{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T02:07:05Z","timestamp":1788660425882,"version":"build-2803163510"},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"17","license":[{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,4,27]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Az elm\u00falt \u00e9vekben az eg\u00e9szs\u00e9g\u00fcgyi rendszerben\n                    \u00e9szlelhet\u0151 szerkezeti \u00e9s jogi v\u00e1ltoz\u00e1sok k\u00f6vetkezt\u00e9ben a mag\u00e1neg\u00e9szs\u00e9g\u00fcgy\n                    szerepe hangs\u00falyosabb\u00e1 v\u00e1lt, aminek k\u00f6vetkezt\u00e9ben a Maternity Sz\u00fcl\u00e9szeti \u00e9s\n                    N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinik\u00e1n az \u00e9ves sz\u00fcl\u00e9ssz\u00e1m jelent\u0151s n\u00f6veked\u00e9se volt\n                    megfigyelhet\u0151. A klinika alapvet\u0151 t\u00f6rekv\u00e9se m\u00e1r a kezdetekt\u0151l fogva az, hogy\n                    magas szint\u0171, szakmai protokollokon nyugv\u00f3 perinatol\u00f3giai ell\u00e1t\u00e1st ny\u00fajtson\n                    minden p\u00e1ciens sz\u00e1m\u00e1ra, a betegforgalomt\u00f3l f\u00fcggetlen\u00fcl.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    A jelen vizsg\u00e1lat c\u00e9lja a Maternity Sz\u00fcl\u00e9szeti\n                    \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinik\u00e1n ny\u00fajtott 2023. \u00e9vi neonatol\u00f3giai ell\u00e1t\u00e1s\n                    mennyis\u00e9gi \u00e9s min\u0151s\u00e9gi mutat\u00f3inak elemz\u00e9se \u00e9s \u00f6sszegz\u00e9se.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Retrospekt\u00edv vizsg\u00e1latunkban a 2023. janu\u00e1r 1. \u00e9s\n                    2023. december 31. k\u00f6z\u00f6tt a Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinik\u00e1n\n                    \u00e9lve sz\u00fcletett \u00fajsz\u00fcl\u00f6ttek adatait elemezt\u00fck, a relev\u00e1ns eredm\u00e9nyeket grafikonon\n                    \u00e1br\u00e1zoltuk.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati\n                    Mag\u00e1nklinik\u00e1n 2023-ban 1461 \u00fajsz\u00fcl\u00f6tt sz\u00fcletett \u00e9lve, az \u00fajsz\u00fcl\u00f6ttek t\u00falnyom\u00f3\n                    t\u00f6bbs\u00e9ge a 38\u201339. h\u00e9ten (n = 1010, 69%). A bet\u00f6lt\u00f6tt 37. terhess\u00e9gi h\u00e9t el\u0151tt 34\n                    \u00fajsz\u00fcl\u00f6tt j\u00f6tt a vil\u00e1gra (ebb\u0151l 5 \u00fajsz\u00fcl\u00f6tt 35 hetes korasz\u00fcl\u00f6tt volt). A\n                    cs\u00e1sz\u00e1rmetsz\u00e9sek ar\u00e1nya 78% volt. A klinik\u00e1n sz\u00fcletett \u00fajsz\u00fcl\u00f6ttek 92%-\u00e1t\n                    esem\u00e9nytelen k\u00f3rh\u00e1zi bent fekv\u00e9st k\u00f6vet\u0151en 2, illetve 3 nap ut\u00e1n haza tudtuk\n                    engedni. A hazamenetel napj\u00e1n a kiz\u00e1r\u00f3lagos anyatejes t\u00e1pl\u00e1l\u00e1sban r\u00e9szes\u00fcl\u0151\n                    \u00fajsz\u00fcl\u00f6ttek ar\u00e1nya 71% volt (n = 1027). \u00dajsz\u00fcl\u00f6ttkori s\u00e1rgas\u00e1g miatt 85\n                    \u00fajsz\u00fcl\u00f6tt r\u00e9szes\u00fclt k\u00e9kf\u00e9ny-kezel\u00e9sben, mely a k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1st 1\u20132 nappal\n                    hosszabb\u00edtotta meg. A vizsg\u00e1lt id\u0151szakban \u00f6sszesen 12 \u00fajsz\u00fcl\u00f6ttn\u00e9l kezdt\u00fcnk\n                    antibiotikumkezel\u00e9st \u00fajsz\u00fcl\u00f6ttkori szepszis gyan\u00faja miatt, k\u00f6z\u00fcl\u00fck 5 \u00fajsz\u00fcl\u00f6tt\n                    r\u00e9szes\u00fclt komplett 5 napos antibiotikumter\u00e1pi\u00e1ban. \u00dajsz\u00fcl\u00f6ttkori l\u00e9gz\u00e9szavar\n                    miatt 32 esetben volt sz\u00fcks\u00e9g az oszt\u00e1lyon NCPAP- (nasalis folyamatos pozit\u00edv\n                    l\u00e9g\u00fati nyom\u00e1s\u00fa) l\u00e9gz\u00e9st\u00e1mogat\u00e1s alkalmaz\u00e1s\u00e1ra, ezek k\u00f6z\u00fcl 15 alkalommal n\u00e9h\u00e1ny\n                    \u00f3r\u00e1s