PERINATAL MORTALITY COMPONENTS IN TRANSCARPATHIAN REGION AND UKRAINE DURING 2012–2016: ACUTE PROBLEMS, CAUSES AND PROSPECTS
DOI:
https://doi.org/10.24144/2077-6594.4.2019.193528Keywords:
perinatal mortality, neonatal mortality, staffing, neonatologyAbstract
The aim of the study was to examine and analyze the dynamics of prenatal, antenatal, intra-, neonatal and postnatal mortality in Transcarpathian region; іdentify weaknesses in perinatal care and identify the possible factors that determine the level of perinatal mortality in the region.
Мaterials and methods were reports of health care institutions of Transcarpathian region № 20, annual reports of the Ministry of Health on the state of health of the population and reports of the Transcarpathian Information and Analytical Center.
Results. Perinatal and neonatal mortality rates in the Transcarpathian region decreased by 4.7% over the years studied, reaching 7.45‰ in 2016, which is 25.0% above the European average. The correlation between the dynamics of staffing reduction by neonatologists in Transcarpathian region health facilities and the level of neonatal mortality is directly dependent, strong (correlation coefficient = 0.91).
Conclusions. The level of perinatal and neonatal losses in the Transcarpathian region is much higher that in the EU countries. One of the causes of this problem is the constant reduction in the number of pediatric neonatologists in the region. This problem requires immediate solution by creating and implementing in practice an improved model for organizing the work of the perinatal service in the region.
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