PERINATAL INDICATORS IN VIROVITICA GENERAL HOSPITAL MATERNITY WARD IN THE PERIOD 1997–2006

Abstract

Stopa prirodnog priraštaja stanovništva u Virovitičko-podravskoj županiji unazad deset godina ima visoko negativan predznak (2003. godine: 4,6‰). U rodilištu Opće bolnice Virovitica u razdoblju 1997.–2006. godine broj ¬poroda je u stalnom padu, ukupno je rođeno 9165 novorođenčadi, od kojih je 418 (4,56%) bilo nedonošeno. Fetalno je ¬izgubljeno 46 (5,02‰) plodova, subpartalno 6 (0,66‰), rano neonatalno 34 (3,73‰), odnosno perinatalno je ukupno ¬umrlo 86 (9,39‰) novorođenčadi. Carskim rezom dovršeno je ukupno 1440 (15,86%) poroda, primarni carski rez učinjen je u 932 (10,27%), iterativni u 508 (5,59%) poroda i vidljiva je stalna tendencija porasta njihove učestalosti (10,31% do 20,86%), povezana s porastom učestalosti primarnih carskih rezova. Vakuum ekstrakcijom dovršeno je 258 (2,82%) poroda. Učestalost vakuum ekstrakcija i povećanje učestalosti carskih rezova nije značajno utjecalo na pad perinatalnog mortaliteta. Bilo je 80 (0,87%) preeklampsija, u 26 (0,29%) trudnica dijagnosticiran je gestacijski dijabetes, dok maternalnog mortaliteta nije bilo. Poboljšanje antenatalne zaštite, edukacija kadrova i regionalna organizacija perinatalne skrbi smanjili bi perinatalni mortalitet.Birth rate of the population in Virovitica-Podravina County has had a highly negative trend over the past ten years (2003: 4,6‰). There has been a constant decrease in the number of deliveries in Virovitica General Hospital ¬Maternity Ward in the period 1997 – 2006. Total of 9165 newborns has been delivered of them 418 (4,56%) were premature infants, 46 (5,02‰) were fetal deaths, 6 (0,66‰) subpartal, 34 (3,73‰) early neonatal. In total 86 (9,39‰) newborns perinataly died. Cesarean section was performed in 1440 (15,86%) deliveries, primary cesarean section in 932 (10,27%), and iterative in 508 (5,59%). There was an increase in its frequency (10,31% to 20,86%), due to the increase in primary cesarean sections rate. 258 (2,82%) deliveries were accomplished by vacuum extraction. The rate of vacuum extractions and increase in cesarean section did not have an effect on decrease in perinatal mortality. There have been 80 (0,87%) pre-eclampsias, 26 (0,29%) pregnant women were diagnosed with gestational diabetes and there was no maternal mortality. Improvement of antenatal care, education of staff and regional organization of perinatal care would lead to a decrease in perinatal mortality