REGIONAL ASPECTS OF PERINATAL MORTALITY

The paper presents the results of studying the regional aspects of perinatal mortality from its rates and causes as a basis for elaborating measures to reduce perinatal losses. The 2007-2008 official statistical data of the Russian Federation (RF) and its areas were the material of the study. Its method was to divide an aggregate of areas by death rates, by applying the percentile distribution. The findings indicated that perinatal mortality rates were as high as 7,2% in 26,5% of the RF areas, 10,0% in 57,8%, 12,8% in 14,5%, and 15,6% in one area. Area distribution data were also obtained from the death rates by the federal districts. The perinatal mortality of as high as 7,2% was recorded in 11,1% of the areas of the Far Eastern Federal District (FEFD) and in 66,7% of those of the Ural Federal District (UFD). The perinatal mortality of as high as 10,0% was observed in 33,3% of the areas of UFD and in 72,2% of those of the Central Federal District (CFD), in 71,4% of those of the Volga Federal District, and in 66,7% of those of FEED. The number of third-level areas (with the perinatal mortality of as high as 12,8%) was smaller: 16,7% in CFD, 23,1% in the South Federal District, and 22,2% in FEED. Each of the other districts had one area with this death rate; this was not notified in CFD. The trend in the causes of perinatal death in the fetus and mother and their specif ic features are given in relation to the rate.
When elaborating the measures to reduce perinatal mortality, one should use experience in organizing obstetric and neonatal services of the areas with the low rate achieved, by decreasing the proportion of causes, such as birth injury, birth asphyxia, and congenital malformations.

perinatal mortality, causes of perinatal death