The analysis of perinatal morbidity and mortality in conditions of perinatal center and the ways of its decrease
DOI:
https://doi.org/10.15587/2313-8416.2016.59267Keywords:
perinatal morbidity and mortality, perinatal center, infectious and inflammatory lesions of foetus, pre-term birthAbstract
Aim of research. The analysis of perinatal morbidity and mortality in the condition of one perinatal center of Ukraine and optimization of the possible ways of its decrease.
Methods of research. There was analyze the work of Kharkiv regional center in 2011–2015 years taking into account the rates of perinatal morbidity and mortality and factors that have influence on it. There were studied the next parameters: the number of newborns, its apportionment on the weight category, survival, general morbidity, mortality structure of the full-term and premature children. Statistical processing of the received results was carried out using Statistica 6.0 program.
Results of research. The frequency of normal delivery in perinatal center is in average 58,9 %. The rates of neonatal mortality decreased– 4,11 ‰ (in 2011 year – 8,23 ‰) and early neonatal one – 3,34 ‰ (in 2011 year – 6,44 ‰). The survival of newborns with extremely low body weight (500- 999 g) in first 0-168 hours was 62,50 %; with body weight 1000 – 1499 g – 82,35 %; with body weight at delivery 1500-2499 g was 98,17 %, survival of newborns with body weight > 2500 g in the first 0-6 days was 99,75 % .
The morbidity structure of full-term children still almost unchangeable during the last 5 years: asphyxia, congenital defects of development, arrest of foetus growth, cerebral ischemia, intrauterine infection, birth trauma. The morbidity structure of premature ones: respiratory disorder syndrome, intrauterine infection; asphyxia, congenital defects of development, arrest of foetus growth.
Among the mortality causes the main ones were congenial defects of development (prevailed in full-term children) and intrauterine infection (on the first place in premature children). The perinatal mortality rate in 2015 year was 18,22 %о, in 2011year – 26,65 %о .
The maternal foetus infection is the very frequent cause of stillbirth and pre-term birth and as the result the birth of small premature children with intrauterine defects of infectious character that considerably worsen the prognosis for newborns. The timely diagnostics and treatment of pregnant from the risk group as to infectious and inflammatory injuries of foetus on the background of complex organization measures allows considerably decrease the rates of perinatal morbidity and mortality.
Conclusion. Analysis of the work of perinatal center indicates the high efficiency of such III level institutions of the obstetrical help in the decrease of perinatal morbidity and mortality in Ukraine. It is necessary to pay the special attention to prophylaxis and treatment of intrauterine infection of foetus as one of the main causes of perinatal mortality and morbidity especially in premature newborns and its timely prevention
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