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

NCT06039618 | Completed

• 1 other identifier: 02-09/2-77/20
• Study Type: observational
• Target: 22,897
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Prenatal Care

Outcome Measures

Primary Outcomes (1)

• Referral to a centre of higher organizational level.

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

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

Study Arms (2)

Referred to a Centre of Higher Level

Those are the newborns that were referred at the time of delivery or within one week after birth to centers of higher organizational level.

Other: Referral to Centre of Higher Organizational Level

Treated at the Centre of Admission

Those are the newborns that were not referred to other centers and were treated in the health facility were the birth took place, and hospitalized in the same center until discharge.

Interventions

Referral to Centre of Higher Organizational Level OTHER

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.

Referred to a Centre of Higher Level

Eligibility Criteria

• Age: 22 Weeks - 42 Weeks
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Newborns that were born in the maternity wards of the Federation of Bosnia and Herzegovina

You may qualify if:

• 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.

You may not qualify if:

• Infants younger than 22 weeks or older than 42 weeks.
• Infants whose mothers refused to give consent for participation in the study.

Sponsors & Collaborators

• Evangelisches Krankenhaus Bethesda zu Duisburg: lead

Study Sites (1)

General Hospital Tešanj

Tešanj, Bosnia and Herzegovina

Location

Study Officials

• Anis Cerovac, M.D.

  General Hospital Tešanj

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: September 6, 2023
• First Posted: September 15, 2023
• Study Start: January 1, 2013
• Primary Completion: December 31, 2017
• Study Completion: December 31, 2017
• Last Updated: September 18, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

BO (1)