[2023年妇产私立妇产科医院新生儿护理的定量和定性指标]。

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Lajos Lantos, Krisztina Szőllős, Dorottya Rózsa, Mária Madarász, Eszter Vörös, Gizella Molnár, Balázs Gérecz, Zorán Belics, Petronella Hupuczi
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引用次数: 0

摘要

导言:近年来,由于医疗保健系统的结构和法律变化,私人医疗保健受到越来越多的重视,因此在产科私人诊所观察到的每年出生人数显着增加。从一开始,诊所的基本目标就是根据专业方案为所有患者提供高水平的产科和围产期护理,无论患者是否周转。目的:本研究的目的是分析和总结2023年产科私人诊所的新生儿定量和定性指标。方法:回顾性分析2023年1月1日至2023年12月31日出生的新生儿资料,并将相关结果以图表形式呈现。结果:2023年,在产科私人诊所出生的新生儿1461名,绝大多数是38-39岁的新生儿。妊娠周数(n = 1010, 69%)。34个新生儿在37个新生儿之前出生。妊娠周数(其中5例为35周早产)。剖宫产率为78%。92%的新生儿在平静的住院治疗两到三天后出院。71% (n = 1027)的新生儿在出院当天接受纯母乳喂养。85例新生儿因新生儿黄疸接受光疗,绝大多数治疗时间为1 ~ 2天。在调查期内,共有12例新生儿因怀疑新生儿败血症而开始抗生素治疗,其中5例新生儿完成了5天的抗生素治疗疗程。在32例新生儿病房中,由于呼吸问题,需要NCPAP(鼻腔持续气道正压)呼吸支持,其中15例在治疗几个小时后我们能够成功地停止呼吸支持,17例需要转移。在1,461名新生儿中,总共只有36名(2.4%)需要转到2级或3级新生儿重症监护病房。2例新生儿先天性畸形(1例室间隔缺损,1例尿道下裂)。我科没有新生儿死亡。讨论:产科私人诊所的新生儿护理模式是根据21世纪的要求,考虑到患者的安全,在专业协议的基础上运作,为新生儿和家庭提供一个不受干扰的安全环境,以便在出生后的最初几个小时和几天内建立母婴关系和母乳喂养。Orv Hetil. 2025;166(17): 658 - 668。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Quantitative and qualitative indicators of neonatological care at the Maternity Private Obstetric and Gynecologic Hospital in 2023].

Introduction: In recent years, as a result of the structural and legal changes observed in the healthcare system, private healthcare has received increasing emphasis, therefore a significant increase in the annual number of births was observed at the Maternity Private Clinic. From the very beginning, the basic aim of the Clinic is to provide high-level obstetric and perinatological care based on professional protocols for all patients, regardless of patient turnover. Objective: The purpose of the current study is to analyze and summarize the neonatological quantitative and qualitative indicators of the Maternity Private Clinic in 2023. Method: In our retrospective study, data of newborn infants born between 1st of January 2023 and 31st of December, 2023 were analyzed and relevant results are presented in graphs. Results: In 2023, 1,461 newborns were born at the Maternity Private Clinic, the vast majority of newborns were in the 38–39. gestational week (n = 1010, 69%). 34 newborns were born before the 37. week of pregnancy (5 of them were premature at 35 weeks). The rate of cesarean sections was 78%. 92% of the newborn infants were discharged after two or three days after an uneventful hospitalization. 71% (n = 1027) of all newborn infants received exclusive breastfeeding on the day of discharge. 85 newborn infants received phototherapy due to neonatal jaundice, the vast majority of treatments took 1–2 extra days. In the examined period, antibiotic treatment was started for a total of 12 newborns due to suspicion of neonatal sepsis, of which 5 newborn infants received a complete 5-day antibiotic therapy course. In 32 cases, NCPAP (nasal continuous positive airway pressure) respiratory support was necessary in the neonatal ward due to respiratory problems and in 15 of these cases we were able to successfully discontinue the respiratory support after a few hours of treatment, transfer was necessary in 17 cases. Of the 1,461 newborns, altogether only 36 (2.4%) required transfer to a Level 2 or 3 neonatal intensive care unit. Two newborn neonates had congenital anomaly (one ventricular septal defect and one hypospadias). No newborn infant died in our department. Discussion: The neonatal care model of the Maternity Private Clinic is in accordance with the requirements of the 21th century, taking into account patient safety, it operates on the basis of professional protocols and provides newborn infants and families with an undisturbed, safe environment for the initiation of the mother-newborn relationship and breastfeeding during the first hours and days after birth. Orv Hetil. 2025; 166(17): 658–668.

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来源期刊
Orvosi hetilap
Orvosi hetilap MEDICINE, GENERAL & INTERNAL-
CiteScore
1.20
自引率
50.00%
发文量
274
期刊介绍: The journal publishes original and review papers in the fields of experimental and clinical medicine. It covers epidemiology, diagnostics, therapy and the prevention of human diseases as well as papers of medical history. Orvosi Hetilap is the oldest, still in-print, Hungarian publication and also the one-and-only weekly published scientific journal in Hungary. The strategy of the journal is based on the Curatorium of the Lajos Markusovszky Foundation and on the National and International Editorial Board. The 150 year-old journal is part of the Hungarian Cultural Heritage.
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