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BioMed Research International
Volume 2015 (2015), Article ID 537318, 9 pages
http://dx.doi.org/10.1155/2015/537318
Review Article

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

1School of Medicine, University of Zagreb, School of Public Health “A. Štampar”, Croatian Institute of Public Health, Rockefellerova 4, 10000 Zagreb, Croatia
2School of Medicine, University of Zagreb, Clinical Hospital Center Zagreb, Department of Pediatrics, Kišpatićeva 12, 10000 Zagreb, Croatia
3School of Medicine, University of Zagreb, Clinical Hospital Center Zagreb, Department of Obstetrics and Gynecology, Petrova 13, 10000 Zagreb, Croatia
4General Hospital Zabok, Trg Dragutina Domjanića 6, 49210 Zabok, Croatia

Received 5 June 2015; Revised 7 October 2015; Accepted 9 November 2015

Academic Editor: Malgorzata Bala

Copyright © 2015 Urelija Rodin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.