Korbeľ M, Krištúfková A, Daniš J, Némethová B, Kaščák P, Nižňanská Z
Ceska Gynekol. 2018 Winter;83(6):423-433.
Comparison of perinatal mortality in Slovak Republic in three periods during the years 2007-2015.
Epidemiological perinatal nation-wide.
1st Department of Gynaecology and Obstetrics Faculty of Medicine, Comenius University and University Hospital, Bratislava, Slovak Republic.
The analysis of prospectively collected selected perinatal data in the years 2007-2015.
In the year 2007 there were 63 obstetrics units, 51,146 deliveries and that of live births 51,650 in Slovak Republic. The number of obstetrics units decreased to 54 in the years 2015, but total number of deliveries increased to 55,139 and that of live births increased to 55,643. Preterm deliveries rate increased from 7.3% in the year 2007 to 8.5% in the year 2010 and decreased to 7.5% in the year 2015. Perinatal mortality rate decreased from 6.2 in the year 2007 to 4.8 in the year 2013, and increased again in the years 2014 and 2015 to 5.3 and 5.6 per 1,000 still- and live-births respectively. During the years 2007-2015 stillbirth participate at perinatal mortality with 64%, low birth weight with 64% and severe congenital anomalies with 20%. Transport in utero to perinatological centres in the years 2007-2015 has increased from 57% to 66% for infants 1000-1499 g and from 75% to 79% for infants below 1000 g.
In the year 2013 perinatology in Slovak Republic reached the best result in perinatal mortality rate 4.8 (0.48%), but in next two years has increased over 5. Prenatal detection of severe congenital abnormalities, transport in utero very low birth weight infants, centralisation of high-risk pregnancies and obstetric and neonatal intensive care units equipment need still to be improved in Slovak Republic. Keywords perinatal mortality, preterm delivery, multiple pregnancy, neonatal intensive care unit, low birth weight, very low birth weight.
比较2007 - 2015年期间斯洛伐克共和国三个阶段的围产期死亡率。
全国围产期流行病学研究。
斯洛伐克共和国布拉迪斯拉发康梅纽斯大学医学院第一妇产科及大学医院。
分析2007 - 2015年期间前瞻性收集的特定围产期数据。
2007年斯洛伐克共和国有63个产科单位，分娩51,146例，活产51,650例。2015年产科单位数量降至54个，但分娩总数增至55,139例，活产数增至55,643例。早产率从2007年的7.3%升至2010年的8.5%，2015年又降至7.5%。围产期死亡率从2007年的6.2降至2013年的4.8，2014年和2015年再次上升，分别为每1000例死产和活产5.3和5.6。2007 - 2015年期间，死产占围产期死亡率的64%，低体重儿占64%，严重先天性异常占20%。2007 - 2015年期间，1000 - 1499克婴儿转运至围产医学中心的比例从57%增至66%，低于1000克婴儿从75%增至79%。
2013年斯洛伐克共和国围产医学在围产期死亡率方面取得最佳结果，为4.8（0.48%），但接下来两年升至5以上。斯洛伐克共和国在严重先天性异常的产前检测、极低体重儿的宫内转运、高危妊娠的集中管理以及产科和新生儿重症监护病房设备方面仍需改进。关键词：围产期死亡率、早产、多胎妊娠、新生儿重症监护病房、低体重、极低体重
