Pregnancy termination as a cause of maternal death in the Ural Federal District


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Abstract

Objective. To analyze the pattern of abortion-related maternal deaths in the Ural Federal District (UFD) and to define ways of improving the quality of health care when pregnancy is terminated. Subject and methods. The statistical data of the Ministry of Health of the Russian Federation during 2011-2012 and those of UFD during 2012-2013, the medical records of patients who had died from abortion, as well as the annual reports of Crisis Pregnancy Centers and health care facilities were analyzed. Results. The pattern of pregnancy termination showed a preponderance of medically indicated (63%), spontaneous and unspecified (25%), and criminal (12%) abortions among the deceased in the UFD. The leading causes of maternal deaths were septic complications (50%) and extragenital diseases (25%). In the abortion technology, there was a predominance of aggressive techniques (uterine cavity curettage) (25%), hysterectomy (12%), small cesarean section (12%), criminal interventions (13%), vacuum aspiration (13%), and no interventions (13%). Conclusion. A comprehensive, commanding approach involving the attraction of allied specialists (psychologists, social workers, and lawyers) and the wide introduction of available safe abortion techniques in all UFD areas are needed to reduce maternal losses from abortion.

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About the authors

Natalia Borisovna Davydenko

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: orgomm@mail.ru
candidate of medical Sciences, head of Department for development and introduction of new health-organizational forms of perinatal care.

Galina Borisovna Malgina

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: galinamalgina@mail.ru
MD, Sc.D., Scientific Director

Nadezhda Vasilievna Bashmakova

Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia

Email: dr@niiomm.ru
doctor of medical Sciences, Professor, honored doctor of the Russian Federation, Director

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