Introduction: The outpatient maternity home in Ruma offers health care to women during normal delivery. On the occasion of patient's admittance into the maternity home, indications for hospitalization during the delivery are strictly observed. Ruma community is a bordering area of SR Yugoslavia and, in the period of the war in ex Yugoslavia, it gave shelter to a great number of refugees and exiles. Health care was offered to pregnant women and to the ones who were giving birth and to the refugees in the Health Centre Ruma. The period from 1992-1996 is characterized by war, migration of people, UN sanctions imposed on Yugoslavia and low standard of living.
Purpose: The purpose of this paper was to find out if there was a difference in indices regarding pregnancy and course of delivery in 1989 and in the period 1992-1996 in the Ruma and Irig communities population and in refugees and exiles.
Material and methods: The data were collected from the obstetrical records in outpatient maternity home Ruma in 1989 and 1992-1996. By data processing the following parameters were obtained: number of deliveries, percentage of spontaneous miscarriages and premature births, percentage of pregnancy-induced hypertension (PIH) and anemia in pregnancy, the rate of early neonatal morbidity and mortality; weight, length, circumferences of head and chest with the newborn infants.
Results: There were 321 deliveries in 1989; 12 women gave birth with PIH (3.73%). 37 women had a spontaneous miscarriage (11.52%). Anemia was corrected with 12 women after delivery (3.73%). There was one premature birth in 1989 (0.3%). 4 newborn infants were hospitalized after delivery (12.46 promiles). There was no mortality of the newborn infants and mothers. The following has been established for women giving birth in the period 1992-1996 from the territory of Ruma and Irig communities: number of deliveries (in 1992--563, in 1993--503, in 1994--481, in 1995--418) constantly falls. The percentage of PIH in pregnancy was 19.54% in 1992 (110 women) and 0.18% eclampsia (1 case), 11.3% (56 women) in 1993, 5.61% (27 women) in 1994, 5.82% (31 women) in 1995. In 1992 80 women giving birth had spontaneous miscarriages in their previous pregnancies (14.2%), in 1993--44 women (8.74%), in 1994--38 women (7.9%) in 1995--45 women (8.45%). An anemia correction after delivery was with 31 women (5.5%) in 1992, in 1993 with 24 women (4.26%), in 1994 with 18 women (3.74%) and in 1995 with 30 women (6.24%). There were 22 premature births in 1992 (3.9%), in 1993--7 (1.39%), in 1994--10 (2.07%) and in 1995--9 (1.69%). 14 children were hospitalized after delivery in 1992 (24.86 promiles), in 1993--20 children (39.76 promiles), in 1994--18 children (37.42 promiles), in 1995--35 children (65.7 promiles). In 1992 one child died after delivery because of left heart hypoplasia and pneumonia; in 1993 one woman delivered fetus mortus: one child died, in 1994, with diaphragmatic hernia and lung hypoplasia; in 1995 there were no deaths after delivery. Mothers' mortality was 0. In the period from 1992-1996, 62 women from Republic of Serb Krajina (hereinafter referred as RSK) were delivered and 67 women from Serb Repubic (hereinafter referred as SR). 5 women from RSK had a spontaneous misciarriage (8.06%), and 4 women from SR (5.97%). 8 women (12%) from RSK had PIH, and 5 women (7.46%) from SR. There were premature births with 3 women (4.82%) from RSK and with 2 women (2.98%) from SR. 2 newborn infants (32.25 promiles) from RSK were hospitalized after delivery and 3 (29.8 promiles) from RS. In 1995 one women delivered fetus mortus in utero (diabetica fetopathy) (14.9 promiles) from RSK.
Discussion: By analyzing the deliveries in the course of 1989 and in the period 1. 01. 1992 to 31. 12. 1995 the following has been established: the number of deliveries is greater in the period 1992-1996 in relation 1989, but there is a constant fall from 1992-1996. (ABSTRACT TRUNCATED)