CONSEQUENCES OF THE INFLUENCE OF THE NEGATIVE FACTORS OF MILITARY AGGRESSION ON THE MEDICAL CARE AND HEALTH OF NEWBORN IN THE CONDITIONS DURING THE WAR

Abstract

In the system of values of any civilized nation, a special place is occupied by the health of newborns, which creates conditions for optimal physical and mental development of the future generation, formation of labor, intellectual and defense potential. Among the relative eff ects of factors infl uencing the quantity and quality of health of newborns, the factors of military aggression are of great importance.The purpose of the study is to analyze and assess the consequences of a full-scale war with the Russian Federation for the medicalprovision and health of newborns. Research materials and methods. The research materials were data from scientifi c literature and medical statistics on the activities of health care institutions and institutions subordinated to the Ministry of Health of Ukraine, which provide medical care for newbornsat all stages of their development. The methods of system approach, bibliosemantic, comparative analysis and statistical data processingwere applied.The results of the study: A comprehensive study of the impact of the factors of the full-scale war of the Russian Federation against Ukraine, conducted at the population level, proved their negative impact on the frequency of low birth weight newborns from 5,99 % in 2021 to 6,09 % in 2023, OR with 95 % CI 1,04 (1,01-1,07), p<0,0012, the number of born sick and sick newborns from 196,93 to 269,47 ‰, OR with 95 % CI 1. 48 (1,46-1,50), p<0,0001 against the background of rapid decrease in the number of newborns (31,5 % loss rate) and preservation of suffi cient resources for neonatology service. According to the data of geospatial analysis, a greater infl uence of negative consequences of military aggression was found in the regions with active hostilities and temporary occupation (I group) compared to the rear territories (II group) according to the frequency of low birth weight newborns – 6, 2 % in the I group and 6.05 % in the II group, OR with 95 % CI 1.16 (1.1-1.2), p<0.0001, and the frequency of sick and diseased newborns – 311.8 and 227.9 ‰, OR with 95 % CI 1.53 (1.49-1.57), p<0.0001. A violation of the logistics of medical care for newborns in the regions of the I group in comparison with the regions of the II group is shown, in particular, according to the data on the indicators of mortality (1,7 and 2,51 ‰, the rate of loss 30,68 %), lethality (0,55 and 1,1 %, the rate of loss 50,0 %) of newborns and early neonatal mortality (2,84 and 3,1 ‰, the rate of loss 8,38 %).Conclusions. In the course of the study, the hypothesis of the negative impact of military aggression on the main measures of newborn health was confi rmed – the incidence of low birth weight and sick newborns with a greater impact on these indicators in regions of active hostilities and temporary occupation.