Skokić Fahrija, Bačaj Dubravka, Selimović Amela, Hasanović Evlijana, Muratović Selma, Halilbašić Amir
Clinic for Children's Diseases, Tuzla University Clinical Centre, 75000 Tuzla, Bosnia and Herzegovina.
Int J Pediatr. 2010;2010:789183. doi: 10.1155/2010/789183. Epub 2011 Mar 28.
Objectives. We examined association between incidence rate of low birth weight in liveborn infants and maternal sociodemographic status in Tuzla Canton during 1992-1995 war in Bosnia and Herzegovina. Methods. The present study covers a 22-year period (1988-2009), including the war period (1992-1995), and we retrospectively collected data on a total of 108 316 liveborn infants and their mothers from three different socioeconomic periods: before (1988-1991), during (1992-1995), and after the war (1996-2009). Association between incidence rate of low birth weight in liveborn infants and maternal sociodemographic status were determined for each study period. Results. There were 23 194 live births in the prewar, 18 302 during the war, and 66 820 in the postwar period. Among the liveborn infants born during the war, 1373 (7.5%) had birth weight of <2500 g, which is significantly more in comparison with 851 (3.6%) liveborn infants in this birth weight group born before and 1864 (2.8%) after the war. We found the number of examinations during pregnancy was 1.8 per pregnant woman in the war period, which was low in comparison with the number of examinations before (4.6 per pregnant woman) and after (7.1 per pregnant woman) the war (P<.001 for both). Prewar perinatal mortality LBW infants of 6.2 per 1000 live births increased to 10.8 per 1000 live births during the war (P<.001), but after the war, perinatal mortality LBW infants (5.2‰) and early neonatal mortality (2.4‰) decreased. Conclusions. We found statistically significant association between low-birth-weight and maternal sociodemographic status in Tuzla Canton during 1992-1995 war in Bosnia and Herzegovina.
目的。我们研究了波斯尼亚和黑塞哥维那图兹拉州1992 - 1995年战争期间活产婴儿低出生体重发生率与母亲社会人口学状况之间的关联。方法。本研究涵盖22年期间（1988 - 2009年），包括战争时期（1992 - 1995年），我们回顾性收集了来自三个不同社会经济时期的总共108316名活产婴儿及其母亲的数据：战前（1988 - 1991年）、战争期间（1992 - 1995年）和战后（1996 - 2009年）。确定了每个研究时期活产婴儿低出生体重发生率与母亲社会人口学状况之间的关联。结果。战前有23194例活产，战争期间有18302例，战后有66820例。在战争期间出生的活产婴儿中，1373例（7.5%）出生体重<2500克，与战前该出生体重组的851例（3.6%）活产婴儿以及战后的1864例（2.8%）相比，显著更多。我们发现战争期间每位孕妇的孕期检查次数为1.8次，与战前（每位孕妇4.6次）和战后（每位孕妇7.1次）相比，次数较低（两者P均<0.001）。战前低出生体重婴儿的围产期死亡率为每1000例活产6.2例，战争期间增至每1000例活产10.8例（P<0.001），但战后，低出生体重婴儿的围产期死亡率（5.2‰）和早期新生儿死亡率（2.4‰）有所下降。结论。我们发现在波斯尼亚和黑塞哥维那1992 - 1995年战争期间，图兹拉州低出生体重与母亲社会人口学状况之间存在统计学上的显著关联。
