engleski

Changing pattern of neonatal mortality of VLBW infants in Croatia in 1998-99 and ten years later - population survey

Aim: Analysis of VLBW newborns' mortality and comparison over ten- year period. Methods: Data were collected from nurseries and NICUs embracing all VLBW newborns in Croatia. Results:Total of 663 VLBW newborns born in 1998-99, and 345 who were born in 2008, are analysed. Early neonatal mortality (ENM) and mortality to discharge from hospital (MDH) are shown in the table. Conclusion: ENM and MDH are reduced over the time. Efforts of neonatal sevices to reduce neonatal mortality could be realised as excess of "later mortality", neonatal sevices in BW groups of 500-599, 700-899 g reduced ENM substantially more than MDH. Apart of increased knowledge and experience in intesive care of newborns, as well as better equipment in maternities and NICUs, important increase in proportion if VLBW newborns who were born in maternities with NICU occurred, from 61% in 1998- 99 to 81% in 2008. Extent of contribution if increased regionalization of perinatal care to reduction of neonatal mortality is unknown.

neonatal mortality ; VLBWI

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