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REPUBLIC OF CYPRUS MINISTRY OF HEALTH HEALTH MONITORING UNIT CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH INDICATORS FOR YEARS 2007-2009 COMPARED TO THE EUROPEAN PERINATAL HEALTH REPORT FOR YEAR 2004
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CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

Aug 23, 2020

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Page 1: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

REPUBLIC OF CYPRUS

MINISTRY OF HEALTH

HEALTH MONITORING UNIT

CYPRUS PUBLIC MATERNITY UNITS

PERINATAL HEALTH INDICATORS

FOR YEARS 2007-2009

COMPARED TO

THE EUROPEAN PERINATAL HEALTH REPORT FOR YEAR 2004

Page 2: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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CHARACTERISTICS OF CHILDBEARING WOMEN

Indicator C7: Multiple births by number of fetuses per 1000 women

with one or more live or stillbirths

23,8

21,5

25,3

23,6

6,5

2,9

3,9

4,3

0 5 10 15 20 25 30 35

2007

2008

2009

2007-2009

Multible birth rates per 1000 women with live or stillbirths, by number of fetuses, Cyprus Public Sector 2007-2009

Twins

Triplets

Page 3: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator C9: Distribution of parity for women with live and

stillbirths

40,9

44,0

45,3

43,6

50,0

47,4

47,0

48,0

9,1

8,6

7,6

8,4

0% 20% 40% 60% 80% 100%

2007

2008

2009

2007-2009

Distribution of parity, Cyprus Public Sector 2007-2009

(primipara (first baby)

2nd or 3rd birth

4th and higher order births

Page 4: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator R5: Distribution of mother's educational level

5,8

6,8

5,2

5,9

54,4

50,3

49,1

51,0

39,8

42,9

45,7

43,1

0% 20% 40% 60% 80% 100%

2007

2008

2009

2007-2009

Distribution of mother's education, Cyprus Public Sector 2007-2009

Primary or noneSecondary (any)Postsecondary

Page 5: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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THE CARE OF WOMEN AND BABIES DURING PREGNANCY AND

THE POSTPARTUM PERIOD

Indicator C10: Number of births by mode of delivery

34,1

35,4

38,6

36,2

3,1

3,3

3,8

3,4

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

2007

2008

2009

2007-2009

Percentage of births by mode of delivery, Cyprus Public Sector 2007-2009

Caesarean (any)

Vaginal instrumental (any)

Page 6: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator R6: Assisted reproductive techniques

2,7

1,6

2,1

2,1

0,1

0,2

0,4

0,3

0,2

0,1

0,1

0,1

0% 1% 2% 3% 4% 5%

2007

2008

2009

2007-2009

Percentage of women with live and stillbirths following assisted pregnancy procedures, Cyprus Public Sector 2007-2009

In vitro fertilization

Intrauterine insemination

Ovulation Induction

Page 7: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator R8: Mode of onset of labour

17,0

20,3

21,2

19,7

17,0

20,3

21,2

19,7

0% 10% 20% 30% 40% 50% 60%

2007

2008

2009

2007-2009

Induction of labour and caesarean deliveries before labour, Cyprus Public Sector 2007-2009

Caesarean before onset

Induction

Page 8: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator R9: Distribution of place of birth

27,7

29,5

30,6

29,4

0% 10% 20% 30% 40% 50% 60% 70%

2007

2008

2009

2007-2009

Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009

less than 500 deliveries

Page 9: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator R10: Breast feeding in the first 48 hours after birth per 100

live births

37,5

28,8

21,5

28,4

51,6

64,1

69,8

62,8

0% 20% 40% 60% 80% 100%

2007

2008

2009

2007-2009

Distribution of exclusive and mixed breast feeding for the first 48 hours, Cyprus Public Sector 2007-2009

Breastfed exclusively Breastfed plus other food or drink

Page 10: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator F7: Birth without obstetric intervention

Percentage of women without obstetric intervention, Cyprus Public Sector 2007-2009

15,9

15,5

13,4

14,8

2007

2008

2009

2007-2009

Straightforward delivery, Option 2

Women without intervention

50,8

51,8

49,4

50,6

2007

2008

2009

2007-2009

Straightforward delivery, Option 3

Women without intervention

Page 11: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator F3: State of the perineum

71,3

73,6

74,7

73,3

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2007

2008

2009

2007-2009

Episiotomy rates - Percentage of women who delivered vaginally, Cyprus Public Sector 2007-2009

Episiotomy done

Page 12: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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2,9

2,7

3,3

3,0

0,2

0,5

0,3

0,4

0% 5% 10% 15% 20% 25% 30%

2007

2008

2009

2007-2009

Vaginal tears by severity - Percentage of women who delivered vaginally, Cyprus Public Sector 2007-2009

2nd degree

3rd and 4th degree

Page 13: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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BABIES’ HEALTH: MORTALITY AND MORBIDITY DURING

PREGNANCY AND IN THE FIRST YEAR OF LIFE

Indicator C1: Fetal mortality rate

5,8

6,1

5,1

5,7

3,6

2,9

2,7

3,0

0 2 4 6 8 10 12

2007

2008

2009

2007-2009

Fetal mortality per 1000 total births, Cyprus Public Sector 2007-2009

stillborn 28 weeks

stillborn 22 weeks

Page 14: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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7,7

26,7

6,714,0

30,8

26,7

40,032,6

15,4

33,3

6,718,6

23,1

13,3

26,7

20,9

23,1 20,0 14,0

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

20

07

20

08

20

09

20

07

-20

09

Percentage of fetal deaths by gestational age, Cyprus Public Sector 2007-2009

=>37 weeks

32-36 weeks

28-31 weeks

24-27 weeks

<24 weeks

26,7

9,3

38,5

46,7

40,0

41,9

23,1

13,3

20,0

18,67,7

13,3

20,014,0

30,820,0 16,3

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

20

07

20

08

20

09

20

07

-20

09

Percentage of fetal deaths by birthweight, Cyprus Public Sector 2007-2009

=>2500 g

1500-2499 g

1000-1499 g

500-999 g

<500 g

Page 15: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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5,4

3,3

4,4

4,3

0,4

2,9

0,7

1,3

0 5 10 15 20 25 30 35

2007

2008

2009

2007-2009

Fetal mortality rate per 1000 singleton and multiple births, Cyprus Public Sector 2007-2009

Stillborn multiples

Stillborn singletons

Page 16: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator C4: Distribution of birth weight

2,9

2,3

2,7

2,7

9,8

8,3

10,6

9,6

0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14%

2007

2008

2009

2007-2009

Birth weight under 1500 g and 1500-2499 g among live births, Cyprus Public Sector 2007-2009

<1500 g

1500-2499 g

Page 17: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator C5: Distribution of gestational age

3,6

3,5

3,3

3,4

11,0

10,5

13,1

11,6

0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

2007

2008

2009

2007-2009

Percentage of live births with a gestational age <32 weeks and between 32-36 weeks, Cyprus Public Sector 2007-2009

<32 weeks

32-36 weeks

Page 18: CYPRUS PUBLIC MATERNITY UNITS PERINATAL HEALTH … · Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009 ... 2009 2007-2009

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Indicator R2: Five-minute Apgar score as a percentage of live births

0,1

0,1

0,2

0,1

0,5

0,4

0,2

0,3

0,0% 0,5% 1,0% 1,5% 2,0% 2,5% 3,0%

2007

2008

2009

2007-2009

Percentage of live births with an Apgar score at 5 minutes less than 4 and between 4 and 6, Cyprus Public Sector 2007-2009

<4

4-6