Peter Krcho, Michaela Gedeonová, Peter Labus
Objective: For the effective prevention of congenital abnormalities it is necessary to follow exactly the incidence and prevalence together with the evolution of the real time preventive interventions. Matherial and methods: The authors made the comparison of the number and structure of the newborns with congenital abnormalities in 1996 and 2006 during the hospitalisation in neonatal intensive care unit Košice. The newborns were classified using selected categorisation to groups based on possibilities for correction, surviving and permanent handicap. Results: The spectrum and number of admitted newborns telling us about the increasing role of the unit, creating better possibilities to solve the problems of neonatal mortality and morbidity in the region. More then two times higher numbers of congenital abnormalities last ten years is telling us about better regionalisation of the most severe cases, better postnatal evaluation and still problematic prenatal diagnosis. In discussion the authors mention some of the newest possibilities for prenatal diagnosis, intrauterine interventions, changing the severe abnormalities to treatable cases. Conclusion: The results of the study referr about the necessity to build up a functioning obstetrical part of the prenatal centre with 24 hours consultation and diagnostic possibilities in most severe and complicated cases in the region.