Avtor/Urednik		Šajina-Stritar, Barbara; Pestevšek, Maja
Naslov		Transport in utero v porodnišnici Ljubljana
Prevedeni naslov		Transport in utero in maternity hospital of Ljubljana
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 37, št. 3-4
Leto izdaje		1998
Obseg		str. 147-9
Jezik		slo
Abstrakt		Transport in utero (TIU) is the transfer of pregnant woman in need of special obstetrical treatmentand/or of the newborn who will be in need of special treatment and/or care from the local maternity hospital into an adequate. Centre of perinatal care. TIU in Slovenia is organized since the year 1985. With the opening of the new maternity hospital in Ljubljana, the number of TIU increased from 66 in the year 1978 to 188 in 1990, oscillating in the last years between 150 and 180 yearly. After the year 1990 rom 1,0 to 1,3% of all the pregnant women in Slovenia were transferred to Ljubljana. Since 1990, TIU accounts for 2,5 to 3% of all deliveries. Most frequent indications for TIU were: premature rupture of fetal membranes (44%), iminnt premature delivery (27%), placental anomalies (9%), fetal anomalies (6%), diseases of mother (5%), intrauterine cessation of fetal growth (3%) and hypertension in pregnancy (3%). 45% of children were born between 28 and 33 week of gestation. 70% of children born after TIU needed intensive therapy and/or care. In spite of the fact, that these children were more ill and needed a more intensive treatment than other newborns, their rate of survival was between 75 and 95%.
Izvleček		TIU je premestitev nosečnice, ki potrebuje specializirano porodniško zdravljenje in/ali katere novorojenec, bo potreboval specializirano zdravljenje in/ali nego, iz lokalne porodnišnice v ustrezni perinatalni center. TIU v organizirani obliki v Sloveniji poteka od leta 1985. Z odprtjem nove porodnišnice se je število TIU na leto povečalo od 66 leta 1987 na 188 leta 1990, v zadnjih letih je nihalo med 150 do 180 na leto. V Sloveniji je bilo po letu 1990 od 1,0 do 1,3% vseh nosečnih transportiranih v Ljubljani. Po letu 1990 je v ljubljanski porodnišnici 2,5 do 3% porodov odpadlo na TIU. Najpogostejše indikacije za TIU so bile predčasni razpok mehurja (44%), grozeč prezgodnji porod (27%), nepravilnosti lacente (9%), anomalije ploda (6%), bolezni matere (5%), znotrajmaternični zastoj v rasti ploda (3%) in gestacijska hipertenzija (3%). Petinštirideset odstotkov otrok se je rodilo med 28. in 33. tednom gestacije. Sedemdeset odstotkov otrok rojenih po TIU je potrebovalo intenzivno zdravljenje in/ali nego. Kljub temu, da so bili ti otroci bolj bolni in so potrebovali intenivnejše zdravljenje, kot ostali novorojenci, se je njihovo preživetje gibalo med 75 in 95%.
Deskriptorji		PREGNANCY COMPLICATIONS PRENATAL CARE PRENATAL DIAGNOSIS TRANSPORTATION OF PATIENTS PREGNANCY OBSTETRICAL NURSING