TRACKING PREGNANCY OUTCOMES: DATA FROM BIRTH REGISTER OF GEORGIA

Reliable and high quality data are critical to identify issues related to maternal health and factors affecting the reproductive health as well as to measure progress towards the Sustainable Development Goals. In 2016, an electronic case-based system for antenatal and obstetric services, so called "Georgian Birth Registry" (GBR), which provides continuous monitoring of pregnant women from the first antenatal visit until childbirth, was introduced in Georgia. GBR gave the possibility to describe maternal and child health, as well as reproductive health issues in correlation with different social factors, which influenced the fertility and pregnancy outcomes. In Georgia there is a lack of study addressing pregnancy outcomes. The aim of the research is to study influence of education, employment status and place of residence on pregnancy outcomes among women in Georgia. Methods. GBR data from 2018 has been used for this study. Results. The most important overall findings are: pros - high percent of timely initiation of first visit (from 70% to 80% and more) for all observed women, cons - the high rates of unplanned pregnancies (52%), particularly in adolescents (47%), high rates of abortions (31%), high percent of C-Sections, without indication in adolescents (25%). Tracking pregnancies and their outcomes trough registry system is an innovative approach for LMICs, which gives an opportunity to correlate some social-economic and behavioral characteristics in female population that can help in determining the preventive interventions aimed to reduce maternal and perinatal morbidity and mortality in LMICs.