EXTREMELY PRETERM BIRTHS IN THE URAL FEDERAL DISTRICT: PROBLEMS AND PROSPECTS


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Abstract

Objective. To study the statistics of extremely low birth weight (ELBW) births and extremely preterm births (EPB) in the Ural Federal District and to define who to improve perinatal outcomes. Subject and methods. A comparative analysis of the statistics of EPB and perinatal outcomes in ELBW infants (n=2019) in the areas of the district during 2012-2013; direct audit of 8 leading perinatal centers. Results. In the past 2 years of introduction of new live birth criteria, the proportion of ELBW babies in the district has increased from 0.49 to 0.62%; however, EPB is being registered irregularly. There is a 17% decrease in the proportion of stillborn infants and a 14.5% increase in that of survivors among the live ELBW births. Conclusion. The survival rates of ELBW infants increase up to 70% or higher in the areas where 80% of EPB are done at Level III perinatal centers.

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About the authors

Nadezda Vasilevna Bashmakova

Ural Research Institute of Maternity and Infancy Care, Ministry of Health of Russia

Email: omm@k66.ru
MD, Professor, Director 620028, Russia, Ekaterinburg, Repina str. 1

Galina Borisovna Malygina

Ural Research Institute of Maternity and Infancy Care, Ministry of Health of Russia

Email: galinamalgina@mail.ru
MD, Scientific Director 620028, Russia, Ekaterinburg, Repina str. 1

Alla Michailovna Litvinova

Ural Research Institute of Maternity and Infancy Care, Ministry of Health of Russia

Email: orgomm@k66.ru
PhD, Senior Researcher 620028, Russia, Ekaterinburg, Repina str. 1

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