Department of Community Medicine, Faculty of Health Sciences, University of Tromsø - The Arctic University of Norway, Hansine Hansens veg 18, Tromsø 9037, Norway.
Department of Public Health, Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, 1 Chavchavadze Avenue, Tbilisi 0179, Georgia.
J Epidemiol Glob Health. 2019 Sep;9(3):163-168. doi: 10.2991/jegh.k.190818.001.
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.
格鲁吉亚的围产儿死亡率（即死产和早期新生儿死亡的总和）在欧洲属于较高水平。格鲁吉亚出生登记处于 2016 年成立，旨在为母婴健康的预防措施提供数据。本研究旨在确定围产儿死亡率的发生率，评估死产和早期新生儿死亡的分布，并确定格鲁吉亚围产儿死亡的主要原因。数据来源为 2017 年的格鲁吉亚出生登记处和生命登记系统。早期新生儿死亡的原因分为五类，使用威格尔斯沃思分类法，根据病因修正的新生儿和宫内死亡分类法进行分类。本研究仅使用描述性统计方法，具体为计数、均值、比例和比率，使用统计软件 STATA 版本 15.0（StataCorp，College Station，TX，USA）。2017 年，记录了 489 例死产和 238 例早期新生儿死亡，围产儿死亡率为每 1000 例活产 13.6 例。约 80%的死产死因不明。大多数死产发生在分娩开始前（85%），近三分之一是剖宫产（28%）。早产（58%）和先天性畸形（23%）是早期新生儿死亡的主要原因，70%的早期新生儿死亡发生在出生后第一天。2017 年，格鲁吉亚的围产儿死亡率仍然很高。早期新生儿死亡的主要原因与许多高收入国家相似。与全球数据相反，大多数早期新生儿死亡发生在出生后第一天之后。
