Maternal mortality in the Siberian Federal District and ways of its reduction

The authors analyze 448 emergency reports of maternity deaths in the Siberian Federal District in 2003-2008. Since 2006, there has been a preponderance of little controlled causes in the structure of maternal mortality in this district. Among them, extragenital pathology has held the lead (29.1%). In 2007, there was a predominance of little controlled causes of maternal deaths, such as extragenital pathology and pulmonary artery thromboembolism. The proportion of these fatal complications was equal (18.3%). In 2008, among the causes of maternal death, extragenital pathology was 25% and pulmonary artery thromboembolism was 17.8%. At the same time among the controlled causes of maternal mortality, pregnancy interruption was steadily third - 14.5, 18.3, and 16.1% in 2006, 2007, and 2008, respectively. The study has indicated the crucial feasibility of reducing maternal mortality in the Siberian Federal District, by preventing medical abortions since the latter firmly rank first in the structure of controlled causes of maternal deaths.

maternal mortality, cause of maternal deaths