kezel\u00e9st k\u00f6vet\u0151en sikeresen el tudtuk hagyni a l\u00e9gz\u00e9st\u00e1mogat\u00e1st, 17 esetben\n                    t\u00f6rt\u00e9nt \u00e1thelyez\u00e9s l\u00e9gz\u00e9szavar miatt. Az 1461 \u00fajsz\u00fcl\u00f6tt k\u00f6z\u00fcl \u00f6sszesen csup\u00e1n 36\n                    alkalommal (2,4%) volt sz\u00fcks\u00e9g magasabb progresszivit\u00e1si szint\u0171 int\u00e9zm\u00e9nybe val\u00f3\n                    \u00e1thelyez\u00e9sre. K\u00e9t \u00fajsz\u00fcl\u00f6ttnek volt kisebb fejl\u0151d\u00e9si rendelleness\u00e9ge (egy kamrai\n                    septumdefektus \u00e9s egy hypospadiasis). Egyetlen \u00fajsz\u00fcl\u00f6ttet sem vesz\u00edtett\u00fcnk el.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    A Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati\n                    Mag\u00e1nklinika neonatol\u00f3giai ell\u00e1t\u00e1si modellje a 21. sz\u00e1zadi k\u00f6vetelm\u00e9nyeknek\n                    megfelel\u0151en, a betegbiztons\u00e1got figyelembe v\u00e9ve, szakmai protokollok alapj\u00e1n\n                    m\u0171k\u00f6dik. Biztos\u00edtja az \u00fajsz\u00fcl\u00f6ttek \u00e9s csal\u00e1dok r\u00e9sz\u00e9re a h\u00e1bor\u00edtatlan,\n                    biztons\u00e1gos k\u00f6rnyezetet az anya-\u00fajsz\u00fcl\u00f6tt kapcsolat kialakul\u00e1s\u00e1hoz \u00e9s az\n                    anyatejes t\u00e1pl\u00e1l\u00e1s elind\u00edt\u00e1s\u00e1hoz a sz\u00fcl\u00e9st k\u00f6vet\u0151 \u00f3r\u00e1kban \u00e9s napokban. Orv\n                    Hetil. 2025; 166(17): 658\u2013668.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33284","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T04:54:20Z","timestamp":1746420860000},"page":"658-668","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["A neonatol\u00f3giai ell\u00e1t\u00e1s mennyis\u00e9gi \u00e9s min\u0151s\u00e9gi mutat\u00f3i a Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinik\u00e1n 2023-ban"],"prefix":"10.1556","volume":"166","author":[{"given":"Lajos","family":"Lantos","sequence":"first","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"},{"name":"Peter Cerny Alap\u00edtv\u00e1nyi Ment\u0151szolg\u00e1lat Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krisztina","family":"Sz\u0151ll\u0151s","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorottya","family":"R\u00f3zsa","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1ria","family":"Madar\u00e1sz","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eszter","family":"V\u00f6r\u00f6s","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gizella","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"G\u00e9recz","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zor\u00e1n","family":"Belics","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"},{"name":"Sz\u00e9chenyi Istv\u00e1n Egyetem Gy\u0151r Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petronella","family":"Hupuczi","sequence":"additional","affiliation":[{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest, Kir\u00e1lyh\u00e1g\u00f3 t\u00e9r 8\u20139., 1126 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Papp Z. Textbook of obstetrics and gynecology. Seventh, updated\n                    edition. [A sz\u00fcl\u00e9szet\u2013n\u0151gy\u00f3gy\u00e1szat tank\u00f6nyve. Hetedik, friss\u00edtett kiad\u00e1s.]\n                    Semmelweis Kiad\u00f3, Budapest, 2023. [Hungarian]"},{"key":"R2","unstructured":"Obstetrical care in Budapest, 2021\u20132022. [A f\u0151v\u00e1rosi sz\u00fcl\u00e9szetek\n                    forgalm\u00e1nak alakul\u00e1sa, 2021\u20132022.] Available from:\n                        https:\/\/www.valaszonline.hu [accessed: 02 February, 2025].\n                    [Hungarian]"},{"key":"R3","unstructured":"National Institute of Health Insurance Fund Management. Number of\n                    deliveries and rates of cesarean section in Hungary, 2015\u20132023. 