Characteristics of perinatal care in Ukraine during martial law
DOI:
https://doi.org/10.15574/PP.2024.4(100).1221Keywords:
military aggression, martial law, perinatal care, newborns, low birth weight, morbidityAbstract
Armed conflicts have a detrimental effect on public health and destabilize health care systems, including perinatal care.
Aim - to determine the impact of adverse factors of the full-scale war of the Russian Federation against Ukraine on the effectiveness of perinatal care.
Materials and methods. The study was based on data from the scientific literature and medical statistics on the activities of perinatal care institutions subordinated to the Ministry of Health of Ukraine. The methods of systematic approach, bibliosemantic comparative analysis, and statistical data processing were used.
Results. The analysis of the results showed a deepening during martial law of the violation of certain determinants of medical care and maternal health - a decrease in the frequency of timely coverage of pregnant women with early (up to 12 weeks of pregnancy) dispensary supervision - 87.82% in 2021 and 84.81% in 2023, OR from 95% CI: 1.29 (1.26-1.31), normal births - 62.03% and 60.40%, OR from 95% CI: 1.06 (1.05-1.08), with an increase in the incidence of syphilis among women - 2.7 and 3.2 per 100 thousand female population, OR with 95% CI: 1.18 (1.06-1.32), frequency of pregnant women’s anemia - 24.75% and 26.72%, OR with 95% CI: 1.08 (1.07-1.09), miscarriage - 6.2 and 6.7, OR with 95% CI: 1.01 (1.01-1.02), cesarean sections - 267.01 per 1000 births and 290.48, OR with 95% CI: 1.16 (1.14-1.18), low birth weight rate - 5.99% and 6.09%, OR with 95% CI: 1.04 (1.01-1.07), sick and diseased newborns - 196.93 per 1000 live births and 269.47, OR with 95% CI: 1.48 (1.46-1.50).
Conclusions. The study confirmed the hypothesis of destabilization of perinatal care during martial law.
The authors declare no conflict of interest.
References
Bendavid E, Boerma T, Akseer N, Langer A, Malembaka EB, Okiro EA et al. (2021, Feb 6). The effects of armed conflict on the health of women and children. Lancet. 397(10273): 522-532. Epub 2021 Jan 4. https://doi.org/10.1016/S0140-6736(21)00131-8; PMid:33503456
Berehuliak SO, Yakymchuk YuB, Berehuliak OO. (2022) Vplyv stresu na vahitnist i polohy v umovakh sohodennia. Aktualni pytannia pediatrii, akusherstva i hinekolohii. 2: 97-101. https://doi.org/10.11603/24116-4944.2022.2.13458
Butie C, Matthes KL Hösli, I, Floris J, Staub K. (2020, Oct). Impact of World War 1 on placenta weight, birth weight and other anthropometric parameters of neonatal health - Placenta, 100: 150-158. Epub 2020 Jul 10. https://doi.org/10.1016/j.placenta.2020.07.003; PMid:32741558
Jawad M, Hone T, Vamos EP, Cetorelli V, Millett C. (2021, Sep 28). Implications of armed conflict for maternal and child health: A regression analysis of data from 181 countries for 2000-2019. PLoS Med. 18(9): e1003810. https://doi.org/10.1371/journal.pmed.1003810; PMid:34582455 PMCid:PMC8478221
Keasley J, Blickwedel J, Quenby S. (2017). Adverse effects of exposure to armed conflict on pregnancy: a systematic review. BMJ Global Health. 2: e000377. https://doi.org/10.1136/bmjgh-2017-000377; PMid:29333283 PMCid:PMC5706483
Le K, Nguyen M. (2020, Dec). Armed conflict and birth weight. Economics & Human Biology. 39: 100921. https://doi.org/10.1016/j.ehb.2020.100921; PMid:32846273
Litwicka K, Greco E. (2013). Caesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol. 25(6): 456-461. https://doi.org/10.1097/GCO.0b013e32834cef0c; PMid:22011956
March L. (1921, Nov). The consequences of war and the birth rate in France. The Scientific Monthly. 13; 5: 399-419.
Ministerstvo rozvytku hromad ta terytorii Ukrainy. (2023). Zvit pro stratehichnu ekolohichnu otsinku Derzhavnoi stratehii rehionalnoho rozvytku na 2021-2027 roky. Kyiv: 92. URL: https://mtu.gov.ua/files/__Report%20SEA%20SSRD2-027%20v.2.
Paul RH, Miller DA. (2015). Cesarean birth: how to reduce the rate. Am J Obstet Gynecol. 172(6): 1903-1911. https://doi.org/10.1016/0002-9378(95)91430-7; PMid:7778651
Savona-Ventura C, Mahmood T, Mukhopadhyay S, Martins N, Louwen F, Tarlatzis B. (2022, Jul). The consequences of armed conflict on the health of women and newborn and sexual reproductive health - A position statement by the European Board and College of Obstetrics and Gynaecology (EBCOG). Eur J Obstet Gynecol Reprod Biol. 274: 80-82. Epub 2022 May 18. https://doi.org/10.1016/j.ejogrb.2022.05.015; PMid:35609350
Urdal H, Che CP. (2013). War and Gender Inequalities in Health: The Impact of Armed Conflict on Fertility and Maternal Mortality. International Interactions. 39(4): 489-510. https://doi.org/10.1080/03050629.2013.805133
Vänskä M, Diab SY, Perko K, Quota SR, Albarqouni NMA, Myöhänen A et al. (2019, May). Environment of war: Maternal prenatal heavy metal load predicts infant emotional development. Infant Behav Dev. 55: 1-9. Epub 2019 Feb 26. https://doi.org/10.1016/j.infbeh.2019.01.002; PMid:30818136
Viina i zhinky: trahichni naslidky dlia reproduktyvnoho zdorovia. URL: https://www.radiosvoboda.org/a/viyna-i-zhinky-trahichni-naslidky-dla-reproduktyvnoho-zdorovia/ 31508583.html.
Wagner Z, Heft-Neal S, Wise PH, Black RE, Burke M, Boerma T et al. (2019, Dec). Women and children living in areas of armed conflict in Africa: a geospatial analysis of mortality and orphanhood. Lancet Glob Health. 7(12): e1622-e1631. Epub 2019 Oct 24. https://doi.org/10.1016/S2214-109X(19)30407-3; PMid:31669039
Zhabchenko IA, Korniiets NH, Kovalenko TM, Tertychna-Teliuk SV, Lishchenko IS, Bondarenko OM. (2023). Viina, stres, vahitnist: yak uzghodyty problemni pytannia? Reproduktyvne zdorovia zhinky. 1(64): 21-26. URL: https://repro-health.com.ua/article/view/ 276245.
Znamenska TK, Zbrozhyk YeV, Vorobiova OV, Nikulina LI, Holota TV. (2023). Vplyv psykhoemotsiinoho stresu u vahitnykh ta porodil na stan novonarodzhenykh pid chas viiskovoi ahresii. Neonatolohiia, khirurhiia ta perynatalna medytsyna. 13; 4(50): 5-11. https://doi.org/10.24061/2413-4260.XIII.4.50.2023.1
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ukrainian Journal of Perinatology and Pediatrics
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The policy of the Journal “Ukrainian Journal of Perinatology and Pediatrics” is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license(СС BY-NC).
Authors transfer the copyright to the Journal “MODERN PEDIATRICS. UKRAINE” when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.
Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.
The use of published materials for commercial purposes is strongly prohibited.
