Medicinski vjesnik, Vol. 27 No. (1-2), 1995.
Ostalo
Perinatal mortality of preterm twins
Frane Mikulandra
Ivica Tadin
Ivo Banović
Zvonimir Vrančić
Radoslav Crvelin
Sažetak
Perinatal mortality of preterm twins (up to 37 weeks of gestation) is analyzed, born in Šibenik, Zadar and Split in the two examined periods of time. Period A (1st January 1988 - 31st December 1990) is the time of socio-political turmoil in ex-Yugoslavia, whereas Period B (1st January 1991 - 30th September 1993) is the time of the direct military aggression on the area in question. In the Period A there were 23826 births, 234 (0.98%) of which were twins. Out of 22292 births in the Period B, 260 twins (1.17%) were born. In the Period A 140 twins (29-9%) were born prematurely, compared to 198 (38.1%) in the Period B (X2 = 7.28; pcO.Ol). Twin births before 31 weeks of pregnancy occurred less frequently in the Period A than in the Period B (4.3% :10.1%). Similarly, in the Period A there were less twins of the birthhweight under 1500 g (4.3% -14.7%) (p<0.01). In the Period B higher late fetal (6.06%:2.86%), early neonatal (13.64%: 10.0%) and perinatal (19,70%:12.86%) mortality rates were registered, although the difference is not statistically significant (p>0.05). Had the perinatal mortality in the Period B been the same as in the Period A (and one should have expected even lower mortality rates), 14 premature twins would have lived. The authors draw a conclusion that the direct military aggression on the regions of Šibenik, Zadar and Split caused on the one hand poor or no antenatal care and on the other hand physical and psychological traumas to pregnant women. This led to an increased number of premature twin births, especially before 31st week of gestation, higher number of twins of birth weight under 1500 g and consequently to a high perinatal mortality. Direct military aggression indirectly caused the death of 14 premature twins.
Ključne riječi
preterm twins; perinatal mortality
Hrčak ID:
192962
URI
Datum izdavanja:
1.12.1995.
Posjeta: 957 *