Analysis of selected perinatological indicators in Slovak Republic in the years 2007 - 2018

Abstract

Objective: Analysis of perinatal mortality in Slovak Republic during the years 2007 – 2018.

Design: epidemiological perinatal nation-wide.

Settings: 1^st Department of Gynaecology and Obstetrics Faculty of Medicine, Comenius University and University Hospital, Bratislava, Slovak Republic.

Methods: The analysis of prospectively collected selected perinatal data in the years 2007 – 2018.

Results: In the year 2007 there were 63 obstetrics units, 51,146 deliveries and that of live births 51,650 in Slovak Republic. The number of obstetrics units decreased to 51 in the years 2018, total number of deliveries increased to 57,085 and that of live births increased to 57,773. Total fertility rate in the years 2007 – 2018 increased from 1.27 to 1.54. Preterm deliveries rate increased from 7.3 % in the year 2007 to 8.5 % in the year 2010 and decreased to 7 % in the year 2018. Perinatal mortality rate decreased from 6.2 in the year 2007 to 4.4 in the year 2017, increased again in the years 2018 to 5.0 and according criteria WHO to 6.6 per 1,000 still- and live-births. During the years 2007 - 2018 stillbirth participate at perinatal mortality with 65 %, low birth weight with 63 % and severe congenital anomalies with 19 %. Transport in utero to perinatological centres in the years 2007 - 2018 has increased from 57 % to 56 % for infants 1000–1499 g and from 75 % - 73 % for infants below 1000 g.

Conclusion: In the year 2017 perinatology in Slovak Republic reached the best result in perinatal mortality rate 4.4 ‰ (0.44 %), but in next year has increased over 5 ‰. To further reduce perinatal mortality in the Slovak Republic, it is necessary to improve the prenatal diagnosis of severe congenital abnormalities, transport in utero very low birth weight fetuses, centralisation of high-risk pregnancies and obstetric and personnel and material-technical equipment of obstetricians and neonatal intensive care units.