One year of perinatal registration in Curacao - abstract

ABSTRACT

Perinatal care in Curacao has been a cause for concern because of parameters that show poor outcome and the lack of an adequate, uniform and flexible registration system. In addressing this problem, the government chose a system that could deliver up-to-date information, make continuous evaluation possible and be an instrument in ensuring delivery of a minimum of antenatal care. After a try-out period, the Sistema Informatico Perinatal (SIP) of the Centro Latino Americano de Perinatologia y Desarollo Humano (CLAP) was introduced on October 1, 1993, among all practising midwives. This study analyses data compiled during the first year. Most striking results: low rate of missing information; high rate of teenage pregnancy; high rate of expecting mothers who made their first antenatal visit in their third trimester of pregnancy. Most frequent maternal pathologies threat of premature labour, urinary tract infections, puerperal bleeding, premature rupture of membranes and pre-eclampsia. Most frequent new-born pathologies hyper-bilirubinaemia, infections and RDS. We conclude that the CLAP system has the potential to provide timely information on antenatal and maternal data important for proving optimal care during pregnancy (AU)