima K. TSANOVA, Silviya S. ALEKSANDROVA-YANKULOVSKA
Keywords
Related Articles
- EP ID EP516220
- DOI -
- Views 53
- Downloads 0
ENSURING CONSTITUTIONAL AUTHORITY- CONTINUITY OF U.S. GOVERNMENT
The continuity of government (COG) task area of homeland security includes providing for the continuity and restoration of all levels of government - federal, state, and local. [1] For a host of reasons the import...
STILLBIRTHS IN EUROPE – SIGNIFICANT PUBLIC HEALTH PROBLEM
BACKGROUND Together with the achievements and efforts for further reduction of infant mortality and under-five-mortality the stillbirths remain a significant global public health problem. In 2015 the estimated number of...
DEVELOPMENT OPTIONS OF PRIMARY CARE SERVICES
Primary health care is fundamental for medical care and for the improvement of beneficiaries’ health. For primary care, as demonstrated, the main challenge is related to how practitioners work to improve health, to devel...
MEDICAL SOCIETIES REPRESENTATIVES’ MEETING ON BIOLOGICAL MEDICINES CONCLUSIONS
This position document aims to underline the specificities of biological products, both originals and biosimilars, reflecting in the same time the 9 Scientific Societies’ position on biological medicines’ safe usage for...
CLINICAL CHARACTERISTICS OF PATIENTS DIAGNOSED WITH RETINAL VEIN OCCLUSIONS IN ALBANIA
BACKGROUND: The aim of this study was to describe selected clinical characteristics of patients diagnosed with retinal vein occlusion (RVO) in Albania, a transitional post-communist country in the Western Balkans. METHO...