Sanamed (Jul 2015)

PERINATAL OUTCOME OF PRETERM INFANTS IN FEDERATION OF BOSNIA AND HERZEGOVINA

  • Skokić Fahrija,
  • Hotić Nesad,
  • Muratović Selma,
  • Skokić Maida,
  • Hadžić Devleta,
  • Ćosićkić Almira,
  • Selimović Amela,
  • Zulić Evlijana,
  • Merić Alma,
  • Halilbašić Amir

DOI
https://doi.org/10.5937/sanamed1501015S
Journal volume & issue
Vol. 10, no. 1
pp. 15 – 22

Abstract

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Introduction: Despite growing progress of perinatal medicine and perinatal care, between 9-19% of preterm infants are born each year. Improvement in survival of infants and the reduction in infant mortality rates is a key role of perinatal quality healthcare. The Aim: To evaluate the perinatal outcome of preterm infants in maternity wards of the Federation of Bosnia and Herzegovina for a period of one year. Material and methods: Of 22 897 live newborns, the research criteria matched 669 (2.9%) preterm infants with complete medical records in ten cantons of the Federation Bosnia and Herzegovina. We analyzed data from maternity wards documentation and discharge letters from tertiary health care centers. Results: Most deliveries were in the Tuzla and Sarajevo Canton with 42.5% of preterm infants. The mean gestational age of preterm infants was 31.4 weeks, with SD ± 5.34, and the mean birth weight 1295 grams, SD ± 234.2. The mean Apgar score was 4.6 ± 2.1, and in the fifth minute 6.6 ± 1.9.Of 669 examinees, there were 345 (51.56%) males and 324 (48.44%) females (51.56 vs 48.44; χ 2 = 1.19; P = 0.27). By analyzing the frequency of preterm infant birth rate according to weight categories, we found a significant difference in some levels of perinatal health institution, between the 1st and 2nd institutions levels (1.76% vs 3.01%; P< 0.0001), also between 2nd and 3rd institutions levels (3.01% vs 3.03%; P < 0.0002), and between 1st and 3rd institutions levels (1.76% vs 3.03%; P < 0.0001). A significant statistical difference in survival of tested newborns was found in institutions of 3rd level χ 2 = 49.25; P < 0.0001 with a low risk for unfavorable outcome [OR = 0.436; 95%CI (0.346-0.550)]. Conclusion: Perinatal outcome of preterm infants in the Federation Bosnia and Herzegovina significantly depends on the level of perinatal health care. Survival rate of infants born in the institutions of the 3rd level was statistically much higher than the survival rate of infants who were born in the 1st and the 2nd level institutions.

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