Perinatal care in the maternity of "tzaneio" hospital greece comparison of two periods 1985-1989 and 1995-1999

Amaç

To assess and compare two periods of consecutive births (1st period is 1985-1989 and 2nd period is 1995-1999) that has took place in the Maternity of "Tzaneio" Hospital. These two periods were before and after the political changes in the East Countries which caused a large immigrant wave.

Bulgular

in the 1st period the total births were 2572 in 2555 deliveries and in the 2nd period were 3230 and 3194 respectively. The rate of the Greek mothers in the 1st period was 98% vs 1% of the non Greek. The demographic characteristics of the reproductive population changed remarkably since 41% of the mothers were of non-Greek origin (mostly Albanians and other economic immigrants). The total caesarian section rate was 20,8% in the 1st period vs 28,6% in the second period. in the 1st period the total delivery rate before the 37th week of gestation was 2,15% vs 12,9% in the 2nd period. The perinatal mortality rate has been increased by almost half (9 0/00 vs 16 0/00) and the birthweight <2.500gr was 2,3% vs 16,7.

Tartışma

We believe that the great changes in the perinatal outcome are due to the changes in the reproductive population in our Maternity. The immigration rate in Greece from the former "East" Countries was significant high. The immigrants consist an isolate group in the community of EEC with poor living and health conditions and with great unemployment. There is little known about the utility of pre and peri-natal services. The increase in the perinatal Morbidity and Mortality in our Maternity can be attributed to the low social-economic profile and the poor follow-up of the immigrants pregnant.

Anahtar Kelimeler

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