Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

OBJECTIVE: To investigate whether there are differences in maternal and perinatal outcomes between Slovakia and the UK, and whether any observed variations can be attributed to differences in perinatal care. METHODS: Data on outcomes of perinatal care in Slovakia and the UK between 2006 and 2010 were compared. Perinatal mortality figures included stillbirths weighing 1000g or more and early neonatal deaths. RESULTS: In Slovakia, the perinatal mortality rate was significantly higher than that in the UK (RR 1.12; 95% CI, 1.06-1.18). Cesarean delivery was significantly more frequent in Slovakia (RR 1.05; 95% CI, 1.05-1.06); instrumental vaginal delivery was less frequent (ventouse delivery, RR 0.20; 95% CI, 0.19-0.21; forceps delivery, RR 0.09; 95% CI, 0.09-0.10). Episiotomy and peripartum hysterectomy were performed more often in Slovakia (episiotomy, RR 4.10; 95% CI, 4.07-4.12; peripartum hysterectomy, RR 2.02; 95% CI 1.65-2.47). The incidence of eclampsia was significantly higher in Slovakia (RR 1.60; 95% CI, 1.26-2.04). There were no significant differences in the rates of maternal death. CONCLUSION: Perinatal care outcomes and intervention rates differ between Slovakia and UK. This may be explained by differences in outcome definitions, perinatal care, and official encouragement of medical complaints.

Original publication

DOI

10.1016/j.ijgo.2013.05.021

Type

Journal article

Journal

Int J Gynaecol Obstet

Publication Date

11/2013

Volume

123

Pages

131 - 134

Keywords

Maternal morbidity, Maternal mortality, Mode of delivery, Perinatal care, Perinatal morality rate, Cesarean Section, Delivery, Obstetric, Eclampsia, Episiotomy, Female, Humans, Hysterectomy, Incidence, Infant, Newborn, Maternal Mortality, Perinatal Care, Perinatal Mortality, Pregnancy, Pregnancy Outcome, Prospective Studies, Slovakia, United Kingdom