Characteristics of perinatal care in Ukraine during martial law

Armed conflicts have a detrimental effect on public health and destabilize health care systems, including perinatal care. Aim - to determine the impact of adverse factors of the full-scale war of the Russian Federation against Ukraine on the effectiveness of perinatal care. Materials and methods. The study was based on data from the scientific literature and medical statistics on the activities of perinatal care institutions subordinated to the Ministry of Health of Ukraine. The methods of systematic approach, bibliosemantic comparative analysis, and statistical data processing were used. Results. The analysis of the results showed a deepening during martial law of the violation of certain determinants of medical care and maternal health - a decrease in the frequency of timely coverage of pregnant women with early (up to 12 weeks of pregnancy) dispensary supervision - 87.82% in 2021 and 84.81% in 2023, OR from 95% CI: 1.29 (1.26-1.31), normal births - 62.03% and 60.40%, OR from 95% CI: 1.06 (1.05-1.08), with an increase in the incidence of syphilis among women - 2.7 and 3.2 per 100 thousand female population, OR with 95% CI: 1.18 (1.06-1.32), frequency of pregnant women’s anemia - 24.75% and 26.72%, OR with 95% CI: 1.08 (1.07-1.09), miscarriage - 6.2 and 6.7, OR with 95% CI: 1.01 (1.01-1.02), cesarean sections - 267.01 per 1000 births and 290.48, OR with 95% CI: 1.16 (1.14-1.18), low birth weight rate - 5.99% and 6.09%, OR with 95% CI: 1.04 (1.01-1.07), sick and diseased newborns - 196.93 per 1000 live births and 269.47, OR with 95% CI: 1.48 (1.46-1.50). Conclusions. The study confirmed the hypothesis of destabilization of perinatal care during martial law. The authors declare no conflict of interest.