Stembera Z
Ustav pro péci o matku a dítĕ, Praha.
Ceska Gynekol. 1996 Dec;61(6):327-32.
The author analyzes the delay in historical development as regards establishment of perinatological centres in the Czech Republic, as compared with other advanced countries, the task of these centres being specialized care of women with the most serious pathological conditions during pregnancy, with premature labour before the 32nd week, and care of there newborn babies. By means of three internationally recognized criteria which evaluate the quality of this care marked improvement of care of these women and neonates was found in 12 officially established centres in the Czech Republic, as compared with other maternity hospitals. This contributed in a major way to the nationwide reduction of the perinatal mortality. At the same time considerable differences were found in the results of this care between different centres and also inadequate centralization of women with the mentioned complications into perinatological centres. The revealed shortcomings will stimulate provisions for the improvement of perinatal care in the Czech Republic.
作者分析了捷克共和国围产医学中心的建立在历史发展方面相对于其他发达国家的延迟情况。这些中心的任务是对孕期患有最严重病理状况的妇女、怀孕32周前早产的妇女及其新生儿进行专门护理。通过三项国际认可的评估这种护理质量的标准发现，与其他妇产医院相比，捷克共和国12家正式设立的中心对这些妇女和新生儿的护理有了显著改善。这在很大程度上有助于全国围产儿死亡率的降低。同时，不同中心之间在这种护理结果上存在相当大的差异，而且患有上述并发症的妇女向围产医学中心的集中程度也不够。所发现的这些缺点将促使捷克共和国改进围产护理工作。
