Author/Editor		Andolšek-Jeras, Lidija
Title		Pomen reproduktivnega zdravstvenega varstva na primarni ravni
Translated title		Reproductive women's health care at primary level
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. Suppl 2
Publication year		2003
Volume		str. II-61-3
Language		slo
Abstract		Background. The author discusses development and succcess of up to date reproductive health care provision of women at primary Level Health indicators show 98% pregnant women attendency in prenatal care, 99% deliveries in maternity hospitals, figures comparable to the West European ones. Perinatal mortality (8/1000 livebirths) place Slovenia to the middle of the european scale. Infant mortality rate was reduced to 6/1000 livebirths and is very low compared to otherEuropean countries, while maternal mortality rate (27.6/100, 000 livebirths) is among the highest in Europe. Abortion rates are reduced to 16/1000 women of fertile age, mostly in the group of younger minors (2/1000), use of contraceptives (intrauterine device, hormonal contraceptive) is increasing. Due to increasing incidence of cervical cancer, the programme ZORA, active screening is organised. After 1992 Health reform the accessibility of reproductive health care provision is less favourable, restriction of reproductive rights is noticed, while the number of women who chose their personal gynecologist is progressing. In the article the author presents different views of the possible future development of reproductive health care provision at primary level.
Summary		Izhodišča. Prispevek prikazuje razvoj in uspehe dosedanje organiziranosti zdravstvenega varstva (ZV) žensk in varovanja reproduktivnega zdravja na primarni ravni. Zdravstveni kazalci izkazujejo 98-odstotni obisk v posvetovalnicah, 99-odstotno rojevanje v porodnišnicah, kazalci perinatalne umrljivosti 8/1000 rojstev nas uvrščajo na sredino evropske lestvice, v umrljivosti dojenčkov (6/1000 živorojenih) smo na solidnem mestu, po maternalni umrljivosti pa med najslabšimi v Evropi (27,6/100.000 živorojenih). Splavnost se je znižala na 16/1000 žensk rodne dobe, najbolj v skupini mlajših mladostnic (2/2000). Raba kontracepcijskih pripomočkov (maternični vložek, hormonska kontracepcija) počasi narašča. Zaradi naraščanja incidence raka na materničnem vratu je organiziran aktivni pristop k presejanju (program ZORA). Po zdravstveni reformi leta 1992 se je poslabšala dostopnost do reproduktivnega zdravstvenega varstva. Kažejo se omejitve reproduktivnih pravic, opredelitev za izbranega ginekologa pa se postopno izboljšuje. V prispevku so predstavljena različna stališča glede razvoja varovanja reproduktivnega zdravja na primarni ravni v prihodnosti.
Descriptors		MATERNAL HEALTH SERVICES PREVENTIVE MEDICINE REPRODUCTIVE MEDICINE INFANT MORTALITY MATERNAL MORTALITY ABORTION, LEGAL CONTRACEPTIVES, ORAL, HORMONAL PRIMARY HEALTH CARE