title: [The development of perinatology centers in the professional and organizational system of maternal and child care].
abstract: The author analyzes the delay in historical development as regards establishment of perinatological centres in the Czech Republic, as compared with other advanced countries, the task of these centres being specialized care of women with the most serious pathological conditions during pregnancy, with premature labour before the 32nd week, and care of there newborn babies. By means of three internationally recognized criteria which evaluate the quality of this care marked improvement of care of these women and neonates was found in 12 officially established centres in the Czech Republic, as compared with other maternity hospitals. This contributed in a major way to the nationwide reduction of the perinatal mortality. At the same time considerable differences were found in the results of this care between different centres and also inadequate centralization of women with the mentioned complications into perinatological centres. The revealed shortcomings will stimulate provisions for the improvement of perinatal care in the Czech Republic.
authors.affiliation: Ustav pro péci o matku a dítĕ, Praha.
authors.forename: Z
authors.initials: Z
authors.lastname: Stembera
mesh_terms: D018153:Czech Republic / Q000453:epidemiology; D005260:Female; D006782:Hospitals, Special / Q000706:statistics & numerical data; D006801:Humans; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D010500:Perinatology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy