Capabilities of Perinatal Healthcare Institutions in the Federation of Bosnia and Herzegovina

Evangelisches Krankenhaus Bethesda zu Duisburg22,897 enrolled

Overview

The aim of this study is to assess the level of the perinatal healthcare institution (PHI) where the newborns were delivered. We included newborns of both genders that were born in the maternity wards in 10 cantons of the Federation of Bosnia and Herzegovina (FBiH). From the PHI of the first and second level, 159 newborns were referred to the third level. Out of a total of 159 LBWI referred from other PHI, only 19.5% LBWI were transported in less than 4 hours. In second level PHI, most LBWI died in the first 12 hours after birth.

Study Type

OBSERVATIONAL

Enrollment

22,897

Conditions

Prenatal Care

Interventions

Referral to Centre of Higher Organizational LevelOTHER

Referral to Centre of Higher Organizational Level. This means referral from a primary neonatal care center to a secondary one, or from the secondary to the tertiary center.

Eligibility

Sex: ALLMin age: 22 WeeksMax age: 42 WeeksHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Newborns of both genders that were born in the maternity wards in 10 cantons of the FBiH * A gestational age between 22 and 42 weeks, and a birth weight less than 2500g. Exclusion Criteria: * Infants younger than 22 weeks or older than 42 weeks. * Infants whose mothers refused to give consent for participation in the study.

Locations (1)

General Hospital Tešanj

Tešanj, Bosnia and Herzegovina

Outcomes

Primary Outcomes

Referral to a centre of higher organizational level.

Referring the neonate with low birth weight to a more specialized centre.

Time frame: Before birth and up to 4 hours or more after delivery.

Data from ClinicalTrials.gov

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