Author/Editor     Bregant, Lev; Truden-Dobrin, Polonca; Rudolf, Andreja
Title     Vpliv intenzivne terapije na umrljivost novorojenčkov
Type     članek
Source     In: Cerar V, Novak-Antolič Ž, editors. Desetletnica Porodnišnice Ljubljana. Zbornik prispevkov 4. strokovni sestanek; 1997 dec 20; Ljubljana. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year     1998
Volume     str. 103-12
Language     slo
Abstract     Over the last decade, neonatal mortality has decreased from 11.5 per 1000 to 8.2 per 1000 live births in all Slovenian maternity hospitals, thus achieving the level of developed European countries. This decrease is due to improved work of gynecologist/obstetricians and of pediatricians/neonatologists. In 1996, the overall neonatal mortality was 2.9 per 1000 live births; with newborns of less than 1000g excluded, neonatal mortality decreased to 1.8per 1000 live births, and if also congenital malformations were excluded from the analysis, the neonatal mortality was only 0.8 per 1000 live births. Early and late neonatal mortality rates are higher in the Ljubljana Maternity Hospital than in other Slovenian maternity hospitals, the reson being a higher percentage of preterm newborns and newborns at risk, treated at the Neonatal Intensive Therapy and Care Unit of the Ljubljana Maternity Hospital. The overall neonatal mortality was thus 3.6 per 1000 live births. When newborns weighing less than 1000g were excluded, neonatal mortality decreased to 2.3. When also the newborns that died for congenital malformations were excluded from analysis, neonatal mortality was only 0.7. In the Ljubljana Maternity Hospital, the main cause of neonatal mortality are congenital malformations, whereas in other Slovenian maternity hospitals it is hypoxia. The permanent decreasing trend of neonatal mortality is evident. Almost one half of newborns, either in the Ljubljana or in other Slovenian maternity hospitals, die on the first day of life, but then the survival rate increases with every new day.
Descriptors     INFANT, NEWBORN, DISEASES
INTENSIVE CARE UNITS, NEONATAL
INFANT MORTALITY
INFANT, NEWBORN
ABNORMALITIES
FETAL DEATH
ASPHYXIA NEONATORUM
CEREBRAL HEMORRHAGE
INFANT, PREMATURE
RESPIRATORY DISTRESS SYNDROME
GESTATIONAL AGE
BIRTH WEIGHT
TIME FACTORS