Review article
https://doi.org/10.20471/acc.2024.63.03-04.39
New Insights into Development of Maternity Hospitals in the Republic of Croatia after World War II: Outpatient Maternity Department in Klanjec, Hrvatsko Zagorje, Croatia
Rajko Fureš
orcid.org/0000-0001-6494-0972
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Gynecology and Obstetrics, Zabok General Hospital and Croatian Veterans Hospital, Zabok, Croatia; Croatian Society for Gynecological Endoscopy, Croatian Medical Association, Zagreb, Croatia; Faculty of Health Studies, University of Rijeka, Croatia
*
Milan Stanojević
orcid.org/0000-0002-3124-5575
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Gynecology and Obstetrics, Zabok General Hospital and Croatian Veterans Hospital, Zabok, Croatia
Žana Stanić
orcid.org/0000-0002-9474-9105
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Gynecology and Obstetrics, Zabok General Hospital and Croatian Veterans Hospital, Zabok, Croatia; Croatian Society for Gynecological Endoscopy, Croatian Medical Association, Zagreb, Croatia; Faculty of Health Studies, University of Rijeka, Croatia
Dora Fureš
; School of Medicine, University of Split, Split, Croatia
Vesna Ćosić
orcid.org/0000-0002-9556-8170
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Ćosić Polyclinic, Slavonski Brod, Croatia
Željka Fureš
orcid.org/0009-0007-8417-3281
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Gynecology and Obstetrics, Zabok General Hospital and Croatian Veterans Hospital, Zabok, Croatia
Sanja Malinac Malojčić
orcid.org/0009-0009-3086-5674
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Gynecology and Obstetrics, Zabok General Hospital and Croatian Veterans Hospital, Zabok, Croatia; Croatian Society for Gynecological Endoscopy, Croatian Medical Association, Zagreb, Croatia; Faculty of Health Studies, University of Rijeka, Croatia
Martin Gredičak
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Gynecology and Obstetrics, Zabok General Hospital and Croatian Veterans Hospital, Zabok, Croatia; Croatian Society for Gynecological Endoscopy, Croatian Medical Association, Zagreb, Croatia; Faculty of Health Studies, University of Rijeka, Croatia
Zlatko Hrgović
; Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany
Ivana Erceg Ivkošić
; Institute of Integrative Gynecology, Obstetrics and Minimally Invasive Gynecologic Surgery, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Croatian Society for Gynecological Endoscopy, Croatian Medical Association, Zagreb, Croatia; Faculty of Health Studies, University of Rijeka, Croatia; St Catherine Specialty Hospital, Zagreb, Croatia
Nika Mikelin
; Health Center of the Zagreb County, Zagreb, Croatia
* Corresponding author.
Abstract
In the area of today’s Krapina-Zagorje County, after World War II, there were
three outpatient maternity departments (OMD) in Krapina, Klanjec and Pregrada, making a considerable
step forward in public health improvement. The first and biggest OMD was located in
the Klanjec Public Health Center. In parallel with establishment of the maternity hospital (MH) in
Zabok, all OMDs throughout today’s Krapina-Zagorje County were closed. The aim of our research
was to present the activities of Klanjec OMD (KOMD) and show its impact on perinatal health. Data
on KOMD activities were obtained from the Birth Registry. Major obstetric procedures, including
delivery by cesarean section, were not performed in KOMD. Based on the above, numerous transports
of women in labor and postpartum transports were organized to maternity wards in large centers. The
most common cause for transport were transports during childbirth caused by prolonged labor. In
conclusion, organization of OMD in the area of today’s Krapina-Zagorje County significantly improved perinatal care in the 1950s. It was followed by gradual closure of OMD which could not meet
the newly set spatial, material and personnel demands, along with the establishment of maternity
hospitals in general and university hospitals. The trend of perinatal and maternal mortality reduction
in the Zagorje region that began with the establishment of inpatient maternity department at the
Zabok Hospital continues to this day.
Keywords
Outpatient maternity department; History; Croatia
Hrčak ID:
333350
URI
Publication date:
31.12.2024.
Visits: 996 *