PERINATOLOGIYA I PEDIATRIYA.2015.3(63):10-17; doi 10.15574/PP.2015.63.10 
 

Condition of regionalization of perinatal care in Ukraine 

Dudina Ye. A., Tereshchenko A. V.

SI «Ukrainian Institute of Strategic Researches MoH of Ukraine», Kyiv, Ukraine

Ministry of Health of Ukraine, Kyiv, Ukraine 
 

Purpose — the analysis and evaluation of implementation of regionalization of perinatal care. 
 

Patients and methods. The condition of regionalization of perinatal care has been analysed according to its monitoring and evaluation. 
 

Results. Expected indicators of accessibility to tertiary perinatal care of patrimonial sanctions of pregnant women with heart diseases — 63.4%, cardiovascular diseases — 50.5%, premature birth in term till 34 weeks — 54.6% have been achieved. The hypothesis of increase in survival rate of infants during the first 168 hours of life with birth weight 500.0–999.0 g and 1000.0–1499.0 g from 57.6% in 2011 up to 64.2% in 2014 (OR from 95% CI 1.5 (1.3–1.8) and from 87.3% up to 89.9% (OR from 95% CI 1.5 (1.2–1.7) respectively and decrease fetoinfantile losses from 15.2 per 1,000 live birth and dead in 2011 up to 13.8 in 2014, OR 95% CI 0.9 (0.8–0.9) is confirmed. 
 

Conclusions. The received data have been confirmed expected results of regionalization of perinatal care system. 
 

Key words: regionalization, perinatal center, infant, survival rate, fetoinfantile losses. 
 

REFERENCES 
1. Костин ИН. 2012. Стратегия перинатального риска — арифметика, спасающая жизнь. Мед аспекты здоровья женщины. 4: 5—16.

2. Моісеєнко РО. 2013. Медико-соціальне обґрунтування оптимізації системи надання медичної допомоги дітям і матерям. Автореф дис д-ра мед наук за спец. 14.02.03 «Соціальна медицина». Київ: 44.

3. Національні підходи до впровадження системи регіоналізації перинатальної допомоги в Україні. МОЗ України. За ред. РО Моісеєнко. К. 2012: 135.

4. Основная дородовая, перинатальная и постнатальная помощь. Матер учебн сем. Женева, ЕРБ ВОЗ. 2002. http://medical-diss.com.

5. Серов ВН. 2011. Профилактика материнской смертности Акушерство и гинекология. 71: 4—10.

6. Суханова ЛП. 2010. Оптимизация перинатальной помощи как важнейший фактор сохранения здоровья населения России. Автореф дис д-ра мед наук. Киев: 45.

7. Шабунова АА, Степаненко ВВ. Социально-корректируемые факторы, влияющие на здоровье детей раннего возраста. http:// journal.vscc.ac.ru/php/jou/41/art41_09.php.

8. Ainsworth M, Semali I. 1998. The impact of adult deaths on the nutritional status of children. In: Coping with AIDS: the economic impact of adult mortality on the African household. Washington, DC, World Bank. http://elibrary.worldbank.org//2266.pdf.

9. Cornette L. 2004. Transporting the sick neonate. Current Pediatr. 14: 20—25. http://dx.doi.org/10.1016/j.cupe.2003.09.001

10. Wildman K, Blondel B, Nijhuis J et al. 2003. European indicators of health care during pregnancy, delivery and the postpartum period. Eur J Obstet Gynecol Reprod Biol. 11; Suppl 1: 53—65. http://dx.doi.org/10.1016/j.ejogrb.2003.09.006

11. Greisen G. 2007. Neonatal transfers — a thin layer of glueto keep the service network together? Arch Dis Child Fetal Neonatal Ed. 92: 159—160. http://dx.doi.org/10.1136/adc.2006.109850; PMid:17449850 PMCid:PMC2675318

12. Guidelines for perinatal care. Fifth Edition. American Academy of Pediatrics. The American Colledge of Obstetricians and Gynecologists. 2002. 2: 350.

13. Blondel B et al. 2010. Organisation of obstetric services for very preterm births in Europe: results from the MOSAIC project. British J of Gynecology. 1: 372-379.

14. Strong MA. 1998. The effects of adult mortality on infant and child mortality. Unpublished paper presented at the Committee on Population Workshop on the Consequences of Pregnancy, Maternal Morbidity and Mortality for Women, their Families, and Society. Washington: DC, 19—20 October, 1998. http://www.nap.edu/openbook.php record_id.

15. Subramaniam HoJJ, Henderson DJ, Davis PG. 2008. Continuous distending pressure for respiratory distress in preterm infants. The Cochrane Library. Issue 2.