[Quantitative and qualitative indicators of neonatological care at the Maternity Private Obstetric and Gynecologic...

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.