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Mъртвораждания в Европа - значим общественоздравеопазен проблем

С. Aлександрова-Янкуловска, Г. Грънчарова, Д. Цанова


Introduction: Together with the achievements and efforts for further reduction of infant mortality and under- five-mortality the stillbirths remain a significant global public health problem. In 2015 the estimated number of stillbirths is 2.6 million, e.g. 7178 deaths per day (WHO). Most of these deaths occur in developing countries, but the problem is important also for Europe in the context of ageing population and low birth rate.

The aim of this report is to analyze the trends in stillbirth rates in European region since 1970s to 2015. Methods: Primary data on stillbirths were extracted from European database `Health for all`. The countries were grouped by Gross National Income (GNI) per capita according to World Bank criteria for 2015. The means of stillbirths in the different groups were compared and Pearson`s correlation coefficients with GNI and other variables were calculated. Data processing was performed by SPSS v.19.

Results: Stillbirths decrease in parallel with the increase of GNI, significantly more in high-income countries. The mean stillbirth rate in the 7 lower-middle income and the 12 higher-middle income countries was 2.5 and

1.5 times higher than the mean for the 34 high-income countries. A moderate correlation of stillbirths with GNI has been found and it increases from r=-0,305 in 1970s to r=-0,420 for 2013-2015. Increase in correlation of stillbirths with the proportion of mothers under 20-years has also been observed (r=+0.215 to r=+0.532). Conclusion: Socio-economic development and decrease in early pregnancy are leading factors for further reduction of stillbirths in the European region.


stillbirths; Gross National Income; European region

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