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PERINATAL MORTALITY IN REPUBLIC OF CROATIA IN THE YEAR 2005
Ante Dražančić
; Klinika za žeske bolesti i porode Kliničkog bolničkog centra Zagreb
Urelija Rodin
; Hrvatski zavod za javno zdravsvo, Zagreb
Sažetak
In the Republic of Croatia in the year 2005 died 9.298 inhabitants more than were born, natality rate was 9,6, mortality rate 11,7, the population increase was negative, –2,1. In the year 2005 the incidence of preterm infants was 5,42% and of those LBW 5,13%. Perinatal mortality for infants >1000 grams was 6,4‰ and for those >500 g 8,8‰. Fetal mortality for infants >1000 g was 4,2‰ and for those >500 g 5,4‰. The corresponding early neonatal mortality was 2,2‰ and 3,4‰. During labor died only 5 fetuses, i.e. 0,12‰. The early neonatal mortality decreases with increase of body weight: for infants 500–999 grams was 490,4‰, for those 1000–1499 g 116,7‰, for 1500–1999 g 24,3‰, for 2000–2499 g 12,0‰, and for infants >2500 grams 1,1‰. In 22 out of 34 maternity wards the perinatal mortality rate was <7,0‰, while in only 3 maternity wards it was >10,0‰. Maternal mortality was 7,07/100.000 (3 women). By cesarean section were accomplished 6.936 births i.e. 16,3%, there is mild increase compared to the 2004. The repeated CSs formed 27,6% of all sections. Out of 2746 gravidas with previous CS in 69,6% the pregnancy was accomplished by repeated CS again. The antenatal care showed mild improvement in relation to previous year: the mean number of antenatal visits per pregnant patient was 8,4, the 60,0% of pregnant patients had >8 visits, the 30,6% of them >9 visits; however 14,8% of pregnant patients had less than 6 visits. The mean value of ultrasound examination was 4.1, the 61,9% of patients had >3 US examinatios, the 36,1% of them >4 examinations. In the 3rd level hospitals, in those with NICU, the fetal and early neonatal mortality were significantly lower for infants 500–1499 grams. The primary task of the perinatal care in Croatia would be the institutional organization of the hospitals on the 3-rd and 2-nd level, with NICU units, along with additional supply of technology and human resources.
Ključne riječi
perinatal mortality; maternal mortality; preterm delivery; eclampsia; cesarean section; antenatal care
Hrčak ID:
23981
URI
Datum izdavanja:
1.12.2006.
Posjeta: 1.606 *