THE ROLE OF THE PERINATAL CENTER IN THE REGULATION OF PERINATAL CARE IN PREMATURITY PARTURITION THE YAROSLAVL REGION
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Abstract
Objective – to assess the role of Perinatal center in Yaroslavl region in process of providing perinatal care by comparing the results of work in assisting with prematurity parturition of region 5 years before to base of the perinatal center and within 5 years of work ( 2012-2016).
Material and methods. Prematurity parturition and newborns preterm who were born within 5 years prior to the beginning of work in Yaroslavl region of perinatal center (2006-2010) and during the full years of his work (2012-2016).
Main provisions. After work of perinatal center began proportion of premature births at levels 1 and 2 decreased by 2 times, while at level 3 it significantly increased by 2.6 times.
From 2012 to 2016 proportion of premature birth up to 33 weeks in perinatal center increased from 45.3 % to 92.5 %. Perinatal mortality in premature births in obstetrical hospitals 1 and 2 levels for 5 years of work Perinatal center decreased by 2 times and increased by 2.5 times at level 3, which allowed to achieve its overall decline in region from 105.4 % in 2006 to 75.4 % in 2016. For the period of work of Perinatal center perinatal mortality from respiratory distress syndrome (RDS) decreased 14 times and increased 13 times from Introwentricular hemorrhage (IVH).
After putting perinatal center into operation, children with extremely low body weight began to be born at level 3 more often than before period of work perinatal center this affected their P = 0.001 survival in 2016 it was 82.1 % in the obstetrical hospitals.
Conclusion. After the Perinatal center were put into operation in Yaroslavl region, 3 level maternity support system was fully developed which allowed to the provide adequate care for premature infants to ensure a high survival rate for newborns with extremely low body weight and significant reduction infant mortality.
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