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[22.1.1.7. \u00c9lvesz\u00fclet\u00e9sek\n                    az anya \u00e9s az \u00fajsz\u00fcl\u00f6tt f\u0151bb jellemz\u0151i szerint.] K\u00f6zponti Statisztikai Hivatal,\n                    Budapest. Available from:\n                        https:\/\/www.ksh.hu\/stadat_files\/nep\/hu\/nep0007.html [accessed: 02\n                    February, 2025]. [Hungarian]"},{"key":"R6","unstructured":"Hupuczi P. Pregnancy and delivery in advanced maternal age.\n                    [Terhess\u00e9g \u00e9s sz\u00fcl\u00e9s id\u0151s korban.] N\u0151gy\u00f3gy Sz\u00fcl Tov\u00e1bbk Szle. 2012; 14: 5\u20136.\n                    [Hungarian]"},{"key":"R7","unstructured":"Hupuczi P. Situation of the obstetrical care in the first decades of\n                    the 21th century in Hungary. 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Mater Sociomed.\n                    2021; 33: 188\u2013194.","DOI":"10.5455\/msm.2021.33.188-194"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Sankar MJ, Sinha B, Chowdhury R, et al. Optimal breastfeeding\n                    practices and infant and child mortality: a systematic review and meta-analysis.\n                    Acta Paediatr. 2015; 104: 3\u201313.","DOI":"10.1111\/apa.13147"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st\n                    century: epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387:\n                    475\u2013490.","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"R15","unstructured":"WHO\u2013UNICEF: Indicators for assessing infant and young child feeding\n                    practices: definitions and measurement methods. Licence: CC BYNC-SA 3.0 IGO,\n                    Geneva, 2021."},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Kopcs\u00f3 K, Boros J, Leitheiser F, et al. Frequency and correlates of\n                    breastfeeding and exclusive breastfeeding from birth to six months of age. [A\n                    szoptat\u00e1s \u00e9s a kiz\u00e1r\u00f3lagos anyatejes t\u00e1pl\u00e1l\u00e1s gyakoris\u00e1ga \u00e9s korrel\u00e1tumai a\n                    csecsem\u0151 sz\u00fclet\u00e9s\u00e9t\u0151l hat h\u00f3napos kor\u00e1ig.] Statisztikai Szle. 2022; 100:\n                    468\u2013490. [Hungarian]","DOI":"10.20311\/stat2022.5.hu0468"},{"key":"R17","unstructured":"World Health Organization. Breastfeeding, 2018. Available from:\n                        https:\/\/www.who.int\/news-room\/facts-in-pictures\/detail\/breastfeeding\n                    [accessed: 02 February, 2025]."},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Chimoriya R, Scott JA, John JR, et al. Determinants of full\n                    breastfeeding at 6 months and any breastfeeding at 12 and 24 months among women\n                    in Sydney: findings from the HSHK birth cohort study. Int J Environ Res Public\n                    Health 2020; 17: 5384.","DOI":"10.3390\/ijerph17155384"},{"key":"R19","unstructured":"P\u00f3ta Gy, Gyetv\u00e1n K, G\u00e1rdos L, et al. Hungarian protocol for the\n                    feeding of 0\u201312-year-old healthy infants. [Az emberi er\u0151forr\u00e1sok miniszt\u00e9riuma\n                    szakmai ir\u00e1nyelve az eg\u00e9szs\u00e9ges csecsem\u0151 (0\u201312 h\u00f3napos) t\u00e1pl\u00e1l\u00e1s\u00e1r\u00f3l.] E\u00fc K\u00f6zl.\n                    2019; 69: 2016. 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Geburtsh Frauenheilkd. 2013; 73: 324\u2013329.","DOI":"10.1055\/s-0032-1328435"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/17\/article-p658.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/17\/article-p658.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/17\/article-p658.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:47:43Z","timestamp":1785412063000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/17\/article-p658.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,27]]},"references-count":25,"journal-issue":{"issue":"17"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33284","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,27]]}}}