PREECLAMPSIA AND LOWER MATERNAL MORTALITY IN RUSSIA


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Abstract

Objective. To study the most important aspects of maternal mortality from preeclampsia, eclampsia, the current clinical features of the most severe forms of this complication of pregnancy, as well as main defects in rendering qualified medical care, including those in the development of complications. Subjects and methods. A confidential audit of maternal mortality was conducted in different regions of the Russian Federation in 2013-2015. A total of 270 anonymous copies of primary medical records were analyzed. Results. The features of development and progression of the most severe forms of preeclampsia and eclampsia were identified. The development of preeclampsia in the presence of previous extragenital diseases was seen in most clinical cases. Early clinical manifestation is characteristic in the vast majority of women; and the non-classical (atypical) clinical picture of the disease is also common. Conclusion. Practical activities are proposed, which are aimed at reducing maternal mortality from preeclampsia in Russia.

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About the authors

Iraida Stepanovna Sidorova

Academician of RAS, MD, Professor, Professor of Departament of Obstetrics and Gynecology № 1, Honoured Scientist of the Russian Federation, I.M. Sechenov First Moscow State Medical University, Therapeutic Faculty. 119991 Moscow, Russia, Trubetskaya str., 8, build. 2

Natalya Aleksandrovna Nikitina

Email: natnikitina@list.ru
MD, Associate Professor of Departament of Obstetrics and Gynecology № 1, I.M. Sechenov First Moscow State Medical University, Therapeutic Faculty 119991 Moscow, Russia, Trubetskaya str., 8, build. 2

Ara Leonidovich Unanyan

Email: 9603526@mail.ru
MD, Professor, Professor of Departament of Obstetrics and Gynecology № 1, I.M. Sechenov First Moscow State Medical University, Therapeutic Faculty. 119991 Moscow, Russia, Trubetskaya str., 8, build. 2

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