Analysis of selected perinatological indicators in the Slovak Republic in the years 2007–2018


Authors: Korbeľ M. 1;  Kaščák P. 2;  Nižňanská Z. 1
Authors‘ workplace: I. gynekologicko-pôrodnícka klinika LF UK a UN Bratislava, Slovenská republika 1;  Gynekologicko-pôrodnícka klinika FN UAD Trenčín, Slovenská republika 2
Published in: Ceska Gynekol 2021; 86(2): 102-109
Category: Original Article
doi: 10.48095/cccg2021102

Overview

Objective: Analysis of perinatal mortality in the Slovak Republic during the years 2007–2018. Methods: Analysis of prospectively collected selected perinatal data in the years 2007–2018. Results: In the year 2007, there were 63 obstetrics units, 51,146 deliveries and that of live births 51,650 in the Slovak Republic. The number of obstetrics units decreased to 51 in the years 2018, the total number of deliveries increased to 57,085 and that of live births increased to 57,773. The total fertility rate in the years 2007–2018 increased from 1.27 to 1.54. The preterm deliveries rate increased from 7.3% in the year 2007 to 8.5% in the year 2010 and decreased to 7% in the year 2018. The perinatal mortality rate decreased from 6.2 in the year 2007 to 4.4 in the year 2017, increased again in the years 2018 to 5.0 and according to the criteria of WHO (World Health Organization) to 6.6 per 1,000 still- and live-births. During the years 2007–2018 at perinatal mortality stillbirth participate with 65%, low birth weight with 63% and severe congenital anomalies with 19%. Transport in utero to perinatological centers in the years 2007–2018 has decreased from 57 to 56% for infants 1,000–1,499 g and from 75 to 73% for infants below 1,000 g. Conclusion: In the year 2017, perinatology in the Slovak Republic reached the best result in the perinatal mortality rate – 4.4‰ (0.44%), but has increased to over 5‰ next year. To further reduce perinatal mortality in the Slovak Republic, it is necessary to improve the prenatal dia­gnosis of severe congenital abnormalities, transport in utero of very low birth weight fetuses, centralization of high-risk pregnancies, obstetric personnel and material-technical equipment of obstetricians and neonatal intensive care units.

Keywords:

perinatal mortality – preterm delivery – multiple pregnancy – low birth weight – very low birth weight – total fertility rate


Sources

1. Korbeľ M, Borovský M, Danko J et al. Regionálna analýza perinatálnych výsledkov v SR za rok 2007. Gynekol prax 2009; 7(1): 9–14.

2. Korbeľ M, Borovský M, Danko J et al. Analýza perinatálnych výsledkov v SR za rok 2008. Gynekol prax 2010; 8(1): 37–43.

3. Korbeľ M, Borovský M, Danko J et al. Analýza perinatálnych výsledkov v SR za rok 2009. Gynekol prax 2010; 8(4): 193–199.

4. Korbeľ M, Borovský M, Danko J et al. Analýza perinatologických výsledkov Slovenskej republiky v rokoch 2007–2009. Ceska Gynekol 2011; 76(1): 18–24.

5. Korbeľ M, Borovský M, Danko J et al. Analýza perinatálnych výsledkov v SR za rok 2010. Gynekol prax 2011; 9(2): 95–102.

6. Korbeľ M, Borovský M, Danko J et al. Perinatálna morbidita a mortalita v Slovenskej republike v roku 2011. Gynekol prax 2013; 11(1): 13–19.

7. Korbeľ M, Borovský M, Danko J et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2012. Gynekol prax 2014; 12(1): 20–25.

8. Korbeľ M, Borovský M, Danko J et al. Pôrody a potraty v Slovenskej republike v roku 2012. Gynekol prax, 2014; 12(1): 7–12.

9. Korbeľ M, Borovský M, Danko J et al. Analýza materskej morbidity v Slovenskej republike v roku 2012. Gynekol prax 2014; 12(1): 13–19.

10. Korbeľ M, Borovský M, Danko J et al. Pôrody a potraty v Slovenskej republike v roku 2013. Gynekol prax 2015; 13(4): 155–159.

11. Korbeľ M, Borovský M, Danko J et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2013. Gynekol prax 2015; 13(4): 167–172.

12. Korbeľ M, Borovský M, Danko J et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2014. Gynekol prax 2016; 14(2): 60–65.

13. Korbeľ M, Borovský M, Danko J et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2015. Gynekol prax 2016; 15(1): 12–17.

14. Korbeľ M, Krištúfková A, Borovský M et al. Porovnanie perinatálnej mortality v Slovenskej republike v rokoch 2007–2009 a v rokoch 2010–2012. Ceska Gynekol 2016; 81(4): 244–252.

