Extragenital diseases as a cause of maternal death


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Objective. To analyze maternal mortality and to provide the characteristics of women who have died from extragenital diseases (EGD). Subject and method. The 2010-2012 reporting schedules on maternal deaths from EGD were analyzed. The sociomedical and clinicoorganizational characteristics of maternal losses from EGD were given; and the rates in this group were also compared with those in the entire group of maternal deaths from other causes. Results. Circulatory system diseases (37.7%) rated first in the causes of maternal losses from EGD. There was a difference in the sociomedical characteristics of women who had died from EGD or other causes, except for bad habits that had been 1.5 times more common among those who had died from the former. Every three maternal deaths due to EGD occurred during pregnancy. More than half of the maternal deaths from EGD were recognized to be unavoidable. Conclusion. To solve the problem associated with the reduction of maternal losses from EGD, it is necessary to elaborate measures to improve the quality of an antenatal follow-up and to expand a multidisciplinary interaction.

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作者简介

Marina 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

Olga 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, Consultant of Research Group

Tatiana 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

Svetlana 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

Elena 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

参考

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