Original scientific paper

MORTALITY OF NEWBORNS IN CROATIA IN 2005

Boris Filipović-Grčić ; NICU, Department of Paediatrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Hrvoje Kniewald ; NICU, Department of Paediatrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Ruža Grizelj Šovagović ; NICU, Department of Paediatrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Urelija Rodin ; Croatian Institute for Publice Health, Zagreb, Croatia
Dorotea Ninković ; NICU, Department of Paediatrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Branimir Peter ; NICU, Department of Gynaecology and Obstetrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Emilja Juretić ; NICU, Department of Gynaecology and Obstetrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Jurica Vuković ; NICU, Department of Paediatrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Jasminka Stipanović-Kastelić ; NICU, Department of Paediatrics, Clinical Hospital Center, Medical School, Zagreb, Croatia
Andreja Filija ; Division of Neonatology, Division of Gynaecology and Obstetrics, General Hospital Zabok, Croatia
Anita Ljubičić-Čalušić ; Ministry of Health and Social Care, Zagreb, Croatia

Abstract

Early neonatal mortality (ENM) is one of components of perinatal mortality. In recent years ENM is smaller than fetal mortality. ENM was in 2004 in Croatia 71% for newborns of birth-weight (BW) 500–749 g; 32% for those 750–999 g, 16% for those 1000–1249 g, and 9% for newborns of BW 1250–1499 g. Mortality to discharge from hospital (MDH) for newborns in these birth-weight groups was 84%, 48%, 20% and 10%, respectively. In groups of newborns with larger BW over 1500 g ENM and MDH were even lower. ENM for all newborns BW >500 g was 3,4‰, neonatal mortality (NM) was 4,1‰, and MDH was 4,4‰, respectively. ENM for newborns of BW > 1000 g was 2,2‰, NM was 2,6‰, and MDH was 2,9‰, respectively. ENM made 76,7% mortality of all newborns (BW >500 g) (145/189), while the rest of 44 newborns (23,3%) died after the first week of life. Therefore, ENM was not underestimated due to possible higher late neonatal mortality, pediatric-neonatal services didn't reduce ENM on expenses of higher late neonatal mortality or MDH. In the year 2005, as in 2003 and 2004, three fourths of newborns of BW 500–1499 grams were born in maternities of 3rd level.
Within the aims of the proper analysis of newborns’ outcome data, is creation of new certificates of vital events with details of postnatal transport and place of treatment of newborn. It is necessary to continue to follow survival or mortality of all newborns to discharge from the hospital. These data will give us benchmark for planning of neonatal resources, development of recommendations in perinatology-neonatology for prenatal and postnatal transfer, and for more exact prognoses of the smallest newborns in the process of decision making.

Keywords

neonatal mortality; infants’ mortality

Hrčak ID:

23982

URI

https://hrcak.srce.hr/23982

Publication date:

1.12.2006.

Article data in other languages: croatian

Visits: 2.101 *