INTERNATIONAL PRACTICE OF THE TERRITORIAL DISTRIBUTION OF PERINATAL CENTERS: HEALTHCARE VOLUMES AND PUBLIC TRANSPORT ACCESSIBILITY


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Abstract

Objective. To show international practice of the territorial distribution of top-level specialized healthcare facilities for women during pregnancy, labor, postpartum period and for newborn infants. Subject and method. Third-level obstetric facilities were compared according to indicators, such as transport accessibility, healthcare volumes in the facilities, and neonatal mortality rates. Results. Analysis of world practice could lead to the conclusion that there were considerable differences in third-level obstetric care. In accordance of the WHO guidelines, there must be at least five emergency obstetric care facilities, including one highly specialized obstetric care one, per 500,000 population. At the same time their geographical distribution should ensure that time basic emergency obstetric care should be accessible during two hours and, when the occasion requires, highly specialized obstetric care should be rendered within a maximum of 12 hours. Conclusion. The territorial and time top-level obstetric care accessibility may have an impact on treatment outcomes. The rational distribution of obstetric service infrastructure objects facilitates a free access of the population to health care and enhances chances of preserve life and health if complications develop.

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About the authors

Marina Petrovna Shuvalova

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 Researches of the Scientific and Organizational Support Service Moscow 117997, Ac. Oparina str. 4

Tatiana Viktorovna Pismenskaya

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: t_pismenskaya@oparina4.ru
MD, Junior Researcher Associate in the Department of Medical and Social Researches of the Scientific and Organizational Support Service Moscow 117997, Ac. Oparina str. 4

Ekaterina Lvovna Yarotskaya

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: e_yarotskaya@oparina4.ru
MD, PhD, Head of the International Department of the Scientific and Organizational Support Service Moscow 117997, Ac. Oparina str. 4

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