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Review
. 2015:2015:537318.
doi: 10.1155/2015/537318. Epub 2015 Nov 29.

Perinatal Health Statistics as the Basis for Perinatal Quality Assessment in Croatia

Urelija Rodin  1 , Boris Filipović-Grčić  2 , Josip Đelmiš  3 , Tatjana Glivetić  4 , Josip Juras  3 , Željka Mustapić  2 , Ruža Grizelj  2
Affiliations
Review

Perinatal Health Statistics as the Basis for Perinatal Quality Assessment in Croatia

Urelija Rodin et al. Biomed Res Int. 2015.

Abstract

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.

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Figures

Figure 1
Figure 1
Fetal mortality attributed to gestational age subgroup (per 1,000 total births).
Figure 2
Figure 2
Early neonatal mortality attributed to gestational age subgroup (per 1,000 live births).
Figure 3
Figure 3
Distribution of pregnant women in relation to antenatal visits in the period 2001–2014.
Figure 4
Figure 4
Distribution of pregnant women by ultrasound examination frequency in the period 2001–2014.
Figure 5
Figure 5
The proportion of caesarean sections in Croatia and EU average per 100 live births in the period 2001–2014.
See this image and copyright information in PMC

References

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