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Outcomes of 17,137 pregnancies in 2 urban areas of Ukraine.

R E Little, S C Monaghan, B C Gladen, Z A Shkyryak-Nyzhnyk and A J Wilcox

Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA. little1@niehs.nih.gov

OBJECTIVES: Frequent terminations of pregnancy and high rates of fetal loss have been reported, but not confirmed, in the former eastern bloc. A census of pregnancies in Ukraine, a former eastern bloc country, was conducted to determine the rates of these events. METHODS: All pregnancies registered in 2 urban areas were enumerated. During a 19-month period between 1992 and 1994, 17,137 pregnancies and their outcomes were recorded. RESULTS: Sixty percent of the pregnancies were voluntarily terminated, generally before the 13th week. In pregnancies delivered at 20+ weeks, fetal mortality was 29 per 1000, nearly 5 times the rate among Whites in the United States. There was a greater proportion of very early deliveries (20-27 weeks) in Ukraine, as well as higher death rates at all gestational ages. Perinatal mortality was estimated to be 35 per 1000, about 3 times the US rate. CONCLUSIONS: This is believed to be the first study in the former eastern bloc to ascertain all of the clinically recognized pregnancies in a specified period and to determine their outcomes. The data document elevated reproductive risks in a former Soviet state.

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				S. C. MONAGHAN, R. E. LITTLE, O. HULCHIY, H. STRASSNER, and B. C. GLADEN Preterm Birth in Two Urban Areas of Ukraine Obstet. Gynecol., May 1, 2000; 95(5): 752 - 755. [Abstract] [Full Text] [PDF]