Ceska gynekologie · 2011
[Analysis of perinatological outcome of Slovak Republic in the years 2007-2009].
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Korbel' M, Borovský M, Danko J, Niznanská Z, Féderová L
Аннотация
OBJECTIVE: Analysis of perinatological outcome in Slovak Republic in the years 2007-2009.
DESIGN: Epidemiological perinatological nation-wide.
SETTINGS: 1st Department of Gynaecology and Obstetrics School of Medicine, Comenius University and University Hospital, Bratislava, Slovak Republic.
METHODS: Retrospective analysis of some perinatological data from the years 2007-2009 available in database of expert for gynaecology and obstetrics Ministry of Health Slovak Republic.
RESULTS: The number of maternity hospitals decreased from 63 to 57 in the years 2007-2009. Total number of deliveries increased from 51,146 to 56,094 and that of live births from 51,650 to 56,579 in this period. Perinatal mortality rate was 6.2, 6.6 and 6.0 per 1000 in the years 2007, 2008 and 2009 respectively. Caesarean section rate progressively increased from 24.1% to 27.4% in this period. Preterm deliveries rate ranged between 7.3% and 7.5% and that of multiple pregnancies 1.3% and 1.4%. Maternal mortality ratio increased from 8 to 25 per 100,000 live births.
CONCLUSION: Perinatal mortality rate 6.0 per thousand is the best result of Slovak perinatological history. Caesarean rate frequency rapidly increased up to 27.4% in the year 2009. Centralisation of high-risk pregnancies, transfer "in utero" and prenatal detection of congenital malformations are still to be improved in Slovakia.
DESIGN: Epidemiological perinatological nation-wide.
SETTINGS: 1st Department of Gynaecology and Obstetrics School of Medicine, Comenius University and University Hospital, Bratislava, Slovak Republic.
METHODS: Retrospective analysis of some perinatological data from the years 2007-2009 available in database of expert for gynaecology and obstetrics Ministry of Health Slovak Republic.
RESULTS: The number of maternity hospitals decreased from 63 to 57 in the years 2007-2009. Total number of deliveries increased from 51,146 to 56,094 and that of live births from 51,650 to 56,579 in this period. Perinatal mortality rate was 6.2, 6.6 and 6.0 per 1000 in the years 2007, 2008 and 2009 respectively. Caesarean section rate progressively increased from 24.1% to 27.4% in this period. Preterm deliveries rate ranged between 7.3% and 7.5% and that of multiple pregnancies 1.3% and 1.4%. Maternal mortality ratio increased from 8 to 25 per 100,000 live births.
CONCLUSION: Perinatal mortality rate 6.0 per thousand is the best result of Slovak perinatological history. Caesarean rate frequency rapidly increased up to 27.4% in the year 2009. Centralisation of high-risk pregnancies, transfer "in utero" and prenatal detection of congenital malformations are still to be improved in Slovakia.