Pregnancy termination as a cause of maternal death in the Ural Federal District
- Autores: Davydenko N.B.1, Malgina G.B.1, Bashmakova N.V.1
-
Afiliações:
- Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia
- Edição: Nº 9 (2014)
- Páginas: 79-84
- Seção: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247284
- ID: 247284
Citar
Texto integral
![Acesso aberto](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_open.png)
![Acesso é fechado](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_unlock.png)
![Acesso é fechado](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
Resumo
Objective. To analyze the pattern of abortion-related maternal deaths in the Ural Federal District (UFD) and to define ways of improving the quality of health care when pregnancy is terminated. Subject and methods. The statistical data of the Ministry of Health of the Russian Federation during 2011-2012 and those of UFD during 2012-2013, the medical records of patients who had died from abortion, as well as the annual reports of Crisis Pregnancy Centers and health care facilities were analyzed. Results. The pattern of pregnancy termination showed a preponderance of medically indicated (63%), spontaneous and unspecified (25%), and criminal (12%) abortions among the deceased in the UFD. The leading causes of maternal deaths were septic complications (50%) and extragenital diseases (25%). In the abortion technology, there was a predominance of aggressive techniques (uterine cavity curettage) (25%), hysterectomy (12%), small cesarean section (12%), criminal interventions (13%), vacuum aspiration (13%), and no interventions (13%). Conclusion. A comprehensive, commanding approach involving the attraction of allied specialists (psychologists, social workers, and lawyers) and the wide introduction of available safe abortion techniques in all UFD areas are needed to reduce maternal losses from abortion.
Palavras-chave
Texto integral
![Acesso é fechado](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
Sobre autores
Natalia Davydenko
Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia
Email: orgomm@mail.ru
candidate of medical Sciences, head of Department for development and introduction of new health-organizational forms of perinatal care.
Galina Malgina
Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia
Email: galinamalgina@mail.ru
MD, Sc.D., Scientific Director
Nadezhda Bashmakova
Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia
Email: dr@niiomm.ru
doctor of medical Sciences, Professor, honored doctor of the Russian Federation, Director
Bibliografia
- О состоянии службы родовспоможения в Российской Федерации. Информационное письмо Департамента медицинской помощи детям и службы родовспоможения Министерства здравоохранения Российской Федерации. М.; 2013. [Status of the obstetric service in the Russian Federation. Information Letter from Department of medical care for children and obstetric service of the Ministry of Health of the Russian Federation. M.; 2013.]
- О материнской смертности в Российской Федерации в 2012 году. Методическое письмо Департамента медицинской помощи детям и службы родовспоможения Министерства здравоохранения Российской Федерации. М.; 2013. [On the maternal mortality rate in the Russian Federation in 2012. Methodological letter from the Department of health care for children and obstetric service of the Ministry of Health of the Russian Federation. M.; 2013.]
- Радзинский В.Е., Дикке Г.Б., Анненкова Т.В., Крылова Л.А. Септические аборты предотвратимы. Эффективная фармакотерапия. Акушерство и гинекология. 2014; 11-1: 46-52. [Radzinsky V.E., Dikke G.B., Annenkova T.V., Krylova L.A. Septic abortions are preventable. Effective pharmacotherapy. Obstetrics and gynecology. 2014; 11-1: 46-52.]
- Дикке Г.Б., Сахаутдинова И.В. Современные методы прерывания беременности в поздние сроки. Акушерство и гинекология. 2014; 1: 83-8. [Dikke G.B., Sakhautdinova I.V. Current methods for termination of pregnancy in late periods. Obstetrics and gynecology. 2014; 1: 83-8.]
- Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. М.: ФГБУ «ЦНИИОИЗ» Минздравсоцразвития России; 2012. 191 с. [Key indicators of maternal and child health, child welfare service activities and obstetrics in the Russian Federation. M.: FGBU TsNIIOIZ of the Ministry of Health of Russia; 2012. 191 p.]
- Safe abortion: technical and policy guidance for health systems. 2nd ed. World Health Organization, Department of Reproductive Health and Research; 2012. Available at: http://www.who.int/.
- Плотко Е.Э. Прогнозирование, профилактика, диагностика и лечение осложнений искусственного прерывания беременности: Автореф. дис.. д-ра мед. наук. М.; 2013. 48 с. [Plotko E.E. Prediction, prevention, diagnosis and treatment of complications of induced abortion: Author. dis.. Dr. Med. Sciences. M.; 2013. 48 p.]
- Радзинский В.Е. Акушерская агрессия. М.: Медиабюро Статус Презенс; 2010. 688 с. [Radzinsky V.E. Obstetric aggression. M.: Mediaburo Status Presence; 2010. 688 p.]
- Дикке Г.Б. Инфекционные осложнения при искусственном прерывании беременности - вызов современной медицине. Status Praesens. Гинекология, акушерство, бесплодный брак. 2013; 5(16): 51-6. [Dikke G.B. Infectious complications of abortion - a challenge to modern medicine. Status Praesens. Gynecology, obstetrics, barren marriage. 2013; 5 (16): 51-6.]
- Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. М.: ФГБУ «ЦНИИОИЗ» Минздравсоцразвития России; 2011. 173 с. [Key indicators of maternal and child health, child welfare service activities and obstetrics in the Russian Federation. M.: FGBU TsNIIOIZ of the Ministry of Health of Russia; 2011. 173 p.]
