Document Detail


Using the Nordic-Baltic perinatal death classification to assess perinatal care in Ukraine.
MedLine Citation:
PMID:  11750955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify health care issues important to reduce the perinatal mortality rate (PMR) in Ukraine. STUDY DESIGN: Perinatal deaths in the Donetsk region (Ukraine) in 1997-1998 were compared with those in Denmark in 1996 by using the Nordic-Baltic classification for perinatal deaths. Clinical guidelines, use of technology and rates of interventions in the two regions were described. RESULTS: A two-fold increase in PMR was found in Ukraine compared to Denmark, mainly explained by higher rates of antenatal deaths of growth restricted fetuses, intrapartum deaths, and neonatal deaths due to asphyxia. Vacuum extraction is rarely used in Ukraine. The clinical guidelines for care differ significantly between the two regions. CONCLUSION: Appropriate use of technology and implementation of evidence-based guidelines should be a matter of high priority in the Donetsk region, Ukraine.
Authors:
Iryna Mogilevkina; Birgit Bødker; Alexander Orda; Jens Langhoff-Roos; Gunilla Lindmark
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  100     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2001-12-25     Completed Date:  2002-03-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  152-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Gynecology and Perinatology, Donetsk State Medical University, Prospect Ilicha 16, 83003, Donetsk, Ukraine. imogilevkin@excite.com
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Asphyxia Neonatorum
Congenital Abnormalities / mortality
Denmark / epidemiology
Fetal Death / classification,  epidemiology,  etiology
Fetal Growth Retardation / mortality
Gestational Age
Humans
Infant Mortality* / trends
Infant, Newborn
Infant, Premature
Perinatal Care* / standards
Ukraine / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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