Abstract

Objective: The study looks at the evolution of prematurity over 30 years by analyzing the parameters between 1976-1985 and 2006-2015. The evolution of the prematurity index as well as the structure of prematurity in the two periods, the etiologic factors of premature birth and the premature birth quality. Methodology: The study refers to a selected batch of 46,111 births in the first period and 29,413 of the second period. In the first period, the index of prematurity was 6,87%, unlike the second period 2006-2015 when it was 8,06% but in the comparative data we took into account the definition of abortion when in the first period the birth was considered after a gestational age of 28 weeks, during the second period delivery being considered after 24 weeks of gestation. The quality of birth assistance was also favorable due to the approach of premature cesarean births, with the caesarean index reaching 65.40% in 2016, which is evidenced by the number of deaths which from 611 fetal deaths in the first period of which premature 395 (64.64%) reached 77 deaths (3.24%) in the second period of which premature 48 (62.33%). Conclusions: Birth support for premature birth has made clear progress in the last 30 years but at the same time the progress of neonatology has led to a drastic decrease in perinatal mortality. At the same time, the study of the etiological factors of premature birth reveals significant changes in their structure considering that these changes occurred due to changes in the social structure of society inversing the proportion between the social factors and factors in the ongoing task.

Authors and Affiliations