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Perinatal medicine for the attention of specialists in obstetrics and gynecology in South-East Europe

Perinatal medicine for the attention of specialists in obstetrics and gynecology in South-East Europe

The Romanian Association of Perinatal Medicine (ARMP) together with the South-East European Society of Perinatal Medicine (SSEEMP) organizes, on May 20-21, 2011, the 4th Congress of Perinatal Medicine.

The Congress of the South-East European Society of Perinatal Medicine aims to be a reference event for all Romanian obstetricians with a concern in the field of fetal medicine, but also for neonatologists.

During the two days, some topics of major importance for this area will be brought to the attention of specialist doctors from all over South East Europe:

  • interventional obstetrics;

  • neonatology and risk factors involved;

  • controversies and innovations in obstetrics and gynecology.

The event was also linked to the Ian Donald School Advanced Course in Ultrasonography in Obstetrics and Gynecology, held on May 18 and 19. The debates took place on the subject of the central nervous system of the fetus:

  • ultrasound diagnosis;

  • management strategies;

  • pre- and post-natal therapeutic possibilities;

  • new diagnostic modalities.

During the Congress, lectures will be given by specialists in perinatal medicine from Macedonia, Greece, Bosnia and Herzegovina, Moldova, Albania, Turkey, Croatia, Montenegro, Serbia, Slovenia, USA, Romania.

Birth by Caesarean section, a fad?

We are among the leading countries at birth through Caesarean section, the Romanians decide to give birth at an older age, and the number of in vitro fertilization cases is increasing. These are just some of the realities that can be extracted from the speaches of those present at the event.

In Bucharest alone, over 50% of pregnant women are born through Caesarean section. This percentage is quite high compared to the European level, where the average caesarean section is 15-30% maximum.

According to the findings of the doctors specialized in obstetrics and gynecology, more and more women postpone the time of conception of a child, this being done most often after the age of 30 years. At this age, the recommendation for a Caesarean section is much higher, so implicitly, by increasing the number of pregnant women over 30 years, the number of births by Caesarean section increases.

Caesariana came to us a business matter. The doctor agrees to schedule a birth rather than being called to the hospital at night, and women consider Caesarean section to be a lighter birth, perhaps scared by stories of birth pains, Acad Prof. Dr. Florin Stamatian considers.

Looking from the doctor's point of view, the major risk of a cesarean birth moves on to the mother, which is also valid for the second pregnancy, after a caesarean section, the scar uterus being a real problem.

Another topic reached at the press conference was the midwife institution in Romania. Bela Szabo, president of the Commission of Obstetrics and Gynecology, supports the institution of the well-trained midwife. An additional point is that home birth is about to be eradicated in Romania and the law provides that birth can only take place in hospitals with an on-call anesthetist.

Regarding the route of the pregnant woman to the doctor, since the delay of menstruation, Acad Prof. Dr. Florin Stamatian stressed that, during the 9 months of pregnancy, 5-6 visits to the family doctor and about 3 consultations are sufficient. gynecologist, for a pregnancy without problems.

Neonatal mortality, causes and solutions

Regarding neonatal mortality, Acad. Prof. Dr. Florin Stamatian argues that Romania faces the same problems as the rest of the countries in Europe. He also stressed that "Romanian medicine is not far behind the European medicine". However, the entry into force of the law declaring the birth of any child born after 24 weeks and weighing more than 500g could lead to an increase in neonatal mortality. This fact causes the chances of survival of only 22% in the case of children so young. In the old provisions, the child is born after 28 weeks of pregnancy, weighing at least 1000 g.

Beneficial for lowering neonatal mortality could be the increasingly aggressive campaigns to support breastfeeding.

The SSEEPM Congress is a major event in the field of obstetrics, fetal medicine, neonatology and genetics. It represents a means of developing and affirming the best specialists in obstetrics and gynecology, as well as an official framework for disseminating information on the latest discoveries in the field. Last but not least, it is an opportunity for specialists in different disciplines to exchange views with each other or with colleagues from other countries.

Tags Medical analysis during pregnancy