title: [Perinatal indicators of the Zilina region in Slovak Republic during the period 2000-2009].
abstract: OBJECTIVE
  To provide health care providers, patients, and the general public the improvements and objective data outcomes in perinatal health care indicators for the Zilina district, northern part of Slovak republic.
  
  
  METHODS
  Martin perinatology center (Department of Gynecology and Obstetrics, Department of Neonatology, Jessenius Medical Faculty, Commenius University, Martin, Slovak Republic).
  
  
  METHODS
  Retrospective analysis of selected main perinatal outcomes for the period of 10 years (last decade) in the Zilina region. The comparison between the regional data and similar ones retrieved for the Slovak republic.
  
  
  RESULTS
  During the analyzed period we have observed a significant decrease in perinatal mortality (PM) with lowest rate of 3.1 per thousand in year 2009 with the 4.13 per thousand decade average. The more favorable trend in PM drop was observed when analyzed separately from congenital disorders, which when compared to national rate decreased by 2.9 per thousand and by 1 per thousand when compared to crude PM in Zilina region for the year 2009. Furthermore, the sophisticated clinical management and improved technical equipment led to the decrease in other main perinatal indicators (e.g. decade average of frequency drop in preterm labors to 5.4%; early neonatal mortality to 2.14 per thousand; stillbirth rate drop to 0.327 per thousand, decrease in neonatal asfyxia rate with pH <7.15 to 0.01% in 2009 with decade average of 0.08% and increased proportion of in-utero transports with 5-years average of 90.9%). Contrary to that, there was revealed a doubling effect of cesarean section rate per observed period (15.7% vs. 32.9%).
  
  
  CONCLUSIONS
  Our results showed that the symbiosis in organization of health care, basic and applied clinical research together with improved technical equipment and introducing the WHO guidelines into the obstetrical praxis has prepared the clinical background which led to the immense improvement in the perinatal outcomes in the northern part of Slovakia during the last decade.
authors.affiliation: Gynekologicko-porodnícka klinika JLF UK a UNM, Martin. zubor@jfmed.uniba.sk
authors.forename: P
authors.initials: P
authors.lastname: Zúbor
authors.forename: I
authors.initials: I
authors.lastname: Zigo
authors.forename: M
authors.initials: M
authors.lastname: Zibolen
authors.forename: J
authors.initials: J
authors.lastname: Danko
mesh_terms: D001723:Birth Rate / Q000639:trends; D002585:Cesarean Section / Q000592:standards; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D018743:Perinatal Care / Q000639:trends*; D054238:Perinatal Mortality / Q000639:trends*; D011247:Pregnancy; D047928:Premature Birth / Q000453:epidemiology; D018154:Slovakia / Q000453:epidemiology