Fatusić Z
Clinic for Gynecology and Obstetrics, University Clinical Center Tuzla, Bosnia and Herzegovina.
J Perinat Med. 2001;29(3):247-9. doi: 10.1515/JPM.2001.035.
The aim of the study was to investigate the most frequent causes of perinatal mortality in Bosnia and Herzegovina.
We analyzed in a retrospective study over a one year period (1999) the following cantons: Sarajevo, Mostar, Tuzla, Bihać, Gorazde, Travnik, Zenica, which represent about one half of the population of Bosnia and Herzegovina.
Perinatal mortality in the analyzed regions within Bosnia and Herzegovina was 19.55@1000, which is unacceptable in comparison with developed countries. Early neonatal mortality (9@1000) was lower than late fetal mortality 10.55@1000. The most frequent causes of death were: premature birth, 6.32% of all deliveries; EPH gestosis with a rate of 9% of all deliveries and fetal anomalies with 0.68% of all deliveries. In Bosnia and Herzegovina, prematurity is the cause of early neonatal mortality in 78.5% of cases, while fetal anomalies are the cause in the early new-born period in 10.70% of cases.
The results of perinatal mortality analyses in Bosnia and Herzegovina confirm that perinatal mortality directly depends on the development of the health care system, economic sustainability, and living conditions. Our results show that Bosnia and Herzegovina fall into the category of developing country with a perinatal mortality rate of 19.55@1000.
本研究旨在调查波斯尼亚和黑塞哥维那围产期死亡的最常见原因。
我们在一项为期一年（1999年）的回顾性研究中分析了以下几个州：萨拉热窝、莫斯塔尔、图兹拉、比哈奇、戈拉日德、特拉夫尼克、泽尼察，这些州约占波斯尼亚和黑塞哥维那人口的一半。
波斯尼亚和黑塞哥维那分析区域内的围产期死亡率为19.55‰，与发达国家相比这一死亡率是不可接受的。早期新生儿死亡率（9‰）低于晚期胎儿死亡率10.55‰。最常见的死亡原因是：早产，占所有分娩的6.32%；妊娠高血压综合征，占所有分娩的9%；胎儿畸形，占所有分娩的0.68%。在波斯尼亚和黑塞哥维那，早产是78.5%的早期新生儿死亡病例的原因，而胎儿畸形是10.70%的早期新生儿死亡病例的原因。
波斯尼亚和黑塞哥维那围产期死亡率分析结果证实，围产期死亡率直接取决于医疗保健系统的发展、经济可持续性和生活条件。我们的结果表明，波斯尼亚和黑塞哥维那属于发展中国家类别，围产期死亡率为19.55‰。
