Problems in the collection and processing of report data on the course and outcomes of pregnancy and childbirth, and newborn health


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Abstract

Form No. 32 of the Federal Statistical Observation is of paramount importance in analyzing the structure of morbidity and mortality in newborns and pregnant and parturient women and in determining maternal mortality rates; its data are used to analyze the situation in the regions and in the country as a whole. Objective. To identify and structure main problems in presenting data in Form No. 32 and Insert No. 232, by taking into account changes during more than 30 years, to formulate ways of their solution based on the experience of receiving annual reports, and the analysis of the data presented. Materials and methods. The normative documents, starting with Form No. 32 in 1984, as well as the content of these forms (including Insert No. 323) provided by the subjects of the Russian Federation in 2000-2015, were analyzed. The detected defects based on the results of receiving the forms in 2014-2015 and their main contained health and demographic indicators were also analyzed. Results. The approved and currently used version of Form No. 32 gives no possibility of obtaining data on babies who were born at 22 or more weeks’ gestation, but weighed less than 500 grams, by considering still-born infants weighing less than 1000 grams at birth in relation to the causes of death. A number of terminological defects, such as differences in the periodization of gestational ages (22-27 and 22-28 weeks and 28-36 and 28-37 weeks) were identified, which leads to the erroneous presentation of the data. The incorrect term “healthy preterm infant” is used. There are problems in taking into account critical obstetric conditions and interhospital and intrahospital transfers. Conclusion. A lack of detailed instructions for filling in Form No. 32 and Insert No. 232 results in the ambiguous consideration of diseases in pregnant and parturient women, newborn infants, and obstetric operations. The ways of improving Form No. 32 were proposed to ensure the greater validity and reliability of statistical data.

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About the authors

Elvira Rustamovna Nizamova

Central Research Institute for Public Health Organization and Informatization, Ministry of Health of Russia

postgraduate student

Inna Sergeevna Tsybulskaya

Central Research Institute for Public Health Organization and Informatization, Ministry of Health of Russia

MD, Ph.D., Professor

Sergey Alekseevich Leonov

Central Research Institute for Public Health Organization and Informatization, Ministry of Health of Russia

head of the department, MD, professor

Alexander Viktorovich Polikarpov

Central Research Institute for Public Health Organization and Informatization, Ministry of Health of Russia

head of the department, Ph.D

Denis Olegovich Roshchin

Central Research Institute for Public Health Organization and Informatization, Ministry of Health of Russia

Ph.D., Ph.D

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