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Comparison of outcomes of perinatal care in Slovakia and the UK
- Source :
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 123(2)
- Publication Year :
- 2013
-
Abstract
- Objective To investigate whether there are differences in maternal and perinatal outcomes between Slovakia and the UK, and whether any observed variations can be attributed to differences in perinatal care. Methods Data on outcomes of perinatal care in Slovakia and the UK between 2006 and 2010 were compared. Perinatal mortality figures included stillbirths weighing 1000 g or more and early neonatal deaths. Results In Slovakia, the perinatal mortality rate was significantly higher than that in the UK (RR 1.12; 95% CI, 1.06–1.18). Cesarean delivery was significantly more frequent in Slovakia (RR 1.05; 95% CI, 1.05–1.06); instrumental vaginal delivery was less frequent (ventouse delivery, RR 0.20; 95% CI, 0.19–0.21; forceps delivery, RR 0.09; 95% CI, 0.09–0.10). Episiotomy and peripartum hysterectomy were performed more often in Slovakia (episiotomy, RR 4.10; 95% CI, 4.07–4.12; peripartum hysterectomy, RR 2.02; 95% CI 1.65–2.47). The incidence of eclampsia was significantly higher in Slovakia (RR 1.60; 95% CI, 1.26–2.04). There were no significant differences in the rates of maternal death. Conclusion Perinatal care outcomes and intervention rates differ between Slovakia and UK. This may be explained by differences in outcome definitions, perinatal care, and official encouragement of medical complaints.
- Subjects :
- Episiotomy
Slovakia
Pediatrics
medicine.medical_specialty
medicine.medical_treatment
Perinatal care
Hysterectomy
Pregnancy
medicine
Humans
Eclampsia
Prospective Studies
Perinatal Mortality
Cesarean Section
Perinatal mortality
business.industry
Vaginal delivery
Incidence
Incidence (epidemiology)
Infant, Newborn
Pregnancy Outcome
Obstetrics and Gynecology
General Medicine
Delivery, Obstetric
medicine.disease
United Kingdom
Perinatal Care
Maternal Mortality
Female
Maternal death
Neonatal death
business
Subjects
Details
- Language :
- English
- ISSN :
- 18793479 and 00207292
- Volume :
- 123
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
- Accession number :
- edsair.doi.dedup.....83ffd99f5e9c402636273ca0a8108615