The aim of our study was to connect the possible complications of early pregnancy (miscarriage and symptomatic ectopic pregnancy) up to the 12th week of gestation with biometeorological conditions while assuming a greater number of incidents with an unfavorable biometeorological forecast. We performed a retrospective observational study using medical data of a single medical center of Department of Gynecology and Obstetrics, Sveti Duh University Hospital and meteorological data from the Croatian Meteorological and Hydrometeorological Service in Zagreb. We tracked the number of visits to the gynecology and obstetrics emergency unit on a daily basis during 2017. Days with five or more visits were selected and underwent further analysis, during which the number of miscarriages and symptomatic ectopic pregnancies was noted. The information from the biometeorological forecast was then extracted and added to the database. Our results did not show a statistically significant difference between the groups determined by biometeorological forecast in the number of spontaneous abortions or ectopic pregnancy. Also, statistically significant results did not follow the expected trend of the increasing number of complications related to worse biometeorological forecast, or vice versa, a decreased number of complications with better forecast. Our single-center retrospective analysis of emergency unit visits related to weather conditions did not show a connection between the complications of early pregnancy and biometeorological conditions. However, different results could emerge in future studies. Considering the large and high-quality database collected for this study, efforts in researching the connection between other gynecologic pathologies and weather conditions will be feasible.
Cilj ovoga istraživanja bio je povezati komplikacije rane trudnoće (spontani pobačaj i izvanmaternična trudnoća) do 12. tjedna gestacije s biometeorološkim uvjetima, očekujući veći broj incidenata u uvjetima nepovoljne biometeorološke prognoze. Proveli smo retrospektivno opservacijsko istraživanje koristeći medicinske podatke Klinike za ginekologiju i porodništvo Kliničke bolnice Sveti Duh i meteorološke podatke Državnoga hidrometeorološkog zavoda u Zagrebu. Zabilježili smo broj hitnih pregleda na Klinici za ginekologiju i porodništvo tijekom 2017. godine. Dani s pet ili više pregleda su zabilježeni, a zabilježen je i broj spontanih pobačaja i izvanmaterničnih trudnoća. Informacije o biometeorološkoj prognozi za obrađene dane su dodane prikupljenoj bazi podataka. Naši rezultati nisu pokazali statistički značajnu razliku između skupina određenih biometeorološkom prognozom u broju spontanih pobačaja i izvanmaterničnih trudnoća. Statistički značajne rezultate nisu pokazali ni očekivani porast broja komplikacija s lošijom biometeorološkom prognozom ili smanjen broj komplikacija povezanih s boljom biometeorološkom prognozom. Naša retrospektivna analiza nije pokazala povezanost posjeta hitnom prijmu s vremenskim prilikama, stoga ni povezenost komplikacija rane trudnoće s vremenskim uvjetima. Međutim, drugačiji rezultati se mogu dobiti u budućim istraživanjima. S obzirom na veliku i kvalitetnu bazu podataka prikupljenu u ovom istraživanju daljnja nastojanja u istraživanju povezanosti ginekološke patologije i vremenskih uvjeta uvelike su olakšana.