Current issues in preeclampsia: a ten-year analysis of maternal mortality


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Aim. To investigate the implementation of evidence-based guidelines for the prevention of adverse outcomes in preeclampsia. Materials and methods. The study analyzed medical records of 129 maternal deaths from preeclampsia/eclampsia and their complications in Russia's regions from 2010 to 2019. Data for years 2010-2015 (n=63) were compared with that for 2016-2019 (n=66). Between these periods, all Russian Federation regions adopted new terminology, classification, and management strategy for preeclampsia established by new national guidelines. Results. In 2010-2015 amenable and preventable maternal preeclampsia-related mortality reached 89%. There were significant medical errors in patients' management related to inappropriate prevention and treatment in outpatient and inpatient settings. The introduction of new national guidelines for preeclampsia management resulted in improved maternal and perinatal outcomes and sharply reduced amenable and preventable maternal mortality. Conclusion. Standardization, strict adherence to approved protocols, and continuous maternal health care quality assessment is an effective and promising way to reduce preeclampsia-related maternal mortality.

全文:

受限制的访问

作者简介

Iraida Sidorova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: sidorovais@yandex.ru
Dr. Med. Sci., Professor, Academician of the RAS, Merited Scholar of the Russian Federation, Department of Obstetrics and Gynecology № 1, N.V. Sklifosovsky Institute of Clinical Medicine

Natalya Nikitina

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: natnikitina@list.ru
Dr. Med. Sci., Professor at the Department of Obstetrics and Gynecology № 1, N.V. Sklifosovsky Institute of Clinical Medicine

Oleg Filippov

Department of Child's Health Care and Maternity Services, Ministry of Health of Russia

Dr. Med. Sci., Professor, Merited Doctor of the Russian Federation, Deputy Director

Yelena Guseva

Department of Child's Health Care and Maternity Services, Ministry of Health of Russia

Deputy Director of the Department - Head of the Department of Reproductive Health and the Implementation of Effective Obstetric and Gynecological Care

Mikhail Ageev

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: mikhaageev@yandex.ru
Ph.D., Teaching Assistant at the Department of Obstetrics and Gynecology №1, N.V. Sklifosovsky Institute of Clinical Medicine

Albert Kokin

Maternity Hospital affiliated to the V.V. Veresaev Clinical Hospital of Moscow City Health Department

Email: alberkokin@yandex.ru
Head of the Department of Anesthesiology and Intensive Care

参考

  1. Всемирная организация здравоохранения. Информационные бюллетени. [WHO. Newsletters]. Available at: https://www.who.int/ru/news-room/fact-sheets/detail/maternal-mortality.
  2. Филиппов О.С., Гусева Е.В. «О материнской смертности в Российской Федерации в 2010 году». Методическое письмо Министерства здравоохранения Российской Федерации № 15-4/3041-07 от 26.09.2011. 41c. [Filippov O.S., Guseva E.V. Methodological letter "On maternal mortality in the Russian Federation in 2010". Methodological letter of the Ministry of Health of the Russian Federation No. 15-4/3041-07 dated 26.09.2011. 41 p. (in Russian)].
  3. Филиппов О.С., Гусева Е.В., Малышкина А.И., Михайлов А.В., Линде В.А., Зубенко Н.В., Фаткуллин И.Ф., Башмакова Н.В., Артымук Н.В., Пестрикова Т.Ю. Материнская смертность в Российской Федерации в 2015 году. Методическое письмо Министерства здравоохранения Российской Федерации № 15-4/10/2-6810 от 28.10.2016. 85с. [Filippov O.S., Guseva E.V., Malyshkina A.I., Mikhailov A.V., Linde V.A., Zubenko N.V. et al. Maternal mortality in the Russian Federation in 2015. Methodological letter of the Ministry of Health of the Russian Federation No. 15-4/10/2-6810 from 28.10.2016. 85 p. (in Russian)].
  4. Филиппов О.С., Гусева Е.В. Материнская смертность в Российской Федерации в 2019 году. Методическое письмо Министерства здравоохранения Российской Федерации № 15-4/1285-07 от 08.10.2020. 41с. [Filippov O.S., Guseva E.V. Maternal mortality in the Russian Federation in 2019. Methodological letter of the Ministry of Health of the Russian Federation No. 15-4/1285-07 dated 08.10.2020. 41 p. (in Russian)].
  5. Say L., Chou D., Gemmill A., Tungalp 0., Moller A.B., Daniels J.D. et al. Global сauses of maternal death: A WHO systematic analysis. Lancet Glob. Health. 2014; 2(6): e323-33. https://dx.doi.org/10.1016/S2214-109X(14)70227-X.
  6. WHO. Global strategy for women’s, children’s and adolescents’ health (20162030). New York: Every Woman Every Child; 2015.
  7. Сухих Г.Т.,Ходжаева З.С., Филиппов О.С., Адамян Л.В., Краснопольский В.И., Серов В.Н., Сидорова И.С., Баев О.Р., Башмакова Н.В., Кан Н.Е., Клименченко Н.И., Макаров О.В., Никитина Н.А., Петрухин В.А., Пырегов А.В., Рунихина Н.К., Тетруашвили Н.К., Тютюнник В.Л., Холин А.М., Шмаков Р.Г., Шешко Е.Л. Гипертензивные расстройства во время беременности, в родах и послеродовом периоде. Преэклампсия. Эклампсия. Федеральные клинические рекомендации. Методическое письмо Минздрава России № 15-4/10/2-7138 от 23.09.2013. 61с.

补充文件

附件文件
动作
1. JATS XML

版权所有 © Bionika Media, 2021