{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T15:07:25Z","timestamp":1648566445818},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"50","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,12,1]]},"abstract":"<jats:p>\n          <jats:italic>C\u00e9lkit\u0171z\u00e9s \u00e9s m\u00f3dszer:<\/jats:italic>\n A szerz\u0151k a Semmelweis Egyetem I. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n 1990. janu\u00e1r 1. \u00e9s 2006. december 31. k\u00f6z\u00f6tt a terhess\u00e9g 24. \u00e9s 42. hete k\u00f6z\u00f6tt befejez\u0151d\u00f6tt 48 794 terhess\u00e9g adatait elemezt\u00e9k olyan sz\u00e1m\u00edt\u00f3g\u00e9pes nyilv\u00e1ntart\u00e1si rendszer\u00fck adataira t\u00e1maszkodva, mely a sz\u00fcl\u00e9szeti, genetikai \u00e9s neonatol\u00f3giai ell\u00e1t\u00e1s komplexit\u00e1s\u00e1t t\u00fckr\u00f6zi. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n A sz\u00fcl\u00e9ssz\u00e1m az adott 17 \u00e9vben folyamatosan emelkedett, 1990-ben 2299, m\u00edg 2006-ban 3861 sz\u00fcl\u00e9st regisztr\u00e1ltak. A korai neonatalis mortalit\u00e1s fokozatosan cs\u00f6kkent (1990-ben 22\/1000 \u00e9lvesz\u00fclet\u00e9s, 2006-ban 6\/1000 \u00e9lvesz\u00fclet\u00e9s). Ha nem vessz\u00fck figyelembe az 1000 g s\u00faly alatt meghalt, az int\u00e9zeten k\u00edv\u00fcl intrauterin elhalt \u00e9s a malformatio miatti sz\u00fcl\u00e9sindukci\u00f3k k\u00f6vetkezt\u00e9ben sz\u00fcletetteket, a perinatalis mortalit\u00e1s igen alacsony, az ut\u00f3bbi 7 \u00e9vben 6\/1000 sz\u00fcl\u00e9s alatti, 2004-ben 2,8\/1000 sz\u00fcl\u00e9s, 2005-ben \u00e9s 2006-ban pedig 1,8\u20131,9\/1000 sz\u00fcl\u00e9s! A neonatalis \u00e9s csecsem\u0151kori mortalit\u00e1s adataiban is jelent\u0151s cs\u00f6kken\u00e9s tapasztalhat\u00f3. A cs\u00e1sz\u00e1rmetsz\u00e9sek sz\u00e1ma a vizsg\u00e1lt id\u0151szakban fokozatosan emelkedett; gyakoris\u00e1guk 1990\u20131991-ben 15\u201320%, az ut\u00f3bbi \u00e9vekben pedig 35% k\u00f6r\u00fcl mozog. A f\u0151bb javallatok k\u00f6z\u00f6tt szerepel az el\u0151zetes cs\u00e1sz\u00e1rmetsz\u00e9s ut\u00e1ni \u00e1llapot, a (fenyeget\u0151) magzati hypoxia\/acidosis, f\u00e1j\u00e1sgyenges\u00e9g\/elh\u00faz\u00f3d\u00f3 sz\u00fcl\u00e9s, relat\u00edv t\u00e9rar\u00e1nytalans\u00e1g, t\u00f6bbes terhess\u00e9g, hipert\u00f3nia\/praeeclampsia\/HELLP-szindr\u00f3ma, medencev\u00e9g\u0171 fekv\u00e9s. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n A progressz\u00edv betegell\u00e1t\u00e1s k\u00f6vetkezt\u00e9ben a klinik\u00e1n a sz\u00fcl\u00e9sek kb. \u00f6t\u00f6dr\u00e9sze korasz\u00fcl\u00e9s, valamint sz\u00e1mos s\u00falyos terhespatol\u00f3giai eset fordult el\u0151, ennek ellen\u00e9re a perinatalis statisztikai mutat\u00f3kban \u2013 az ut\u00f3bbi 17 \u00e9v adatait elemezve \u2013 kedvez\u0151 v\u00e1ltoz\u00e1sok mutatkoznak, jelezv\u00e9n a sz\u00fcl\u00e9szeti \u00e9s neonatol\u00f3giai ell\u00e1t\u00e1s folyamatos szakmai fejl\u0151d\u00e9s\u00e9t.<\/jats:p>","DOI":"10.1556\/oh.2007.28206","type":"journal-article","created":{"date-parts":[[2007,12,4]],"date-time":"2007-12-04T19:41:13Z","timestamp":1196797273000},"page":"2355-2364","source":"Crossref","is-referenced-by-count":0,"title":["Quality and quantity of obstetrical care in Baross Street Department of Obstetrics and Gynecology between 1990 and 2006"],"prefix":"10.1556","volume":"148","author":[{"given":"Gyula Rich\u00e1rd","family":"Nagy","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Baross u. 27. 1088"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Papp","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Baross u. 27. 1088"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1515\/jpme.1988.16.4.345","volume":"16","year":"1988","journal-title":"J. Perinat. Med."},{"key":"atypb2","first-page":"501","volume":"110","year":"1988","journal-title":"Zentralbl. 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