Assessment of newborn health dynamics after the Russian Federation transition to international criteria for live births and stillbirths
Keywords:
newborns; obstetric care organizations; birth weight; neonatal morbidity; neonatal mortality; stillbirth rate; hospital mortalityAbstract
To assess the state of children’s health in obstetric care organizations after Russia transition to international statistics on live births and stillbirths, we studied the main indicators of newborn health in the dynamics from 2013 to 2020. It was found that between 2013 and 2020 the morbidity of newborns decreased by 6.3% (from 337.2‰ to 316.3‰; p<0.05), neonatal mortality by 45.7% (from 3.5‰ to 1.9‰; p<0.05), stillbirth rate by 45.6% (from 10.9‰ to 5.5‰; p<0.05), and hospital mortality of newborns born sick and ill by 40.0% (from 1.0% to 0.6%; p<0.05). Assessment of the distribution of live-born infants by birth weight showed that changes in this parameter of physical development during the period under study had no statistically significant differences (p>0.05). The assessment of the impact of the COVID-19 pandemic on newborn health revealed slight shifts in the distribution of children born alive by birth weight and a 6.8% increase in the stillbirth rate compared to the pre-pandemic level. Thus, in the period from 2013 to 2020 the share of children discharged from obstetric hospitals who were healthy has increased due to the reduction in morbidity and mortality of newborns. The analysis showed that there was an improvement in the health indicators of newborns in the Russian Federation.
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