{"id":39236,"date":"2023-04-25T12:00:00","date_gmt":"2023-04-25T10:00:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39236"},"modified":"2023-04-25T15:03:37","modified_gmt":"2023-04-25T13:03:37","slug":"na-bulovce-vytvari-prostredi-pro-prirozene-porody","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39236","title":{"rendered":"Na Bulovce vytv\u00e1\u0159\u00ed prost\u0159ed\u00ed pro p\u0159irozen\u00e9 porody"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Po\u010det porod\u016f na Gynekologicko-porodnick\u00e9 klinice FNB vzrostl za posledn\u00ed t\u0159i roky o v\u00edce ne\u017e <br>45 %, a to i d\u00edky vzniku Centra porodn\u00ed asistence (CPA), kde je porod veden v\u00fdhradn\u011b porodn\u00ed asistentkou. Ve FNB v lo\u0148sk\u00e9m roce rodilo zhruba 2 700 \u017een, zhruba 400 z nich podle princip\u016f Centra porodn\u00ed asistence.<br>\u201eHlavn\u00ed my\u0161lenka Centra porodn\u00ed asistence spo\u010d\u00edv\u00e1 v tom, \u017ee se o tzv. n\u00edzkorizikovou t\u011bhotnou a rod\u00edc\u00ed \u017eenu, jej\u00ed\u017e pr\u016fb\u011bh t\u011bhotenstv\u00ed nebyl v ni\u010dem nestandardn\u00ed, star\u00e1 v\u00fdhradn\u011b porodn\u00ed asistentka, co\u017e b\u011b\u017en\u011b neb\u00fdv\u00e1 zvykem. Jde o komplexn\u00ed zm\u011bnu p\u0159\u00edstupu k t\u011bhotn\u00e9 a rod\u00edc\u00ed \u017een\u011b,\u201c popsal princip centra prof. MUDr. Michal Zik\u00e1n, Ph.D., p\u0159ednosta Gynekologicko-porodnick\u00e9 kliniky FNB a 1. LF UK. Z dat za rok 2021 vypl\u00fdv\u00e1, \u017ee t\u00e9m\u011b\u0159 polovinu v\u0161ech porod\u016f na Gynekologicko-porodnick\u00e9 klinice FNB vedly pouze<br>porodn\u00ed asistentky bez nutnosti jak\u00e9hokoliv z\u00e1sahu l\u00e9ka\u0159e. L\u00e9ka\u0159 je p\u0159ivol\u00e1v\u00e1n pouze k akutn\u00edm p\u0159\u00edpad\u016fm nebo k porod\u016fm, kde s ohledem na anamn\u00e9zu rodi\u010dky lze p\u0159edpokl\u00e1dat porodn\u00ed komplikace. Mezi nej\u010dast\u011bj\u0161\u00ed situace, kdy je nutn\u00e9 akutn\u011b p\u0159ivolat l\u00e9ka\u0159e pat\u0159\u00ed nepostupuj\u00edc\u00ed porod \u010di mo\u017en\u00e9 ohro\u017een\u00ed novorozence nedostatkem kysl\u00edku. Takov\u00e9 stavy pak mohou vy\u017eadovat zm\u011bnu ve veden\u00ed porodu a nez\u0159\u00eddka doch\u00e1z\u00ed k akutn\u00edm c\u00edsa\u0159sk\u00fdm \u0159ez\u016fm.<br>V roce 2021 se poda\u0159ilo po\u010det c\u00edsa\u0159sk\u00fdch \u0159ez\u016f sn\u00ed\u017eit na pouh\u00fdch 16,9 %. Celorepublikov\u00fd pr\u016fm\u011br se p\u0159itom pohybuje kolem 24 %. Ve skupin\u011b tzv. n\u00edzkorizikov\u00fdch rodi\u010dek je pod\u00edl c\u00edsa\u0159sk\u00fdch \u0159ez\u016f je\u0161t\u011b v\u00fdrazn\u011b ni\u017e\u0161\u00ed \u2013 4,1 %, co\u017e je naprosto v\u00fdjime\u010dn\u00e1 hodnota.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Po\u010det porod\u016f na Gynekologicko-porodnick\u00e9 klinice FNB vzrostl za posledn\u00ed t\u0159i roky o v\u00edce ne\u017e 45 %, a to i d\u00edky vzniku Centra porodn\u00ed asistence (CPA), <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=39236\" title=\"Na Bulovce vytv\u00e1\u0159\u00ed prost\u0159ed\u00ed pro p\u0159irozen\u00e9 porody\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24479,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=39236"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39236\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24479"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}