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Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, Vol. 13 No. Suppl 3, 2004.

Professional paper

PERINATAL MORTALITY IN REPUBLIC OF CROATIA IN THE YEAR 2003

Ante Dražančić
Urelija Rodin

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Abstract

In the Republic of Croatia since 1986 the natural increase is law. Since 1991 the natural increase is negative, in the year 2003 died 12.907 inhabitants more than were born, there is a decrease of –2.9%. In the year 2003 the incidence of preterm infants was 5.88% and of those LBW 5.77%. Perinatal mortality for infants 1000 grams was 6.3‰ and for those 500 g 9.5‰. Fetal mortality for infants 1000 g was 4.1‰ and for those 500 g 4.4‰. The corresponding early neonatal mortality was 2.2‰ and 3.9‰. During labor died only 9 fetuses, i.e. 0.23‰. The early neonatal mortality decreases¬ with increase of birth weight: for infants 500–999 grams was 632‰, for those 1000–1499 g 108‰, for 1500–1999 g 23.0‰, for 2000–2499 g 14.7‰, and for infants 2500 grams 1.0‰. In 25 out of 36 maternity wards the perinatal mortality was <7.0‰, in only 5 maternity wards 10.0‰. Maternal mortality was 12.7/100.000 (5 women). By cesarean section were accomplished 5977 births i.e. 15.1%, there is small increase in relation to the 2002. The repeated CSs formed 24.8% of all sections. Out of 2358 gravidas with previous CS in 62.9% the pregnancy was accomplished by repeated CS. The antenatal care did not remarkably changed in relation to previous year: the mean number of antenatal visits per pregnant patient was 8.10 and of ultrasound examinations 3.81; however 12.4% of pregnant patients had less than 6 visits. In the 3rd level hospitals, in those with NICU, the early neonatal mortality was significantly lower for infants 500–999, 1000–1499 and 1500–1999 grams whereas for infants 2000–2499 and for those 2500 grams the early neonatal mortality was equalized in hospitals of the 1-st, the 2-nd and of the 3-rd level. The primary task of the perinatal care in Croatia would be the institutional organization of the hospitals of the 3-rd and of the 2-nd level, with NICU departments, along with additional supply of technology and human resource.

Keywords

perinatal mortality; maternal mortality; preterm deliveries; ecclampsias; cesarean sections; antenatal care

Hrčak ID:

15602

URI

https://hrcak.srce.hr/15602

Publication date:

1.12.2004.

Article data in other languages: croatian

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