Perinatal Health Statistics as the Basis for Perinatal Quality Assessment in Croatia
| Autor: | Boris Filipović-Grčić, Ruža Grizelj, Urelija Rodin, Josip Đelmiš, Tatjana Glivetic, Željka Mustapić, Josip Juras |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Pediatrics Nema Quality Assurance Health Care Article Subject Croatia Birth weight lcsh:Medicine Gestational Age Context (language use) Review Article General Biochemistry Genetics and Molecular Biology Pregnancy Infant Mortality Humans Medicine Perinatal Mortality General Immunology and Microbiology business.industry Quality assessment Obstetrics lcsh:R Infant Newborn Infant Gestational age General Medicine medicine.disease Infant mortality Perinatal Care Standardized mortality ratio Fetal Mortality Female Live birth business Live Birth |
| Zdroj: | BioMed Research International, Vol 2015 (2015) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | Context. Perinatal mortality indicators are considered the most important measures of perinatal outcome. The indicators reliability depends on births and deaths reporting and recording. Many publications focus on perinatal deaths underreporting and misclassification, disabling proper international comparisons.Objective. Description of perinatal health care quality assessment key indicators in Croatia.Methods. Retrospective review of reports from all maternities from 2001 to 2014.Results. According to reporting criteria for birth weight ≥500 g, perinatal mortality (PNM) was reduced by 31%, fetal mortality (FM) by 32%, and early neonatal mortality (ENM) by 29%. According to reporting criteria for ≥1000 g, PNM was reduced by 43%, FM by 36%, and ENM by 54%. PNM in ≥22 weeks’ (wks) gestational age (GA) was reduced by 28%, FM by 30%, and ENM by 26%. The proportion of FM at 32–36 wks GA and at term was the highest between all GA subgroups, as opposed to ENM with the highest proportion in 22–27 wks GA. Through the period, the maternal mortality ratio varied from 2.4 to 14.3/100,000 live births. The process indicators have been increased in number by more than half since 2001, the caesarean deliveries from 11.9% in 2001 to 19.6% in 2014.Conclusions. The comprehensive perinatal health monitoring represents the basis for the perinatal quality assessment. |
| Databáze: | OpenAIRE |
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