Abstract:
AIM:The aim of the following work was to assess three-level selective perinatal care in Polish voivodeships in 2008 on the basis of the following parameters: birth rates as well as perinatal death rates, divided into three classes of neonatal weights, in hospitals on each of the three levels. The goal of selective perinatal care is, among other things, to diagnose threats to the mother and/or fetus and direct women with high-risk pregnancies to higher level obstetrics and neonatology clinics and units. The structure of a regional three-level perinatal care, as well as the rules and procedures governing the process of redirecting patients to different levels of perinatal care have been defined in great detail. MATERIAL AND METHODS:Perinatal death rates analysis has been carried out on the basis of data received from Voivodeship Public Health Centers in sixteen voivodeships in Poland in 2008. The main document constituted MZ-29 form section X, modified by the authors and subdivided into levels of perinatal care. All data contained in the form have been verified: the numbers concerning birth and death rates as well as perinatal deaths and birth weight subgroups from given voivodeship hospitals. Statistic analysis was limited to the presentation of result tables and graphs within voivodeships. RESULTS:Birth rates and perinatal death rates revealed that in the course of ten years the level of perinatal care, introduced gradually in Poland between the years 1997-1999, resulted in its improvement. Perinatal death rates decreased in the course of ten years from 9.5% in 1999 to 6.45% in 2008, i.e. by 0.3% annually. On the first level, the rate of neonates with very low birth weight, 500-999g, decreased by 5.5% and was 21.1% in 2008 and 36.6% in 1999, whereas on the third level, the birth rate in the same group (500-999g) increased by 12.7% and was 47.7% in 2008 and 35.5% in 1999. There is a growing and alarming tendency to perform cesarean sections. The increase amounted up to 1.2% annually (18.2% in 19999 and 30.5% in 2008), with vast differences among hospitals and voivodeships. In 2008 there were 28.4% of cesarean sections in level one-hospitals, 29.3% in level two-hospitals and 40.6% in level three-hospitals. CONCLUSIONS:The results of an overall decrease in perinatal deaths rate and an increase in birth rates in the group of neonates with very low birth weight on the third level are not satisfactory. Reintroduction of the program and strategy from the years 1995 and 1997 will enable us to improve the situation. Particularly this should be the case on the basic level perinatal care. In the context of three-level selective strategy the reintroduction of periodical analysis of perinatal care results is essential.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Troszyński M,Niemiec T,Wilczyńska Asubject
Has Abstractpub_date
2009-09-01 00:00:00pages
670-7issue
9eissn
0017-0011issn
2543-6767journal_volume
80pub_type
杂志文章abstract::182 hysteroscopic operations with electroresectoscope use performed in Ist Department of Obstetrics and Gynaecology (Warsaw) between 1996-1999 were analyzed. Myomectomy was performed in 117 patients, resection of uterine septum in 25 and deliberation of intrauterine adhesions in 40 patients. Abnormal bleeding and infe...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract::A retrospective study about frequency of occurrence of endometrial adenocarcinoma in postmenopausal women which are associated with diabetes mellitus, overweight and hypertension was performed. The aim of the study was to have risk factors for carcinoma of endometrium estimated. The nonparametric statistics such as: 2...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVES:The purpose of our study was to determine maternal serum concentrations of IL-8, IL-6, IFN-gamma during normal pregnancy and labor. MATERIALS AND METHODS:Maternal serum IL-8, IL-6 and IFN-gamma levels were measured by means of ELISA technique in 41 healthy pregnant women in 22-42 week gestation and 15 healt...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Cyclopia is a deformation of the facial skeleton with one eye orbit formed in the place where both eyes should be present. As a result of hypoplasia there is absence (hypothesized loss) of central nervous system structures. Teratogenic factors leading to the occurrence of this anomaly may include irregular cholesterol...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-01 00:00:00
abstract::The study was carried out on 7 human placental cotyledons. Placental perfusions performed by Schneider method modified by Miller were conducted for 180 min. assessment of arterial and venous pressure in fetal blood was performed. There were no statistically significant differences between obtained values of perfusion ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract:AIM:To assess the correlation between homocysteine concentrations and gestational age, gender Apgar score, complications in pregnancy delivery modalities and levels of vitamin B12 and foliate. MATERIAL AND METHODS:Concentration of homocysteine, vitamins-B12, foliate were measured in cord blood and mother blood. There ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2011-10-01 00:00:00
abstract::To make use of antigonadotropin and antiproliferating action of the synthetic analogs of GnRH there was applied this decapeptide in 33 patients with ovarian cancer who were treated traditionally by chemotherapeutics PAC and radiotherapy. The monitoring of treatment was supported on the clinical opinion of the whole an...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:We aimed to demonstrate non-inferiority of delayed cord clamping (DCC) and cord milking (CM) in comparison to early cord clamping (ECC) in the incidence of hyperbilirubinemia requiring phototherapy. MATERIAL AND METHODS:467 of maternal-foetal dyads were screened for eligibility. 389 term infants, of breastfe...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2020.0096
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:Most of preIntroduction: Most pregnancies after assisted reproduction techniques are dizygotic twin gestations. There is a close relationship between the development and functioning of the placenta and the growth of both fetuses in dizygotic twin pregnancies. Angiogenesis is the process of creating new cap...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1663
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to assess the concordance between the preoperative endometrial sampling and microscopic examination of the hysterectomy specimens in patients surgically treated for atypical endometrial hyperplasia and endometrial carcinoma. MATERIAL AND METHODS:We analysed a group of 204 patients, ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2016.0031
更新日期:2016-01-01 00:00:00
abstract::It was described two cases of vulvar melanoma malignum. Both women after primary radical treatment, unfortunately died. It was discussed the classification of melanoma malignum, the efficiency of treatment nowadays and the problems in diagnosis. General results of treatment are poor. It is due to tendency for spreadin...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::The authors evaluated the influence of NAD, NADP, G-6-P and G-6-PDH on the synthesis of steroid hormones in the interstitial gland of the rat. The animals were killed by decapitation, and sections of the nucleus weighing altogether 20 mg were incubated with NAD (0.4 mM), NADP (0.4 mM), G-6-P (3.5 mM) and G-6-PDH (2 j....
