CHARACTERISTICS OF OPERATION OF THE NEONATOLOGICAL SERVICE IN THE RIVNE REGIONAL PERINATAL CENTER
DOI:
https://doi.org/10.11603/24116-4944.2019.1.10175Keywords:
newborns, premature births, fertility, neonatal mortality, morbidity, survival rate.Abstract
The aim of the study – to assess the main indicators of the neonatal service of the Rivne Regional Perinatal Center during recent years.
Materials and Methods. A retrospective statistical analysis of the dynamics of the main indicators of Department of Intensive Care of Newborns of the Rivne Regional Perinatal Center – fertility, morbidity, neonatal mortality for the period 2016–2018 years was carried out.
Rresults and Discussion. The analysis of fertility in the Rivne Regional perinatal center shows a decrease in the birth rate in the region, while the number of premature infants does not decrease, amounting to 8.7–8.9 %. Indicators of neonatal mortality in the region and in the perinatal center are reduced. In the structure of death mortality is dominated by hypoxic-ischemic disorders of the nervous system, congenital malformations, intrauterine infections, deep morpho-functional immaturity. Congenital heart defects that are incompatible with life or in combination with multiple birth defects prevail in the structure of congenital malformations. In the Rivne perinatal center, the survival rate of preterm infants with an extremely low birth weight has a stable tendency to increase from 25 % in 2016 to 40 % in 2018. The structure of the disease is dominated by neonatal encephalopathy, congenital malformation, infectious pathology.
Conclusion. The evaluation of the main neonatal indicators of the Rivne Regional Perinatal Center during the last years reveals the advantages and difficulties in the activity of the neonatal service of the region.
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