REPUBLIC OF CYPRUS
MINISTRY OF HEALTH
HEALTH MONITORING UNIT
CYPRUS PUBLIC MATERNITY UNITS
PERINATAL HEALTH INDICATORS
FOR YEARS 2007-2009
COMPARED TO
THE EUROPEAN PERINATAL HEALTH REPORT FOR YEAR 2004
2
CHARACTERISTICS OF CHILDBEARING WOMEN
Indicator C7: Multiple births by number of fetuses per 1000 women
with one or more live or stillbirths
23,8
21,5
25,3
23,6
6,5
2,9
3,9
4,3
0 5 10 15 20 25 30 35
2007
2008
2009
2007-2009
Multible birth rates per 1000 women with live or stillbirths, by number of fetuses, Cyprus Public Sector 2007-2009
Twins
Triplets
3
Indicator C9: Distribution of parity for women with live and
stillbirths
40,9
44,0
45,3
43,6
50,0
47,4
47,0
48,0
9,1
8,6
7,6
8,4
0% 20% 40% 60% 80% 100%
2007
2008
2009
2007-2009
Distribution of parity, Cyprus Public Sector 2007-2009
(primipara (first baby)
2nd or 3rd birth
4th and higher order births
4
Indicator R5: Distribution of mother's educational level
5,8
6,8
5,2
5,9
54,4
50,3
49,1
51,0
39,8
42,9
45,7
43,1
0% 20% 40% 60% 80% 100%
2007
2008
2009
2007-2009
Distribution of mother's education, Cyprus Public Sector 2007-2009
Primary or noneSecondary (any)Postsecondary
5
THE CARE OF WOMEN AND BABIES DURING PREGNANCY AND
THE POSTPARTUM PERIOD
Indicator C10: Number of births by mode of delivery
34,1
35,4
38,6
36,2
3,1
3,3
3,8
3,4
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
2007
2008
2009
2007-2009
Percentage of births by mode of delivery, Cyprus Public Sector 2007-2009
Caesarean (any)
Vaginal instrumental (any)
6
Indicator R6: Assisted reproductive techniques
2,7
1,6
2,1
2,1
0,1
0,2
0,4
0,3
0,2
0,1
0,1
0,1
0% 1% 2% 3% 4% 5%
2007
2008
2009
2007-2009
Percentage of women with live and stillbirths following assisted pregnancy procedures, Cyprus Public Sector 2007-2009
In vitro fertilization
Intrauterine insemination
Ovulation Induction
7
Indicator R8: Mode of onset of labour
17,0
20,3
21,2
19,7
17,0
20,3
21,2
19,7
0% 10% 20% 30% 40% 50% 60%
2007
2008
2009
2007-2009
Induction of labour and caesarean deliveries before labour, Cyprus Public Sector 2007-2009
Caesarean before onset
Induction
8
Indicator R9: Distribution of place of birth
27,7
29,5
30,6
29,4
0% 10% 20% 30% 40% 50% 60% 70%
2007
2008
2009
2007-2009
Percentage of births in maternity units with fewer than 500 deliveries per year, Cyprus Public Sector 2007-2009
less than 500 deliveries
9
Indicator R10: Breast feeding in the first 48 hours after birth per 100
live births
37,5
28,8
21,5
28,4
51,6
64,1
69,8
62,8
0% 20% 40% 60% 80% 100%
2007
2008
2009
2007-2009
Distribution of exclusive and mixed breast feeding for the first 48 hours, Cyprus Public Sector 2007-2009
Breastfed exclusively Breastfed plus other food or drink
10
Indicator F7: Birth without obstetric intervention
Percentage of women without obstetric intervention, Cyprus Public Sector 2007-2009
15,9
15,5
13,4
14,8
2007
2008
2009
2007-2009
Straightforward delivery, Option 2
Women without intervention
50,8
51,8
49,4
50,6
2007
2008
2009
2007-2009
Straightforward delivery, Option 3
Women without intervention
11
Indicator F3: State of the perineum
71,3
73,6
74,7
73,3
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2007
2008
2009
2007-2009
Episiotomy rates - Percentage of women who delivered vaginally, Cyprus Public Sector 2007-2009
Episiotomy done
12
2,9
2,7
3,3
3,0
0,2
0,5
0,3
0,4
0% 5% 10% 15% 20% 25% 30%
2007
2008
2009
2007-2009
Vaginal tears by severity - Percentage of women who delivered vaginally, Cyprus Public Sector 2007-2009
2nd degree
3rd and 4th degree
13
BABIES’ HEALTH: MORTALITY AND MORBIDITY DURING
PREGNANCY AND IN THE FIRST YEAR OF LIFE
Indicator C1: Fetal mortality rate
5,8
6,1
5,1
5,7
3,6
2,9
2,7
3,0
0 2 4 6 8 10 12
2007
2008
2009
2007-2009
Fetal mortality per 1000 total births, Cyprus Public Sector 2007-2009
stillborn 28 weeks
stillborn 22 weeks
14
7,7
26,7
6,714,0
30,8
26,7
40,032,6
15,4
33,3
6,718,6
23,1
13,3
26,7
20,9
23,1 20,0 14,0
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
20
07
20
08
20
09
20
07
-20
09
Percentage of fetal deaths by gestational age, Cyprus Public Sector 2007-2009
=>37 weeks
32-36 weeks
28-31 weeks
24-27 weeks
<24 weeks
26,7
9,3
38,5
46,7
40,0
41,9
23,1
13,3
20,0
18,67,7
13,3
20,014,0
30,820,0 16,3
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
20
07
20
08
20
09
20
07
-20
09
Percentage of fetal deaths by birthweight, Cyprus Public Sector 2007-2009
=>2500 g
1500-2499 g
1000-1499 g
500-999 g
<500 g
15
5,4
3,3
4,4
4,3
0,4
2,9
0,7
1,3
0 5 10 15 20 25 30 35
2007
2008
2009
2007-2009
Fetal mortality rate per 1000 singleton and multiple births, Cyprus Public Sector 2007-2009
Stillborn multiples
Stillborn singletons
16
Indicator C4: Distribution of birth weight
2,9
2,3
2,7
2,7
9,8
8,3
10,6
9,6
0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14%
2007
2008
2009
2007-2009
Birth weight under 1500 g and 1500-2499 g among live births, Cyprus Public Sector 2007-2009
<1500 g
1500-2499 g
17
Indicator C5: Distribution of gestational age
3,6
3,5
3,3
3,4
11,0
10,5
13,1
11,6
0% 2% 4% 6% 8% 10% 12% 14% 16% 18%
2007
2008
2009
2007-2009
Percentage of live births with a gestational age <32 weeks and between 32-36 weeks, Cyprus Public Sector 2007-2009
<32 weeks
32-36 weeks
18
Indicator R2: Five-minute Apgar score as a percentage of live births
0,1
0,1
0,2
0,1
0,5
0,4
0,2
0,3
0,0% 0,5% 1,0% 1,5% 2,0% 2,5% 3,0%
2007
2008
2009
2007-2009
Percentage of live births with an Apgar score at 5 minutes less than 4 and between 4 and 6, Cyprus Public Sector 2007-2009
<4
4-6