Journal of Epidemiology and Global Health

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Volume 9, Issue 3, September 2019, Pages 163 - 168

Incidence and Causes of Perinatal Mortality in Georgia

Authors
Tinatin Manjavidze1, *, Charlotta Rylander1, Finn Egil Skjeldestad1, Nata Kazakhashvili2, Erik Eik Anda1
1Department of Community Medicine, Faculty of Health Sciences, University of Tromsø – The Arctic University of Norway, Hansine Hansens veg 18, Tromsø 9037, Norway
2Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, 1 Chavchavadze Avenue, Tbilisi 0179, Georgia
*Corresponding author. Email: tinatin.manjavidze@uit.no
Corresponding Author
Tinatin Manjavidze
Received 2 July 2019, Accepted 15 August 2019, Available Online 28 August 2019.
DOI
10.2991/jegh.k.190818.001How to use a DOI?
Keywords
Birth registry; perinatal mortality; stillbirth; early neonatal death; cause of death
Abstract

Georgia has one of the highest perinatal mortality rates (i.e., stillbirths and early neonatal deaths combined) in Europe. The Georgian Birth Registry was started in 2016 to provide data for preventive measures of maternal and child health. In this study, we aim to determine the incidence of perinatal mortality, assess the distribution of stillbirths and early neonatal deaths, and to determine the major causes of perinatal mortality in Georgia. Data sources were the Georgian Birth Registry and the vital registration system for the year 2017. Causes of early neonatal deaths were assigned into five categories, using the Wigglesworth classification with the Neonatal and Intrauterine deaths Classification according to Etiology modification. The study used descriptive statistics only, specifically counts, means, proportions, and rates, using the statistical software STATA version 15.0. (StataCorp, College Station, TX, USA). In 2017, 489 stillbirths and 238 early neonatal deaths were recorded, resulting in a perinatal mortality rate of 13.6 per 1000 births. About 80% of stillbirths had an unknown cause of death. The majority of stillbirths occurred before the start of labor (85%), and almost one-third were delivered by caesarean section (28%). Prematurity (58%) and congenital malformations (23%) were the main causes of early neonatal deaths, and 70% of early neonatal deaths occurred after the first day of life. The perinatal mortality rate in Georgia remained high in 2017. The major causes of early neonatal deaths were comparable to those of many high-income countries. Contrary to global data, most early neonatal deaths occurred after the first day of life.

Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
9 - 3
Pages
163 - 168
Publication Date
2019/08/28
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.2991/jegh.k.190818.001How to use a DOI?
Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Tinatin Manjavidze
AU  - Charlotta Rylander
AU  - Finn Egil Skjeldestad
AU  - Nata Kazakhashvili
AU  - Erik Eik Anda
PY  - 2019
DA  - 2019/08/28
TI  - Incidence and Causes of Perinatal Mortality in Georgia
JO  - Journal of Epidemiology and Global Health
SP  - 163
EP  - 168
VL  - 9
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.190818.001
DO  - 10.2991/jegh.k.190818.001
ID  - Manjavidze2019
ER  -