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Greek economic crisis and impaired perinatal parameters: experience from a public maternity hospital.
- Source :
-
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2018 Sep; Vol. 31 (18), pp. 2371-2375. Date of Electronic Publication: 2017 Jul 04. - Publication Year :
- 2018
-
Abstract
- Since 2008, Greece suffers a severe economic crisis. Adverse health outcomes have been reported, but studies on perinatal health are sparse. We aimed to examine the impact of economic crisis on perinatal parameters during early and established crisis periods. Birth records of 14 923 neonates, born in a public maternity hospital from 2005-2014, were reviewed for maternal (age, delivery mode) and neonatal (gender, birthweight, gestational age) variables. Univariable analysis tested the association of study variables with time-periods 2005-2007, 2009-2011 and 2012-2014. Multivariable logistic regression analysis identified factors independently associated with low birthweight (LBW) (<2500 g), prematurity (<37 weeks) and caesarean section (CS). During 2012-2014, compared to 2005-2007, LBW rate increased from 8.4 to 10.5% (RR 1.16; 95%CI 1.01-1.33); prematurity from 9.7 to 11.2% (RR 1.09; 95%CI 0.96-1.24), comprising mainly late-preterm neonates; CS from 43.2 to 54.8% (RR 1.21; 95%CI 1.16-1.26). Maternal age ≥30 years was risk factor for LBW, prematurity and CS; LBW was additional risk factor for CS. However, LBW and CSs increased during the study period, independently of maternal age. In conclusion, impaired perinatal parameters, manifested by increasing maternal age, LBW, prematurity and CS rate, were observed during the years of economic decline, with possible adverse consequences for later health.
- Subjects :
- Adult
Birth Weight physiology
Cesarean Section economics
Cesarean Section statistics & numerical data
Female
Greece epidemiology
Hospitals, Maternity economics
Humans
Infant, Newborn
Infant, Newborn, Diseases economics
Male
Obstetric Labor Complications economics
Pregnancy
Pregnancy Complications economics
Pregnancy Outcome economics
Premature Birth economics
Premature Birth epidemiology
Public Facilities economics
Public Facilities statistics & numerical data
Public Health economics
Young Adult
Economic Recession statistics & numerical data
Hospitals, Maternity statistics & numerical data
Infant, Newborn, Diseases epidemiology
Obstetric Labor Complications epidemiology
Pregnancy Complications epidemiology
Pregnancy Outcome epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1476-4954
- Volume :
- 31
- Issue :
- 18
- Database :
- MEDLINE
- Journal :
- The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
- Publication Type :
- Academic Journal
- Accession number :
- 28614961
- Full Text :
- https://doi.org/10.1080/14767058.2017.1342803