{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:38:20Z","timestamp":1747226300789,"version":"3.40.5"},"reference-count":0,"publisher":"Care Comm","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2023,8,29]]},"abstract":"<jats:p>Objective: The aim of the study was to analyse the results of the implementation of the new health service Registration of a pregnant woman in the maternity hospital (optimally at 36th\u201337th weeks) provided as part of outpatient\/ ambulatory health care at Olomouc University Hospital (OUH). Materials and methods: A prospective cohort study. In 2022, a total of 2,271 women gave birth in OUH, and 2,010 of them were Registered in the maternity hospital, defined specific risks were identified and a pregnancy termination strategy was established\/ determined. Results: The health service was provided to 88.5% of women giving birth (2,010\/2,271). The age of the mothers was 15\u201356 years (mean 31.3 years; median 31 years), their body mass index was 13.4\u201353.1 kg\/m2 (mean 24.6 kg\/m2; median 23.2 kg\/m2). 43.6% of them (877\/2,010) were Low-risk pregnancies and 56.4% (1,133\/2,010) were Pregnancies with a defined specific risk. The most frequently identified risks were as follows: RhD negative blood group (18.4%), diabetes mellitus (13.9%), history of caesarean section (12.0%), hypertensive disorders (6.5%), small fetus\/ fetal growth restriction (6.3%), risk the development of hemolytic disease in the fetus and the newborn (2.5%), multiple pregnancy (1.6%), congenital malformation of the fetus (1.3%) and placentation disorders (0.5%). In 63.4% of them (1,275\/2,010), the pregnancy termination strategy was determined by spontaneous vaginal delivery, in 18.0% (361\/2,010) by pre-induction of vaginal delivery and in 14.2% (285\/2,010) by caesarean section. In 4.4% (89\/2,010) the health service was not implemented correctly because no strategy was established. Conclusion: The implementation of the new health service will make it possible to replace activity (more frequent antenatal care contacts\/visits and routine antenatal cardiotocography) with efficiency (risk identification, determination of the optimal strategy for outpatient\/ ambulatory antenatal care and timing and mode of delivery) and thereby provide better and safer health care (from a medical, organizational, legislative and economic points of view).   Key words: pregnant woman \u2013 registration in the maternity hospital \u2013 defined specific risks \u2013 pregnancy termination strategy \u2013 final mode of delivery<\/jats:p>","DOI":"10.48095\/cccg2023242","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T12:31:29Z","timestamp":1694521889000},"page":"242-252","source":"Crossref","is-referenced-by-count":0,"title":["Registration of a pregnant woman in the maternity hospital (optimally at 36th\u201337th weeks) at the Olomouc University Hospital in 2022"],"prefix":"10.48095","volume":"88","author":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Palacky University and University Hospital Olomouc, Czech Republic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0551-0942","authenticated-orcid":false,"given":"Marek","family":"\u013dubu\u0161k\u00fd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0496-446X","authenticated-orcid":false,"given":"Veronika","family":"Durdov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4606-1960","authenticated-orcid":false,"given":"Tereza","family":"Kratochv\u00edlov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5857-9738","authenticated-orcid":false,"given":"Michaela","family":"Mad\u011brkov\u00e1 Tozzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1803-9706","authenticated-orcid":false,"given":"Kate\u0159ina","family":"Campsie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5584-0398","authenticated-orcid":false,"given":"Alexandra","family":"\u0160insk\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7635-402X","authenticated-orcid":false,"given":"Eli\u0161ka","family":"Hostinsk\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7298-6558","authenticated-orcid":false,"given":"Martina","family":"Studni\u010dkov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata","family":"\u010cernohouzov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Kn\u00e1pek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zden\u011bk","family":"Kab\u00e1tek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav","family":"Jank\u016fj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8589-4378","authenticated-orcid":false,"given":"Ladislav","family":"Du\u0161ek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitka","family":"J\u00edrov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8797-1894","authenticated-orcid":false,"given":"Radovan","family":"Pilka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2023,8,29]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["Registration of a pregnant woman in the maternity hospital (optimally at 36th\u201337th weeks) at the Olomouc University Hospital in 2022"],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T12:31:30Z","timestamp":1694521890000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2023-4-5\/registration-of-a-pregnant-woman-in-the-maternity-hospital-optimally-at-36th-37th-weeks-at-the-olomouc-university-hospital-in-2022-135042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,29]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,8,29]]},"published-print":{"date-parts":[[2023,8,29]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2023242","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"type":"print","value":"1210-7832"},{"type":"electronic","value":"1805-4455"}],"subject":[],"published":{"date-parts":[[2023,8,29]]}}}