• Changes in cesarean section rates after introduction of a punitive financial policy in Georgia: A population-based registry study 2017-2019 

      Nedberg, Ingvild Hersoug; Manjavidze, Tinatin; Rylander, Charlotta; Blix, Ellen; Skjeldestad, Finn Egil; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-07-19)
      Background<p> <p>There is little research on how financial incentives and penalties impact national cesarean section rates. In January 2018, Georgia introduced a national cesarean section reduction policy, which imposes a financial penalty on hospitals that do not meet their reduction targets. The aim of this study was to assess the impact of this policy on cesarean section rates, subgroups of ...
    • The impact of antenatal care utilization on admissions to neonatal intensive care units and perinatal mortality in Georgia 

      Manjavidze, Tinatin; Rylander, Charlotta; Skjeldestad, Finn Egil; Kazakhashvili, Nata; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-12-02)
      <i>Introduction</i> - Appropriate antenatal care (ANC) utilization has direct, significant effects on perinatal mortality (PM). Georgia has one of the highest PM rates (11.7 per 1000 births) in Europe and launched a more intensive ANC programme in 2018.<p> <p><i>Aim</i> - To evaluate the associations between the Adequacy of Prenatal Care Utilization (APNCU) index and neonatal intensive care unit ...
    • The impact of COVID-19-related restrictions on pregnancy and abortion rates in the Republic of Georgia 

      Khachidze, Nia; Manjavidze, Tinatin; Anda, Erik Eik; Nedberg, Ingvild Hersoug; Sandøy, Ingvild Fossgard; Rylander, Karin Charlotta Maria (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-12-18)
      Background The Republic of Georgia implemented COVID-19-related restrictions starting on 31 March 2020, when it imposed a 1-month strict lockdown, after which the country continued with some form of restrictions for 1 year. These restrictions created barriers to healthcare access, affected healthcare services, caused severe economic degradation, and changed reproductive behavior. The aim of this ...
    • Incidence and Causes of Perinatal Mortality in Georgia 

      Manjavidze, Tinatin; Rylander, Charlotta; Skjeldestad, Finn Egil; Kazakhashvili, Nata; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-08-28)
      Georgia has one of the highest perinatal mortality rates (i.e., stillbirths and early neonatal deaths combined) in Europe. The Georgian Birth Registry was started in 2016 to provide data for preventive measures of maternal and child health. In this study, we aim to determine the incidence of perinatal mortality, assess the distribution of stillbirths and early neonatal deaths, and to determine the ...
    • Perinatal mortality and its association with antenatal care utilization in the Republic of Georgia 

      Manjavidze, Tinatin (Doctoral thesis; Doktorgradsavhandling, 2020-12-11)
      <p><i>Background:</i> Despite recent achievements, perinatal mortality (PM) rates remain high worldwide, especially in low-income countries (>30 per 1000 births). PM is defined as the death of a fetus/livebirth between 22 completed weeks of gestation and the first 7 days of life. Simple, non-invasive interventions could reduce PM rates, since most deaths are caused by preventable conditions. Adequate ...
    • Unattended Pregnancies and Perinatal Mortality in Georgia 

      Manjavidze, Tinatin; Rylander, Charlotta; Skjeldestad, Finn Egil; Kazakhashvili, Nata; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-04-15)
      <p><i>Introduction:</i> The majority of pregnant women in Georgia attend the free-of-charge, national antenatal care (ANC) programme, but over 5% of pregnancies in the country are unattended. Moreover, Georgia has one of the highest perinatal mortality (PM) rates in Europe (11.7/1000 births). <p><i>Purpose:</i> To assess the association between unattended pregnancies and the risk of PM. <p><i>Methods:</i> ...