Analysis of perinatological outcome of Slovak Republic in the years 2007–2009

Czech version

Authors: M. Korbeľ ¹; M. Borovský ¹; J. Danko ²; Z. Nižňanská ¹; L. Féderová ¹
Authors‘ workplace: I. gynekologicko-pôrodnícka klinika LF UK a UNB, Bratislava, prednosta prof. MUDr. M. Borovský, CSc. ¹; Gynekologicko-pôrodnícka klinika JLF UK, Martin, prednosta prof. MUDr. J. Danko, CSc. ²
Published in: Ceska Gynekol 2011; 76(1): 18-24

Overview

Objective:
Analysis of perinatological outcome in Slovak Republic in the years 2007–2009.

Design:
Epidemiological perinatological nation-wide.

Settings:
1^st 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 respectivelly. Caesarean section rate progresivelly 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 6.0š 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.

Key words:
perinatal mortality, caesarean section, preterm delivery, multiple pregnancy, maternal mortality ratio.

Sources

1. Bujold, E., Bujold, C., Hamilton, EF., et al. The impact of a single-layer or double-layer closure of uterine rupture. Am J Obstet Gynecol, 2002, 186, 6, p. 1326-1330.

2. Federova, L. Korbel, M., Niznanska, Z., et al. Epidemiology of diabetes in pregnancy in Slovakia during 1997 – 2009 years. Proceedings of Global Congress on Maternal and Infant Health, 22.-26. September 2010, Barcelona, Abstracts on CD.

3. Frič, I., Bauer, F., Magyarová, G., et al. Úmrtnosť a chorobnosť novorodencov s veľmi nízkou pôrodnou hmotnosťou. Gynekol prax, 2009, 7, 1, s. 18-21.

4. Hogan, CM., Foreman, JK., Naghavi, M., et al. Maternal mortality for 181 countries, 1980—2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet, 2010, 375, 9726, p. 1609-1623.

5. Chovancová, D. Prognóza predčasne narodených detí. Gynekol prax, 2004, 2, 1, s. 29-33.

6. Korbeľ, M., Holomáň, K., Nižňanská, Z., et al. Preeklamsia, eklampsia a HELLP syndróm – výskyt v SR v rokoch 1997–2004. Gynekol prax, 2006, 4, 1, s. 28-31.

7. Korbeľ, M., Borovský, M., Danko, J., et al. Regionálna analýza perinatálnych výsledkov v SR za rok 2007. Gynekol prax, 2009, 7, 1, s. 9-14.

8. Korbeľ, M., Borovský, M., Danko, J., et al. Analýza materskej mortality v SR za rok 2007. Gynekol prax, 2009, 7, 1, s. 26-29.

9. Korbeľ, M., Borovský, M., Danko, J., et al. Analýza perinatálnych výsledkov v SR za rok 2008. Gynekol prax, 2010, 8, 1, s. 37-43.

10. Korbeľ, M., Borovský, M., Danko, J., et al. Analýza perinatálnych výsledkov v SR za rok 2009. Gynekol prax, 2010, 8, 4.

11. Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and the World Bank. Geneva, World Health Organisation 2008, 40 p.

12. Mlynček, M., Kellner, M., Uharček, P., et al. Peripartálne hysterektómie – audit na Slovensku v roku 2007. Čes Gynek, 2010, 75, 2, s. 88-92.

13. Murphy, DJ., Macleod, M., Bahl, R., et al. A randomised controlled trial of routine versus restrictive use of episiotomy at operative vaginal delivery: a multicenter pilot study. Br J Obstet Gynaecol, 2008, 115, 13, p. 1695-1702.

14. Pařízek, A. Porodnické klešte – překonaná porodnická technika? Čes Gynek, 2010, 75, 5, s. 408-416.

15. Roztočil, A. Editorial. Čes Gynek, 2010, 75, 5, s. 407.

16. Roztočil, A., Antonín, P., Petřík, R., et al. Analýza děložních ruptur v kraji Vysočina v pětiletém období. Čes Gynek, 2010, 75, 5, s. 429-434.

17. Šimetka, O., Michalec, I. Vakuumextrakce. Čes Gynek, 2010, 75, 5, s. 417-422.

18. Šípek, A., Gregor, V., Šípek, A. jr., et al. Vrozené vady u narozených dětí v jednotlivých krajích České republiky v období 1994–2007. Čes Gynek, 2010, 75, 1, s. 105-117.

19. Štembera, Z., Velebil, P. Mezinárodní srovnání úrovně perinatální péče v ČR. Čes Gynek, 72, 2007, 1, s. 5-10.

20. The World Health Report 2005 – Make every mother and child count. WHO Library Cataloguing-in Publication Data. WHO Geneva 2005, 229 p.

21. www.europeristat.com

22. Zahumensky, J., Menzlova, E., Korbel, M., et al. Classification and management of extensive obstetric perineal injuries in the Czech and Slovak Republics. Int J Gynecol Obstet, 2010, 110, 3, p. 252‑256.