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract:OBJECTIVES:To evaluate data regarding neonatal mortality and short term morbidity among iatrogenic late preterm (ILP) and spontaneous late preterm (SLP) twin births, and to estimate whether medical interventions - induction of labor in this particular context, are associated with better or poorer outcomes. MATERIAL AN...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1600
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to test the relationship between maternal serum proinflammatory cytokines level and AFI (amniotic fluid index) in pregnancies complicated by premature rupture of membranes (PROM). MATERIALS AND METHODS:The maternal serum levels of IL-6, IL-1 beta and TNF-alfa were assessed in patient...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::Study aimed at obtaining answer to the question if antiestrogenic treatment (tamoxifen or clomiphene) of men having oligozoospermia has an impact on the pregnancy course. The pregnancy courses were live analysed of 34 healthy women, who had been treated with the artificial insemination by husband, having received tamo...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVES:Intrahepatic cholestasis in pregnancy (ICP) is a pregnancy-specific liver disorder. Its etiology is not fully understood. Increasing evidence indicates the important role of vitamin D and the vitamin D receptor (VDR) in this disorder. The presence of polymorphic variants in the VDR gene could influence its a...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2020.0135
更新日期:2020-01-01 00:00:00
abstract::Authors present methods of treatments at the Clinic of Urology Medical University of Lódź in patients after gynecological tumors with ureteral strictures caused by radiotherapy or progression of cancer. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract::32 patients with hydatid mole were subjected to serological tests to determine the concentration of chorionic gonadotropin (HCG) in the urine. The patients were divided into 2 groups, depending on the duration of the amenorrhea. Group 1 (20 cases) showed a uterus size not exceeding the volume of the 12th week of ges...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1976-09-01 00:00:00
abstract:OBJECTIVES:The aim of the study is to present data concerning Neugebauer-Le Fort operations performed at the Gynecologic Oncology Clinic, Polish Mother's Health Center Research Institute in Lodz between 2000-2009, including the effects of the surgeries on improving quality of life. MATERIAL AND METHODS:Our research in...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/2063
更新日期:2015-03-01 00:00:00
abstract:UNLABELLED:In our study the management and outcomes in 211 women with premature rupture of the membranes at term was analyzed. According to the time elapsed since PROM to delivery the study group was divided into four groups: within 6 h, within 6-12 h, within 12-24 h and over 24 h after PROM. The analysis was focused o...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::Selected clinical features of the course of pregnancy in 118 gravidas with placenta praevia diagnosed ultrasonographically on the first breeding were compared. The clinical features significantly connected with bleeding and the prognostic features for the way of delivery were stated. The longest bleeding was observed ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::Bladder Pain Syndrome remains a great challenge for urologists, both in diagnostics and treatment. Etiopathogenesis of the disease is unknown. It is reported that the reason for Bladder Pain Syndrome is the urothelium dysfunction resulting in the destruction of the protective glycosaminoglycan layer/barrier protecting...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-01 00:00:00
abstract::Two groups of rats (a control group and the group examined) were administered intraperitoneally supraphysiological doses of hCG in order to induce a "down regulation" effect on the level of receptors LH and to achieve the desensibilization of Leydig cells. The authors tried to find out at which stage of sequence of ch...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract::The authors describe diagnostic difficulties connected with proper estimation of stromal sarcoma biological activities, which developed in uterus corpus in 18 year old girl previously treated with hormones, because of irregular painful menses. Macroscopic and microscopic investigations of postoperative specimen allowe...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::The system of cervical carcinoma prophylaxis introduced in 1974 in the Province of Szczecin based on obligatory obtaining of cytological smears at least one in a year from each woman coming for gynaecological examination and obligatory presentation of the result of this examination by each woman going for sanatorium t...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::Obesity-related metabolic and functional disorders may disturb adaptation process taking place in pregnant women body. Insufficient adaptation may lead to development of several medical complications during pregnancy, labor, delivery, and puerperium. Maternal obesity is associated with increased frequencies of hyperte...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:Angiogenesis in malignant tumors is a prognostic factor associated with tumor growth and metastasis. The aim of the research was: determination of the angiodensity rate in two immunohistochemical techniques, estimation of the value of the examined parameter at different stages of clinical progression and hist...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::Concentrations of iron, zinc and copper were determined in public hair of women with threatened abortion and in full-term pregnancy. The aim of the studies was to find differences between the levels of studied elements in public hair of women with threatened abortion and in full-term pregnancy and to test whether pari...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::A monochorionic monoamniotic (MCMA) twin pregnancy is the rarest form of twin gestation, accounting for around 1:10000 to 1:20000 of all deliveries regardless of the region of the world. All multiple gestations have a higher risk of preterm delivery due to either preterm uterine contractions or asymptomatic cervical s...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2012-12-01 00:00:00
abstract::Osteoporosis is a great problem in postmenopausal women. It begins 4--5 years after a last period and appears in clinical form in about 25-44% women. Basic irregularity is osteopenia as a result of bone resorption superiority. Many observations lead to conclusion that postmenopausal osteoporosis follows estrogens defi...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00