STRUCTURE OF MATERNAL MORTALITY IN RUSSIA OF THE WOMEN WITH A HISTORY OF INFERTILITY

Objective. To analyze the structure of maternal mortality causes in women with a history of infertility. Methods. 26 maternal deaths with a history of infertility were retrospectively analyzed. The data was retrieved from Maternal Mortality Case Reports for the period of 2007 to 2011. Results. In 53,9% (14/26) cases pregnancy was induced by assisted reproductive technologies, and in 46,1% (12/26) cases pregnancies were spontaneous. Primary infertility was in 76,9%, secondary infertility was in 23,1%. All of deaths 80,8% women were urban, 19,2% were rural. Most of women were dead in the postpartum period — 61,6% (16/26), every 5 th — during the pregnancy — 19,2% (5/26), every 9 th — after the abortions — 11,5% (3/26), in 7,7% (7/26) death was followed after ectopic pregnancy. 2 of 16 deliveries were vaginal deliveries and 14 deliveries were cesarean section, indication for operation was pregnancy after IVF. Conclusions. Leading causes of maternal deaths were indirect causes (30,8%); amniotic fluid embolism (26,9%), eclampsia, abortions (up to 11,5%). More than 50% of women dead from emergent and acute onset diseases of extra genital organs, embolism, all of them are unmanaged causes.

infertility, IVF, maternal mortality