Shortening gestational age at term and organisation of maternity care in the Czech Republic
ŠTÍPKOVÁ, M. Shortening gestational age at term and organisation of maternity care in the Czech Republic. Lisabon, 2016.
|Anglický název:||Shortening gestational age at term and organisation of maternity care in the Czech Republic|
|Autoři:||Mgr. Martina Štípková Ph.D.|
|Abstrakt EN:||A trend of shortening duration of pregnancies carried to term has been observed in several countries and represents a growing public health concern. The proposed paper describes trend in the duration of pregnancies carried to term in the Czech Republic in the period 2000-2013 and shows its relation to the changing demographic structure of mothers and the organisation of maternity care. Data from the birth register are used and supplemented with information about the capacity of maternity care (number of beds at maternity clinics, number of obstetricians and midwives). Logistic regression is used to estimate the odds of 37–39 vs. 40+ completed weeks of gestation. Results show that the average duration of pregnancies carried to term has declined in the Czech Republic between 2000 and 2013 as a consequence of an increased use of planned early term caesarean sections. The odds of 37–39 weeks of gestational duration increased, mainly due to the reduction in the number of beds at maternity clinics. The effects of the number of health care staff members were weaker. The number of midwives positively influenced gestational duration, while the number of obstetricians had a negative effect. Maternal demographic structure cannot explain the trend.|