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.

译文

自2008年以来,希腊遭受了严重的经济危机。已经报道了不良的健康结果,但是关于围产期健康的研究很少。我们旨在研究经济危机在早期和既定危机时期对围产期参数的影响。回顾了2005-2014年在公立妇产医院出生的14名923新生儿的出生记录,以了解孕产妇 (年龄,分娩方式) 和新生儿 (性别,出生体重,胎龄) 变量。单变量分析测试了研究变量与时间段2005-2007,2009-2011和2012-2014的关联。多因素logistic回归分析确定了与低出生体重 (LBW) (<2500g),早产 (<37周) 和剖腹产 (CS) 独立相关的因素。在2012-2014期间,与2005-2007相比,LBW率从8.4增加到10.5% (RR 1.16; 95% CI 1.01-1.33); 早产儿从9.7到11.2% (RR 1.09; 95% CI 0.96-1.24),主要包括早产新生儿; 从43.2到54.8% 的CS (RR 1.21; 95% CI 1.16-1.26)。孕妇年龄 ≥ 30岁是LBW、早产和CS的危险因素; LBW是CS的额外危险因素。然而,在研究期间,LBW和CSs增加,与产妇年龄无关。总之,在经济衰退期间,观察到围产期参数受损,表现为孕产妇年龄,LBW,早产和CS率的增加,可能对以后的健康产生不利影响。

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