PREVENTION OF MATERNAL DEATHS: MONITORING DURING PREGNANCY AND LABOR

Objective. To make a stepwise medical and statistical analysis of maternal mortality rates in the Sverdlovsk Region. Subjects and methods. Stage 1 established the cause-and-effect relations of pregnancy, labor, and postpartum deaths, by analyzing the paired cases in the comparison groups: maternal losses and near miss cases. To determine the reserves of improving perinatal care to women living in the Sverdlovsk Region, the authors made an epidemiological analysis of main health indicators, the timeliness and quality of medical care to patients within the framework of the Internet system «Monitoring of risk-group pregnant women in the Sverdlovsk Region». Results. Diagnostic and tactical errors were found and maternal death risk groups were formed. Continuous monitoring of pregnant women was ascertained to be an effectively operating tool to assess the quality of a follow-up in the primary care facilities and to promote the regionalization of care to the region’s pregnant women. Conclusion. Overall, the optimized organization of an obstetric service in the Sverdlovsk Region could achieve a maternal mortality rate of 21.2 per 100000 live births.

risk-group pregnant women, monitoring, maternal mortality, Sverdlovsk Region