Objective: To examine the population-based trend for cesarean births in twin pregnancies for the last 13 years in Slovenia, and to find correlates for this trend. Methods: We evaluated data from the Slovenian national perinatal information system (NPIS) of all twin pairs born at ≥24 weeks during the period 1997–2009 (n=3916 pairs). Results: We noted a significant and steady increase of about 1.1% cesarean births/year, concomitant with significant increased birth rates at 34–36 weeks, but with a significant decrease over time in neonatal mortality. These trends were neither associated with any particular maternal characteristic nor with increased neonatal morbidity. Conclusions: An association exists between an increased cesarean birth rate, increased preterm births at 33–36 weeks and concomitant significantly reduced neonatal mortality in twins.
F.02 Acquisition of new scientific knowledge
Background: Low medication interest leads to insufficient treatment, additional hospitalisations and complications, even if we do not consider financial burden. Appropriate attitude regarding medication interest should betaught from young age on: just as we do with traffic education. The problem of medication interest is mentioned in medical school and taught in pharmacy school. Persuading adults, who already have developed low medication interest,is difficult. Pharmaceutical companies continuously Ćwork onĆ physicians and pharmacists promoting drug use. There are no workshops to teachthe same people how to increase medication interest. We did not find any publication regarding systematic surveillance of medication interest in pregnant women in Slovenia. It should not be supposed that the problem of low medication interest does not exist. Methods: 50 women in a pilot survey and 263 in the main survey were anonymously questioned about drug treatment in pregnancy, their attitude regarding medication and preventative folic acid use. Results: Responses were obtained from 259 women: 57% pregnant women were prescribed drugs and bought non-prescription drugs; 19.8% only bought non-prescription drugs, and to 16.3% women drugs were prescribed only. Medication interest for acute treatment among 57 participants, who were prescribed such drugs, was 61.4%, for chronic (out of 17 prescribed) 70.6%, and 47.7% (out of 86 prescribed) for treatment with iron. Pregnant women trusttheir physicians and pharmacists and are not frightened by written instructions for drug use. Motivation by physicians is good. The main reason for low medication interest is forgetfulness. Risk perception is high. Only 19% of pregnant women took folic acid properly. (Abstract truncated at 2000 characters).
F.30 Professional assessment of the situation
COBISS.SI-ID: 29399769