{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T13:21:51Z","timestamp":1648646511179},"reference-count":0,"publisher":"Vilnius University Press","issue":"4","license":[{"start":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:00:00Z","timestamp":1484092800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background. Perinatal CNS injuries are significant for the\u00a0health of neonates and for child development at a\u00a0later period. The\u00a0aim of this study was to evaluate the\u00a0dynamics of the\u00a0frequency of perinatal CNS lesions (corresponding to ICD\u00a010 code P91) over a\u00a020-year period, using the\u00a0data collected from the\u00a0Lithuanian Medical Data of Births (Registry of Births).\n Material and methods. In total, data of 559,164 newborns were analyzed.\n Results. During the\u00a0period from 1997 to 2014, the\u00a0frequency of term newborns with perinatal CNS injury decreased almost two times, from 20.4\/1000 live births in 1997 to 15.5\/1000 live births in 2014, or from 3.12% (95% CI 2.95; 3.31) to 1.46% (95% CI 1.32; 1.61). In 18\u00a0years, the\u00a0rate of infant mortality from perinatal CNS injury decreased by more than four times and in 2014 it was 0.3\/1000 births; it accounts for 11% of neonatal mortality (2.6\/1000 live births). The\u00a0largest decrease of CNS injury was seen after a\u00a0 caesarean birth (from 13.7% in 1999 to 1.7% in 2014) and breech delivery (from 9.7% in 1999 to 0.8% in 2014). Analysis of the\u00a0dynamics of perinatal CNS injury in preterm births in selected groups did not identify a\u00a0significant positive shift during the\u00a0period. When evaluating the\u00a0level of childbirth services in different-level maternity hospitals, CNS injury is undoubtedly diminished in 2B-level maternity hospitals (regional). Also, positive dynamics was observed in the\u00a0data of 2A-level maternity hospitals, while in 3-level maternity hospitals (university hospitals), which deal with the\u00a0most complicated obstetrical pathology and preterm newborns, positive dynamics was not observed. It is estimated that the\u00a0 frequency of hypoxic-ischemic encephalopathy was 0.63\/1000 live births in Lithuania in 1993.\n Conclusions. The\u00a0frequency of perinatal CNS injury and its positive dynamics in over 18 years shows a\u00a0 progressive and scientifically-based perinatal health care organization in Lithuania.<\/jats:p>","DOI":"10.6001\/actamedica.v23i4.3421","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T14:05:11Z","timestamp":1484143511000},"page":"199-250","source":"Crossref","is-referenced-by-count":0,"title":["Perinatal injury of the\u00a0central nervous system in Lithuania from 1997 to 2014"],"prefix":"10.15388","volume":"23","author":[{"given":"Vytautas","family":"Basys","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nijol\u0117","family":"Drazdien\u0117","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nijol\u0117","family":"Vezbergien\u0117","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelena","family":"Isakova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6097","published-online":{"date-parts":[[2017,1,11]]},"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21429\/20534","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21429\/20534","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T06:18:12Z","timestamp":1610000292000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/view\/21429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,11]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,1,11]]}},"URL":"https:\/\/doi.org\/10.6001\/actamedica.v23i4.3421","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1,11]]}}}