PERINATAL AND EARLY NEONATAL MORTALITY IN A FIVE-YEAR PERIOD IN SBGA – CHAIR
Date Issued
2025-09
Author(s)
Iskra Martinovska
Besa Islami Pocesta
Luljeta Beqiri
Dobrila Kapushevska
Shpresa Useini Muaremoska
Abstract
Perinatal mortality (PM) is a rate that combines fetal and early neonatal mortality
(ENM), and is an indicator of the socio-economic development of a particular
country, indicating the efficiency of antenatal, perinatal and neonatal health care.
THE AIM of the paper is to analyze the rates of PM and ENM in SBGA-CHAIR in the
five-year period from 2020 to 2024.
MATERIAL AND METHODS - A retrospective analysis of medical documentation was
performed using the histories of the studied group as well as the database of the
neonatal department. Stillbirth, early neonatal mortality, and perinatal mortality
were calculated according to standardized formulas for each year separately.
RESULTS - During the five-year period, a total of 19,289 deliveries were realized in
SBGA-Cair, resulting in 19,225 live births and 63 stillbirths. In the early neonatal
period 8 newborns died, and including those transferred to a tertiary institution, the
total number of deaths was 14. The paper tabulates the rates of stillbirth, early
neonatal and perinatal mortality by year, with these indicators showing a decreasing
trend. Analyzing the structure of PM, fetal mortality is maintained at the same level,
unlike ENM, which shows a decreasing trend. Early neonatal mortality is most often
due to extreme prematurity and congenital malformations.
CONCLUSION - In order to further reduce the rate of PM, it is crucial to reduce fetal
mortality with improved antenatal care, take measures to reduce premature birth,
timely detection of life-threatening congenital anomalies with the aim of planned
delivery in a tertiary center. Overall engagement of the wider community and a longterm strategy is necessary to achieve a rate similar to more developed countries.
(ENM), and is an indicator of the socio-economic development of a particular
country, indicating the efficiency of antenatal, perinatal and neonatal health care.
THE AIM of the paper is to analyze the rates of PM and ENM in SBGA-CHAIR in the
five-year period from 2020 to 2024.
MATERIAL AND METHODS - A retrospective analysis of medical documentation was
performed using the histories of the studied group as well as the database of the
neonatal department. Stillbirth, early neonatal mortality, and perinatal mortality
were calculated according to standardized formulas for each year separately.
RESULTS - During the five-year period, a total of 19,289 deliveries were realized in
SBGA-Cair, resulting in 19,225 live births and 63 stillbirths. In the early neonatal
period 8 newborns died, and including those transferred to a tertiary institution, the
total number of deaths was 14. The paper tabulates the rates of stillbirth, early
neonatal and perinatal mortality by year, with these indicators showing a decreasing
trend. Analyzing the structure of PM, fetal mortality is maintained at the same level,
unlike ENM, which shows a decreasing trend. Early neonatal mortality is most often
due to extreme prematurity and congenital malformations.
CONCLUSION - In order to further reduce the rate of PM, it is crucial to reduce fetal
mortality with improved antenatal care, take measures to reduce premature birth,
timely detection of life-threatening congenital anomalies with the aim of planned
delivery in a tertiary center. Overall engagement of the wider community and a longterm strategy is necessary to achieve a rate similar to more developed countries.
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