Analysis of perinatal indicators of the Olomouc region in the period 1994-2008
Authors:
M. Větr
Authors‘ workplace:
Gynekologicko porodnická klinika FN, Olomouc, přednosta doc. MUDr. R. Pilka, Ph. D.
Published in:
Ceska Gynekol 2009; 74(6): 445-453
Overview
Objective:
The aim of this study was to examine the evolution of the main perinatology outcomes in the last fifteen years and their comparison to the Czech Republic. Analysis belong to the control system of quality of care.
Design:
Retrospective epidemiological study.
Setting:
Gynaecology and Obstetrics Clinic Medical Faculty Palacky University and Faculty Hospital in Olomouc.
Methods:
For analysis in this study were used results of perinatal databases of the Committee for Perinatal Medicine of the Czech Republic (10 million population) and all hospitals in Olomouc region (600 000 population).
Results:
Since mid-90th years there is a significant improvement of perinatal indicators and very good results have been achieved since 2000, when the perinatal mortality rate dropped to 2 per mille (in 2008). The downward trend in perinatal mortality rate and early neonatal mortality rate was statistically significant (P for trend = 0.008).
Comparison of major perinatal outcomes confirms that perinatal mortality rate exceeds in five years the national average in the reference interval.. Statistically significant worse results were in early neonatal mortality rate without congenital malformations in the year 1994 (P=0.005) and the year 2001 (P= 0.0008).
Stillbirth rate without congenital malformation fluctuated from 1,1 to 3,1 per mile and exceeded republic mean in the year 1998.
Since 1994 increased in the Czech Republic frequency of preterm births of children of low birth weight (LBW - less than 2.5 kg) from 5.47% to 7.37%. In recent years, there was a problem with the lack of beds in the neonatology intensive care unists.
Conclusion:
Analysis of the main perinatology data of the last fiteen years acknowledges, that monitored indices of the Olomouc region were more often better than the national average. A major problem of this region, as well as the Czech Republic, is increased frequency of premature labour and associated insufficient capacity of neonatal intensive care unit in perinatal center.
Key words:
perinatal mortality, premature labour, quality of care.
Sources
1. Plavka, R. Analýza výsledků neonatologické péče za rok 2004. XXII. konference Sekce perinatální medicíny, ČGPS ČLS JEP, 13.-15. duben 2005, Sněžné-Mílovy. Přednáška.
2. Plavka, R. Analýza výsledků neonatologické péče za rok 2006. XXIV. konference Sekce perinatální medicíny, ČGPS ČLS JEP, 19.-20. duben 2007, Pardubice. Přednáška.
3. Štembera, Z., Velebil, P. Perinatologie v České republice na konci tisíciletí – celostátní perinatální úmrtnost. Čes Gynek, 2001, 66, (suppl), s 16–20.
4. Štembera, Z., Velebil, P. Analýza výsledků porodnické péče za rok 2008. XXVI. konference Sekce perinatální medicíny, ČGPS ČLS JEP, 22.-24. duben 2009, Ostrava. Přednáška.
5. Větr, M. Vývoj perinatologických ukazatelů v Olomouckém kraji v posledních 10 letech (1997-2006). Prakt Gynek, 2007, 11, 5, s. 207-211.
6. http://www.czso.cz/csu/redakce.nsf/i/obyvatelstvo_lide
7. http://www.czso.cz/xm/redakce.nsf/i/obyvatelstvo_v_olomouckem_ kraji_v_1_ctvrtleti_2009
8. Zápis z jednání výboru Sekce perinatální medicíny ČGPS 2. 11. 1995. (Kopie u autora )
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
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2009 Issue 6
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