[Quantity and quality of obstetrical care in Baross Street Department of Obstetrics and Gynecology between 1990 and 2006].
OBJECTIVE
Authors report data from 48,794 deliveries in Semmelweis University, I. Department of Obstetrics and Gynecology, from January 1, 1990 to December 31, 2006. Data were analyzed based on their computer database, showing complexity of obstetrics, genetic counseling and neonatology.


RESULTS
In the last 17 years the delivery number is increasing, from 2,299 in 1990 to 3,861 in 2006. Early neonatal mortality rate is decreasing (22 infant deaths per 1,000 live births in 1990 compared with 6 in 2006). If we do not take those < or =1,000 grams, intrauterine death outside the institute, and induction of labour because of malformation, perinatal mortality is very low, below 6/1,000 deliveries in the last 7 years, 2.8 in 2004, 1.8-1.9 in 2005 and 2006. Neonatal and infant mortality is also decreasing. There is an increase in the frequency of cesarean sections, 15-20% in 1990-1991, and approximately 35% in the last years. Main indications are previous cesarean section, threatened fetal hypoxia, dystocia, cephalopelvic disproportion, twin pregnancy, hypertension/preeclampsia/HELLP syndrome, breech presentation.


CONCLUSIONS
Because of the progressive system in obstetrics care in Hungary, in this leading institute approximately one fifth of the deliveries are preterm, furthermore they also have numerous severe pathological cases, though there are favorable changes in perinatal statistics in the last 17 years, showing the continuous improvement in obstetrical and neonatological care.
Semmelweis Egyetem, Altalános Orvostudományi Kar I. Szülészeti és Nogyógyászati Klinika, Budapest. nagygyr@noil.sote.hu
Gyula Richárd
GR
Nagy
Zoltán
Z
Papp
D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D002585:Cesarean Section / Q000592:standards / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000592:standards* / Q000706:statistics & numerical data*; D005260:Female; D046689:Fetal Mortality / Q000639:trends; D005865:Gestational Age; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data; D054238:Perinatal Mortality / Q000639:trends*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology