[Perinatal indicators of the Zilina region in Slovak Republic during the period 2000-2009]. / Perinatologické výstupy Zilinského kraja Slovenskej republiky za 10roné obdobie (2000-2009).

OBJECTIVE: To provide health care providers, patients, and the general public the improvements and objective data outcomes in perinatal health care indicators for the Zilina district, northern part of Slovak republic. SETTING: Martin perinatology center (Department of Gynecology and Obstetrics, Department of Neonatology, Jessenius Medical Faculty, Commenius University, Martin, Slovak Republic). SUBJECT AND METHOD: Retrospective analysis of selected main perinatal outcomes for the period of 10 years (last decade) in the Zilina region. The comparison between the regional data and similar ones retrieved for the Slovak republic. RESULTS: During the analyzed period we have observed a significant decrease in perinatal mortality (PM) with lowest rate of 3.1 per thousand in year 2009 with the 4.13 per thousand decade average. The more favorable trend in PM drop was observed when analyzed separately from congenital disorders, which when compared to national rate decreased by 2.9 per thousand and by 1 per thousand when compared to crude PM in Zilina region for the year 2009. Furthermore, the sophisticated clinical management and improved technical equipment led to the decrease in other main perinatal indicators (e.g. decade average of frequency drop in preterm labors to 5.4%; early neonatal mortality to 2.14 per thousand; stillbirth rate drop to 0.327 per thousand, decrease in neonatal asfyxia rate with pH <7.15 to 0.01% in 2009 with decade average of 0.08% and increased proportion of in-utero transports with 5-years average of 90.9%). Contrary to that, there was revealed a doubling effect of cesarean section rate per observed period (15.7% vs. 32.9%). CONCLUSIONS: Our results showed that the symbiosis in organization of health care, basic and applied clinical research together with improved technical equipment and introducing the WHO guidelines into the obstetrical praxis has prepared the clinical background which led to the immense improvement in the perinatal outcomes in the northern part of Slovakia during the last decade.

[The course of pregnancy after failure of intrauterine contraception]. / Osud gravidity po zlyhaní vnútromaternicovej antikoncepcie.

PIP: The analysis of intrauterine contraception studied in 2548 women during 65,925 cycles over the preiod 1974-79 revealed a total of 227 failures; i.e., in 8.9% of users and 1 pregnancy/290.4 cycles. Of this number, there were 6 extrauterine pregnancies and 11 spontaneous deliveries in women with IUDs. In 2 cases, preterm labor was recorded, and there was no incidence of fetal malformation. Failure of contraception is being evaluated with respect to age, parity, and the number of cycles followed up after IUD insertion. Influences affecting IUD frequency and its failure, as well as its potential adverse effects are discussed. (author's modified)^ieng