- WHO. Model list of essential medicines.18* ed. Geneva: WHO; 2013. Available at: http://mednet3.who.int/EMLib/
- Dragoman M., Sheldon W., Qureshi Z., Blum J., Winikoff B., Ganatra B. Overview of abortion cases with severe maternal outcomes in the WHO Multicountry Survey on Maternal and Newborn Health: a descriptive analysis. Br. J. Obstet. Gynaecol. 2014; 121(Suppl. 1): 25-31. doi: 10.1111/14710528.12689.
- Kulier R., Kapp N., Gulmezoglu A.M., Hofmeyr G.J., Cheng L., Campana A. Medical methods for first trimester abortion. Cochrane Database Syst. Rev. 2011; (11): CD002855. Available at: http://summaries.cochrane.org
- Lievre M., Sitruk-Ware R. Meta-analysis of 200 or 600 mg mifepristone in association with two prostaglandins for termination of early pregnancy. Contraception. 2009; 80(1): 95-100.
- American College of Obstetricians and Gynaecologists (ACOG). A clinician’s guide to medical and surgical abortion. NAF’s textbook; 2012. Available at: http://www.prochoice.org.
- Royal College of Obstetricians and Gynaecologists (RCOG). The care of women requesting induced abortion. London (England): RCOG; 2011. (Evidence-based Clinical Guideline; no. 7). Available at: http://www.rcog. org.uk
- The European Medicines Agency in 2007. Summary of the thirteenth annual report of the EMEA. Available at: http://www.ema.europa.eu.
- Дикке Г.Б., Яроцкая Е.Л., Ерофеева Л.В. Внедрение современных методов прерывания беременности в отечественную практику. Акушерство и гинекология. 2014; 2: 67-73. [Dikke G.B., Yarotskaya E.L., Erofeeva L.V. Introduction of current methods for pregnancy termination in Russian practice. Obstetrics and gynecology. 2014; 2: 67-73.]
- Шевченко В.В., Ямщиков А.С., Чепурная Е.А. Оценка социально-экономической эффективности доабортного консультирования (на примере реализации в городе Красноярске проекта «Ты не одна» демографической программы «Святость материнства»). Менеджер здравоохранения. 2011; 2: 34-46. [Shevchenko V.V., Yamschikov A.S., Chepurnaya E.A. Assessment of the socio-economic benefits of pre-abortional counseling (on the example of implementation of the project in Krasnoyarsk city «You are not alone» of population program «Sanctity of Motherhood»). Health Manager. 2011; 2: 34-46.]
- Counseling and waiting periods for abortion. State Policies in Briff. Guttmacher Institu^. November 1, 2013. Available at: http://www.guttm-acher.org.
- Joyce T.J., Henshaw S.K., Dennis A., Finer L.B., Blanchard K. The impact of state mandatory counseling and waiting period laws on abortion: a literature review. New York: Guttmacher Institute; 2009. Available at: http://www. guttmacher.org
- Качество оказания медицинской помощи женщинам при аборте: нерешенные вопросы. Пособие для врачей. М.: Российское общество акушеров-гинекологов, Российская ассоциация «Народонаселение и развитие»; 2011. [The quality of health care for women with abortion: unresolved issues. Manual for physicians. M.: Russian Society of Obstetricians and Gynecologists, the Russian Association «Population and Development»; 2011.]
- Приказ Министерства здравоохранения Российской Федерации от 01.11.2012г. №572-н «Порядок оказания медицинской помощи по профилю «акушерство и гинекология» (за исключением использования вспомогательных репродуктивных технологий). [Order of the Ministry of Health of Russian Federation, 01.11.2012 № 572-n «Order of medical care on the profile of Obstetrics and Gynecology (except for the use of assisted reproductive technologies).]
- Организация работы психотерапевтического кабинета в женской консультации. Методические рекомендации Министерства здравоохранения и социального развития Российской Федерации от 15.01.2009г. № 06/370/855. [Organization of the psychotherapy office in the antenatal clinic. Guidelines of the Ministry of Health and Social Development of the Russian Federation from 15.01.2009 № 06/370/855.]
- Приказ Министерства здравоохранения и социального развития РФ от 27.12.2011г. № 1664н «Номенклатура медицинских услуг». [Order of the Ministry of Health and Social Development of the Russian Federation of 27.12.2011. Number 1664n «Nomenclature of medical services»]
- Приказ Министерства здравоохранения Российской Федерации от 30.10.95г. №294 «О психиатрической и психотерапевтической помощи». [Order of the Ministry of Health of the Russian Federation of 30.10.95 № 294 «On psychiatric and psychological care»]
- Приказ Министерства здравоохранения Российской Федерации от 26.11.96г. № 391 «О подготовке медицинских психологов для учреждений, оказывающих психиатрическую и психотерапевтическую помощь». [Order of the Ministry of Health of the Russian Federation of 26.11.96 № 391 «On the training of health psychologists to agencies providing mental health care»]
- Приказ Министерства здравоохранения Российской Федерации от 16.09.2003г. № 438 «О психотерапевтической помощи». [Order of the Ministry of Health of the Russian Federation of 16.09.2003 № 438 «On the psychological care»]
Arquivos suplementares
![](/img/style/loading.gif)