U radu je prikazana prenatalna i perinatalna skrb trudnica na području kninske regije u razdoblju od 2000. do 2004. godine i pokazatelji prenatalnog i perinatalnog ishoda. U tom je razdoblju kontrolirano i liječeno 1135 trudnica. Najveći je broj poroda u tom razdoblju u rodilištu Opće bolnice "Hrvatski ponos"-Knin bio 2000. (262), a najmanji 2004. godine (194), što ukazuje na smanjenje broje poroda. Najveći je broj novorođenčadi (84,8%) imao rodnu masu 2500 do 3999 g. Najmanje trudnica (0,5%) nije pregledano nijednom tijekom trudnoće, a najveći broj (46,2%) pregledan je 6-8 puta; značajan broj trudnica (34,6%) je pregledano 9 i više puta tijekom trudnoće, uključujući i preglede ultrazvukom. Najveći broj poroda dovršen je vaginalno (91,6%), carskim rezom je dovršeno 8,4% trudnoća, vakuum ekstrakcija je upotrijebljena u 0,4%, a poroda blizanaca je bilo 1,5%. Najveći broj novorođenčadi imao je rodnu masu 2500 do 3999 g (84,8%), a makrosoma je bilo 12,9%. Većina rodilja otpuštena je četvrtoga dana nakon poroda (81,4%), manji je broj zadržan dulje od 4 dana (16,7%), a 1.8% novorođenčadi je upućeno u druge zdravstvene ustanove. U navedenom je razdoblju fetalni mortalitet 3,9‰, rani neonatalni mortalitet 1,6‰, a perinatalni mortalitet 6,17‰.
Zaključak: Na području kninske regije i u Općoj bolnici "Hrvatski ponos" – Knin, stručna prenatalna i perinatalna zdravstvena zaštita trudnica, rodilja i novorođenčadi je dobro organizirana s dobrim rezultatima, koji se mogu usporediti s organizacijom zdravstvene zaštite u drugim medicinskim središtima u Hrvatskoj i u svijetu.The prenatal and perinatal care of expectant mothers in Knin General Hospital for the 2000-2004 period is shown in this paper, as well as indicators of prenatal and perinatal outcomes. In this period, 1135 expectant mothers were controlled and treated. The largest amount of births in "Hrvatski ponos" Knin General Hospital was in the year 2000 (262), and the least number of births was in 2004 (194), which indicated that the number of births was decreasing. Most newborns (84.8%) weighed from 2,500-3,999 g. The least number of expectant mothers (0.5%) were not examined at all during their pregnancy, the largest number (46.2%) was examined 6-8 times, and a significant number (34.6%) was examined 9 or more times, including ultrasonic examination. The largest number of births (91.6%) were vaginal, then by Caesarean section (8.4%), and by vacuum extraction (0.4%); the birth of twins made up to 1.5%. Most newborns (84.8%) weighed from 2,500-3,999 g, and macrosomes counted 2.9%. Most mothers were released the fourth day following birth (81.4%), some of them were released after more than 4 days (16.7%), and 1.8% of newborn children were redirected to other health facilities. In this period fetal mortality was 3.9%, early neonatal mortality 1.6%, and perinatal mortality 6.17%.
Conclusion: In the Knin area and in "Hrvatski ponos" General Hospital, expert prenatal and perinatal health protection of expectant mothers and newborn children is well organized with good results, which can be compared to the organization of health protection in other medical centres in Croatia and in the world
