Perinatal health statistics as the basis for perinatal quality assessment in Croatia

Scientific paper - Original scientific paper

• Author: Urelija Rodin
• Author: Boris Filipović-Grčić
• Author: Josip Đelmiš
• Author: Tatjana Glivetić
• Author: Josip Juras
• Author: Željka Mustapić
• Author: Ruža Grizelj
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

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.

• Keywords (english): Croatia; Female; Fetal Mortality/trends; Gestational Age; Humans; Infant; Infant Mortality/trends; Infant, Newborn; Live Birth; Perinatal Care; Perinatal Mortality/trends; Pregnancy; Quality Assurance, Health Care
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: BioMed Research International
• Numbering: vol. 2015, p. 537318
• p-ISSN: 2314-6133
• DOI: https://doi.org/10.1155/2015/537318
• URN:NBN: urn:nbn:hr:105:978397
• Publication: 2015-11-29
• Document URL: https://doi.org/10.1155/2015/537318
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 08:49:41