15. Korbeľ M, Nižňanská Z, Kosibová Z et al. Pôrody a potraty v Slovenskej republike v roku 2015. Gynekol prax 2017; 15(1): 6–11.

16. Korbeľ M, Nižňanská Z, Kosibová Z et al. Pôrody a potraty v Slovenskej republike v roku 2016. Gynekol prax 2018; 16(1): 6–11.

17. Korbeľ M, Nižňanská Z, Kaščák P et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2016. Gynekol prax 2018; 16(1): 12–18.

18. Korbeľ M, Krištúfková A, Daniš J et al. Perinatálna mortalita a morbidita v Slovenskej republike v rokoch 2007–2015. Ceska Gynekol 2018; 83(6): 424–433.

19. Korbeľ M, Nižňanská Z, Kosibová Z et al. Pôrody a potraty v Slovenskej republike v roku 2017. Gynekol prax 2019; 17(2): 62–67.

20. Korbeľ M, Nižňanská Z, Kaščák P et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2017. Gynekol prax 2019; 17(2): 68–74.

21. Korbeľ M, Nižňanská Z, Kosibová Z et al. Pôrody a potraty v Slovenskej republike v roku 2018. Gynekol prax 2020; 18(2): 61–66.

22. Korbeľ M, Nižňanská Z, Kaščák P et al. Perinatálna mortalita a morbidita v Slovenskej republike v roku 2018. Gynekol prax 2020; 18(2): 67–72.

23. Kristufkova A, Korbel M, Borovsky M et al. Comparison of outcomes of perinatal care in Slovakia and the UK. Int J Gynaecol Obstet 2013; 123(2): 131–134. doi: 10.1016/ j.ijgo.2013.05.021.

24. European Perinatal Health Report. Health and care of pregnant women and babies in Europe in 2010. 2018 [online]. Available from: https:/ / www.europeristat.com/ reports/ european-perinatal-health-report-2010.html.

25. European Perinatal Health Report. Core indicators of health and care of pregnant women and babies in Europe in 2015. 2018 [online]. Available from: https:/ / www.europeristat.com/ index.php/ reports/ european-perinatal-health-report-2015.html.

26. Eurostat. Total fertility rate. 2021 [online]. Available from: http:/ / ec.europa.eu/ eurostat/ en/ web/ products-datasets/ -/ TPS00199.

27. The World Bank. Fertilty rate, total (birts per woman). 2021 [online]. Available from: http:/ / data.worldbank.org/ indicator/ SP.DYN.TFRT.IN?.

28. Eurostat. Fertility statistics. 2015 [online]. Available from: http:/ / epp.eurostat.ec.europa.eu/ statistics_explained/ index.php/ Fertility_ statistics.

29. Roser M. Our World in Data. Fertility rate. 2018 [online]. Available from: http:/ / ourworldindata.org/ fertility-rate.

30. Štatistika v súvislostiach – Hlavné trendy vývoja plodnosti v SR v roku 2019. Demografia a sociálna štatistika. Bratislava: Ústredie ŠÚ SR 2020.

31. Národné centrum zdravotníckych informácií. Starostlivosť o rodičku a novorodenca v SR 2018. 2020 [online]. Dostupné na: http:/ / www.nczisk.sk/ Aktuality/ Pages/ Starostlivost-o-rodicku-a-novorodenca-v-Slovenskej-republike-2018.aspx.

32. Velebil P, Křepelka P. Analýza výsledků perinatální péče v ČR za rok 2018. Celoslovenský rozbor perinatálnej a materskej morbidity a mortality za rok 2018 s medzinárodnou účasťou. 31. 5.–1. 6. 2019, Nižná na Orave.

33. Campbell OM, Cegolon L, Macleod D et al. Length of stay after childbirth in 92 countries and associated factors in 30 low- and middle-income countries: compilation of reported data and cross-sectional analysis from national­­ly representative surveys. PLoS Med 2016; 13(3): e1001972. doi: 10.1371/ journal.pmed.1001972.

34. WHO recommendations on postnatal care of the mother and newborn. Geneva: World Health Organizaiton 2013.

35. NCZI. Zdravotnícka ročenka Slovenskej republiky. 2019 [online]. Dostupné na: www.nczisk.sk/ Documents/ rocenky/ 2019/ Zdravotnicka_rocenka_Slovenskej_republiky_2019.pdf.

36. Committee on the Elimination of Discrimination against Women. Concluding observations on the combined fifth and sixth periodic reports of Slovakia. CEDAW/ C/ SVK/ CO/ 5–6. 2017 [online]. Available from: https:/ / tbinternet.ohchr.org/ Treaties/ CEDAW/ Shared%20Documents/ SVK/ CEDAW_C_SVK_CO_5-6_Add-1_20577_E.pdf.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

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