Preeclampsia and eclampsia as a cause of maternal death


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Abstract

Objective. To analyze maternal mortality rates and to characterize women who died from preeclampsia and eclampsia in 2010-2012 in the Russian Federation. Subject and methods. The investigation analyzed the 2010-2012records of maternal deaths, including those from preeclampsia and eclampsia. It provided the sociomedical and clinical organizational characteristics of maternal losses from preeclampsia and eclampsia and also compared the parameters of this group with the general group of maternal deaths from other causes. Results. The sociomedical characteristics of women who had died from preeclampsia/eclampsia and those of women who had other causes did not differ significantly. Comparison of both groups revealed differences in gestational ages in the final stage of pregnancy, parity, and at the onset of a fetal outcome. The gestational age of 29-36 weeks was shown to be the most critical periodfor primigravidas with evolving preeclampsia/eclampsia. Conclusion. Despite the fact that maternal mortality is a population result of the interaction of different factors, the maternal death from preeclampsia and eclampsia is associated with the quality of medical care.

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About the authors

M. P Shuvalova

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

Email: m_shuvalova@oparina4.ru
MD, PhD, Head of the Department of medical and social research of scientific and organizational support

O. G Frolova

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

Email: o_frolova@oparina4.ru
MD, PhD, Professor, Chief Scientific Officer of the Department of Medical and Social Research of Scientific and Organizational Support

S. S Ratushnyak

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

Email: s_ratushnyak@oparina4.ru
Researcher of the Department of Scientific Planning and Audit of the Scientific and Organizational Support Service

T. K Grebennik

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

Email: t_grebennik@oparina4.ru
MD, Junior Researcher, Department of medical and social research of scientific and organizational support

E. V Guseva

Ministry of Health of the Russian Federation

Email: GusevaEV@rosminzdrav.ru
MD, PhD, Deputy Director, Chief of Medical Care for Children and Services Delivery Department, Chief researcher of the Department of Pathology of Newborn

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