Document Detail

The influence of the war on perinatal and maternal mortality in Bosnia and Herzegovina.
MedLine Citation:
PMID:  16318977     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate the influence of the war on perinatal and maternal mortality during the war conflict in Bosnia and Herzegovina. METHODS: In a retrospective study we analysed perinatal and maternal mortality in the pre-war period (1988-1991), the war period (1992-1995) and the post-war period (1996-2003). We also analysed the number of deliveries, the perinatal and maternal mortality rates and their causes. RESULTS: During the analysed period we had a range of 3337-6912 deliveries per year, with a decreased number in the war period. During the war period and immediately after the war, the perinatal mortality rate increased to 20.9-26.3% (average 24.28%). After the war the rate decreased to 8.01% in 2003 (p < 0.05). Maternal mortality before the war was 39/100,000 deliveries, during the war it increased to 65/100,000 and after the war it decreased to 12/100,000 deliveries (p < 0.05). The increase in maternal mortality during the war was because of an increased number of uterine ruptures, sepsis and bleeding due to shell injury of pregnant women. CONCLUSIONS: During the war we could expect a decreased number of deliveries, and an increased rate of perinatal and maternal mortality and preterm deliveries due to: inadequate nutrition, stress factors (life in refugee's centers, bombing, deaths of relatives, uncertain future...), and break down of the perinatal care system (lack of medical staff, impossibility of collecting valid health records, particularly perinatal information, and the destruction of medical buildings).
Z Fatusi?; A Kurjak; G Grgi?; A Tulumovi?
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  18     ISSN:  1476-7058     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-12-01     Completed Date:  2006-04-11     Revised Date:  2008-10-07    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-63     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Medical School University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia.
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MeSH Terms
Aneurysm, Dissecting / mortality
Aortic Aneurysm / mortality
Asphyxia Neonatorum / mortality
Birth Rate
Bosnia-Herzegovina / epidemiology
Congenital Abnormalities / mortality
Eclampsia / mortality
Embolism / mortality
Hemorrhage / mortality
Infant Mortality*
Infant, Newborn
Maternal Mortality*
Pregnancy Complications, Infectious / mortality
Premature Birth / epidemiology
Prenatal Care / utilization
Respiratory Distress Syndrome, Newborn / mortality
Retrospective Studies
Sepsis / mortality
Uterine Rupture / mortality
Wounds, Penetrating / mortality
Comment In:
J Matern Fetal Neonatal Med. 2008 Apr;21(4):277   [PMID:  18330826 ]

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