RELATIONSHIP BETWEEN MATERNAL AND PERINATAL MORTALITY RATES IN THE SUBJECTS OF THE RUSSIAN FEDERATION


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Abstract

Objective. To study the relationship between maternal and perinatal mortality rates in Russia to identify its subjects with reserves for reducing these rates. Material and methods: The official statistical data on maternal and perinatal mortality in 2010 were analyzed; also, cumulative rates in the period 2006 to 2010 were calculated and analyzed. Results. Analysis of the relationship between maternal and perinatal mortality rates in 83 subjects ascertained that there was a weak, statistically insignificant correlation in 2010 (r=0.17; р=0.12). Assessment of the relationship in the subjects with an equal group membership showed that there was a strong, statistically significant correlation in 2010 (r=0.75; р<0.0001). Exception of subjects with an extreme group membership from the analysis gave rise to an enhanced relationship as compared to baseline data (r=0.48; р<0.0001). Conclusion. The absence of a correlation between maternal and perinatal mortality rates indirectly indicates the incoordination of medical care to pregnant women, parturients, and neonatal infants. The performed investigation has shown that there are reserves to reduce maternal and perinatal death rates particularly in the regions with their different levels. Organizational measures must be primarily taken in the subjects where maternal and perinatal mortality rates do not agree between them or they show a high-level agreement.

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About the authors

M. P SHUVALOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: m_shuvalova@oparina4.ru

O. G FROLOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: o_frolova@oparina4.ru

S. S RATUSHNYAK

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: s_ratushnyak@oparina4.ru

I. N RYABINKINA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: i_ryabinkina@oparina4.ru

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