Perinatal indicators of the Žilina region in Slovak republic during the period 2000-2009

Czech version

Authors: P. Žúbor ¹; I. Žigo ¹; M. Zibolen ²; J. Danko ²
Authors‘ workplace: Gynekologicko-pôrodnícka klinika JLF UK a UNM, Martin, prednosta prof. MUDr. J. Danko, CSc. ¹; Neonatologická klinika JLF UK a UNM, Martin, prednosta prof. MUDr. M. Zibolen, CSc. ²
Published in: Ceska Gynekol 2011; 76(1): 25-36

Overview

Objective:
To provide health care providers, patients, and the general public the improvements and objective data outcomes in perinatal health care indicators for the Žilina district, northern part of Slovak republic.

Setting:
Martin perinatology center (Department of Gynecology and Obstetrics, Department of Neonatology, Jessenius Medical Faculty, Commenius University, Martin, Slovak Republic).

Subject and method:
Retrospective analysis of selected main perinatal outcomes for the period of 10 years (last decade) in the Žilina region. The comparison between the regional data and similar ones retrieved for the Slovak republic.

Results:
During the analyzed period we have observed a significant decrease in perinatal mortality (PM) with lowest rate of 3.1 ‰ in year 2009 with the 4.13 ‰ decade average. The more favorable trend in PM drop was observed when analyzed separately from congenital disorders, which when compared to national rate decreased by 2.9 ‰ and by 1 ‰ when compared to crude PM in Žilina region for the year 2009. Furthermore, the sophisticated clinical management and improved technical equipment led to the decrease in other main perinatal indicators (e.g. decade average of frequency drop in preterm labors to 5.4%; early neonatal mortality to 2.14 ‰; stillbirth rate drop to 0.327 ‰, decrease in neonatal asfyxia rate with pH <7.15 to 0.01% in 2009 with decade average of 0.08% and increased proportion of in-utero transports with 5-years average of 90.9%). Contrary to that, there was revealed a doubling effect of cesarean section rate per observed period (15.7% vs. 32.9%).

Conclusions:
Our results showed that the symbiosis in organization of health care, basic and applied clinical research together with improved technical equipment and introducing the WHO guidelines into the obstetrical praxis has prepared the clinical background which led to the immense improvement in the perinatal outcomes in the northern part of Slovakia during the last decade.

Key words:
perinatology, health care, indicators, Žilina region.

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