Title Monocentrično istraživanje trendova poroda u općoj bolnici u razdoblju od 2017. do 2021. godine
Title (english) Monocentric study on birth trends in a general hospital in the period from 2017 to 2021
Author Maja Đurica Truhlaž
Mentor Tomislav Meštrović (mentor)
Committee member Hrvojka Soljačić Vraneš (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Ivana Živoder (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2023-09-20, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Public Health
Abstract Cilj ovog rada je otkriti trendove poroda u razdoblju od 2017. do 2021. godine, te u kojoj mjeri je anamneza majke prije i tijekom trudnoće povezana sa ishodima poroda, odnosno u kojoj mjeri rizični faktori poput povećane tjelesne težine, pušenja, te kvaliteta zdravstvene zaštite imaju utjecaj na ishod poroda.
Retrospektivno je analizirano 3136 poroda i 3188 novorođenčadi koji su rođeni u Općoj Bolnici Virovitica u razdoblju od 2017. do 2021. godine. Izvor agregiranih podataka je Registar poroda Hrvatskog zavoda za javno zdravstvo. Učinjena je obrada i statistička analiza pomoću programskog jezika Python, ver. 3.9. i Microsoft Excel 2007. Rezultati istraživanja iskazani su prikazom učestalosti pojedinih vrijednosti pridruženih prikupljenim varijablama i izračunavanjem korelacije, distribucije i proporcije uz 95% interval i p-vrijednosti za testirane hipoteze.
Rezultati istraživanja pokazuju da je prosječna dob žena koje su rodile u općoj bolnici niža od prosjeka Europske Unije i Hrvatske. Uočava se nestabilan trend broja poroda i pada broja poroda nedonešene djece nastao uslijed organizacije antenatalne zdravstvene zaštite. Unazad dvadeset godina bilježimo statistički značajan pad broja rođene terminske djece, uz porast broja poroda novorođenčadi gestacijske dobi ≥ 42 tjedna. Potvrđeni su rizični faktori koji negativno utječu na ishod poroda. Posebno se ističu: prekomjerna težina, viši indeks tjelesne mase, prijašnji prekidi trudnoće, veći broj vaginalnih poroda, pušenje, medicinski potpomognuta oplodnja i patološka stanja trudnica. Međutim, primjetno je da trudnice koje trudnoću počinju sa većom tjelesnom masom više pažnje polažu pravilnoj prehrani, te imaju manji prirast na težini od trudnica koje imaju normalnu tjelesnu masu.
Iako navedeno potvrđuje brojna prijašnja istraživanja, daje detaljnu sliku trudnoća i poroda dovršenih u općoj bolnici, te otvara nove mogućnosti za daljnja istraživanja, kao i za javnozdravstveno djelovanje s ciljem smanjenja rizičnih čimbenika. Također, valja naglasiti potrebu točnog ispunjavanja obrasca prijave poroda u svrhu kvalitetnijeg praćenja vitalno- statističkih pokazatelja perinatalnog razdoblja.
Abstract (english) The aim of this paper is to reveal the trends of childbirth in the period from 2017 to 2021, and to what extent the mother's medical history before and during pregnancy is related to the outcomes of childbirth, i.e. to what extent risk factors such as increased body weight, smoking, and pathology by the mother has an influence on the outcome of the birth.
3136 births and 3188 newborns born in Virovitica General Hospital in the period from 2017 to 2021 were retrospectively analyzed. The source of the aggregated data is the Birth Register of the Croatian Institute of Public Health. Processing and statistical analysis was done using the Python programming language, ver. 3.9. and Microsoft Excel 2007. The results of the research are presented by displaying the frequency of individual values associated with the collected variables and by calculating the correlation, distribution and proportion with a 95% interval and p-values for the tested hypotheses.
The research results show that the average age of women who gave birth in a general hospital is lower than the average of the European Union and Croatia. An unstable trend in the number of births and a decrease in the number of births of premature children can be observed due to the organization of antenatal health care. Twenty years ago, we recorded a statistically significant decrease in the number of term children born, along with an increase in the number of births of newborns with a gestational age ≥ 42 weeks. Risk factors that negatively affect the outcome of childbirth have been confirmed. The following stand out: overweight, higher body mass index, previous terminations of pregnancy, greater number of vaginal births, smoking, medically assisted fertilization and pathological conditions of pregnant women. However, it is noticeable that pregnant women who start their pregnancy with a higher body mass pay more attention to proper nutrition, and have less weight gain than pregnant women who have a normal body mass.
Although the above confirms numerous previous studies, it provides a detailed picture of pregnancies and deliveries completed in a general hospital, and opens up new opportunities for further research, as well as for public health action with the aim of reducing risk factors. Also, it should be emphasized the need to accurately fill out the birth registration form for the purpose of better monitoring of vital-statistical indicators of the perinatal period.
Keywords
trudnoća
porod
novorođenče
rizični faktori
Keywords (english)
pregnancy
birth
newborn
risk factors
Language croatian
URN:NBN urn:nbn:hr:122:526456
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-11-08 14:41:53