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Vol.23 Supl.1

22ND KONFERENCE ON PERINATAL MORTALITY IN REPUBLIC OF CROATIA

 

Date: January 2014.

CONTENT:

PERINATAL MORTALITY IN REPUBLIC OF CROATIA IN THE YEAR 2013 (Vol.23 Supl.1, p.S3-S18)

Authors:

Josip Đelmiš, Josip Juras, Urelija Rodin

Original paper

Summary:

In the Republic of Croatia in the year 2013. 40314 infants with birthweight ³500 grams (1748 less than in previous 2012) and 40151 infants with birthweight ³1000 grams have been born. In the year 2013 the incidence of preterm infants was 6.49% and of those LBW 4.91%. Perinatal mortality for infants ³1000 grams was 3.5‰ and for those ³500 g 5.8‰. Fetal mortality for infants ³1000 g was 2.5‰ and for those ³500 g 3.6‰. The corresponding early neonatal mortality was 1.0‰ and 2.2‰. Eight fetuses died intra partum i.e. 0.20‰. The early neonatal mortality decreases with increase of body weight: for infants 500–999 grams was 405.0‰, for that 1000–1499 g 60.2‰, for 1500–1999 g 20.8‰, for 2000–2499 g 4.0‰, and for infant’s ³2500 grams 0.4‰. During pregnancy, labor or puerperium died two women; maternal mortality was 4.97/100,000. 11.2 ecclampsias were registered i.e. 0.28‰. By cesarean section were accomplished 7878 births i.e. 19.86, there is increase (0.16%) in relation to the previous year 2012. The repeated CSs formed 31.15% of all sections. Out of 3372 gravidas with previous CS in 71.86% the pregnancy was again accomplished by repeated CS.Out of 1393 breech presentations the 1118 (80.26%) of them were accomplished by CS. The antenatal care showed mild increase in relation to previous year: the mean number of antenatal visits per pregnant patient was 8.95 the 66.35% of pregnant patients had ³9 visits, the 30.55% of them ³10 visits; however 2.61% of pregnant women had no visit or 1–2 visits, 4.77% 3–5 visits. The mean value of ultrasound examination was 4.74; the 79.01% of patients had ³4 US examinations, the 55.41% of them ³5 examinations. In the 3-rd level hospitals, in those with NICU, the fetal, early neonatal and perinatal mortality were lower for infants 500–1499 grams. The primary task of the perinatal care in Croatia would be the institutional organization of the hospitals on the 3-rd and 2-nd level, with NICU units, along with additional supply of technology and human resources.

Key words:

perinatal mortality, maternal mortality, preterm delivery, ecclampsia, cesarean section, antenatal care

 


PERINATAL DEATH’S CAUSES IN CROATIA IN THE YEAR 2013 (Vol.23 Supl.1, p.S19-S24)

Authors:

Urelija Rodin, Boris Filipović-Grčić, Tanja Ćorić, Josip Juras

Original paper

Summary:

In the year 2013 perinatal mortality in Croatia was 5,8‰ for total births ³500 birth weight and 6,2‰ for total births ³22 gestational weeks, without significant differences in relation to 2011–2012 period. Preterm early neonatal deaths were 86% of all early neonatal deaths and stillbirths 78% of all stillbirths. The leading causes of stillbirths were pregnancy-related complications in 56.4%, in the most cases connected with placenta and cord disorders (40.1% of all fetal deaths), perinatal infection (14.1%), undetermined or unknown causes (10.3%), mother’s diseases/disorders (9.6%), congenital malformations (9.0%) and birth asphyxia (0.6%). The leading causes of early neonatal deaths were pregnancy-related complications in 36.6%, following by perinatal infections in 29%, congenital malformations in 22.6% cases, immaturity without other diagnosis (6.5%), mother’s diseases/disorders (4.3%) and birth asphyxia (1.1%).

Key words:

Key words: perinatal mortality, causes of perinatal deaths

 


PATTERNS OF NEWBORNS’ DEATHS TO DISCHARGE FROM HOSPITAL IN CROATIA IN THE YEAR 2013 (Vol.23 Supl.1, p.S25-S32)

Authors:

Boris Filipović-Grčić, Željka Mustapić, Hrvoje Kniewald, Urelija Rodin, Dorotea Bartoniček, Ruža Grizelj, Jasminka Stipanović-Kastelić, Dorotea Ninković, Snježana Gverić-Ahmetašević, Milan Stanojević, Ivanka Antončić Furlan, Marija Bucat, Branimir Peter, Vesna Milas, Jesenka Borošak, Ana Čolić, Linda Pavić, Karmen Magaš, Ivan Krajinović, Mirna Milevoj-Ražem, Renata Kmet, Svjetlana Razum

Original paper

Summary:

Early neonatal mortality (ENM) was in 2013 in Croatia for newborns of all birth-weights (BW), including those of BW <500 g 2,2 ‰, higher than in the previous year. Neonatal mortality (NM) was also higher than in 2011. (2,8‰ vs. 2,2‰). Mortality to discharge from hospital (MDH) was also increased in comparison to the previous year (2,9‰ vs 2,4‰) ENM for all infants did 75,4% of MDH, and other 24,6% infants died after the first week of life. Mortality trends through the years show that previous (2013) year represent return to these trends. Mortality reductions, which were observed in 2012, were incidental.

In the year 2013 three fourths of newborns of BW <1500 g were born in maternities of IIIrd level. Through the years the proportion of these infants born in maternities of IIIrd level is increasing, but that proportion is decreasing in last few years. Comparisons of ENM and NM with some European countries show the possibility of further improvement in perinatal indicators.

Key words:

newborn, ELBW, VLBW, infant, mortality till discharge from hospital

 


CUMULATIVE DATA ON FETAL, EARLY NEONATAL AND PERINATAL MORTALITY IN MATERNITY WARDS OF REPUBLIC OF CROATIA IN THE YEAR 2013 (Vol.23 Supl.1, p.S33-S48)

Authors:

doc. dr. sc. Urelija Rodin, prof. dr. sc. Josip Josip Đelmiš, prof. dr. sc. Boris Filipović Grčić, prim. dr. sc. Milan Stanojević

 

 


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Vrijeme održavanja kongresa: 22.- 24. listopad 2015.