PERINATAL EVENTS IN THE MATERNITY HOSPITAL NOVA BILA IN THE PERIOD 1999–2003

Abstract

U razdoblju od 1999. do 2003. godine porođeno je 3478 žena i rođeno 3504 djece. Bolnica je druge razine i obavlja porode od 34. do 43. tjedna trudnoće. Trudnice s trudnoćom manje gestacijske dobi, ultrazvučno dijagnosticiranim anomalijama fetusa, kao i trudnice s bolestima za čije zbrinjavanje nije dostatna opća bolnica, upućuju se u nadležni klinički centar. Najveći broj poroda zabilježen je 2000. godine, a od tada broj poroda postupno opada. Raste broj poroda dovršenih carskim rezom. Broj rođene djece gestacijske dobi manje od 37 tjedana raste, ukupno ih je rođeno 118 (3,4%). Perinatalni mortalitet je bio 8,27‰; fetalni mortalitet je bio 5,42‰, a rani neonatalni 2,85‰. U našoj populaciji se uočava veći broj hipertrofične djece (16,67%) što povećava broj operativno dovršenih poroda. Bolnica je od studenog 2000. godine dio lanca »Bolnica prijatelj djece« i očevima omogućuje prisustvovanje porodu, ali posjete nakon poroda nisu dozvoljene.The hospital in Nova Bila is a small hospital of the 2-nd level, it is a member of the »Baby friendly hospi-tals« chain. The hospital usually operates the deliveries between 34 and 43 weeks. Pregnant women with pregnancy of less than 34 weeks, those with by ultrasound diagnosed fetal anomalies, as well the pregnant women with diseases that cannot be successfully treated at the 2-nd level hospital, are sent to the higher level clinical center. In the period 1999–2003 were 3478 deliveries and 3505 newborns. The highest number of deliveries was in 2000 and thereafter the number is gradually decreasing. The rate of cesarean section is rising, up to 19.57% in the year 2003. In the whole period the rate of pre-term births was 3.4%. Perinatal mortality was 8.27‰, the fetal 5.42‰ and the early neonatal 2.85‰. The rate of overweight newborns was 16.67%, the data which partially could explain the high rate of CS. The father may be present to the birth but after deliveries the visits are not allowed