MATERNAL MORTALITY AT THE PRESENT STAGE OF DEVELOPMENT OF THE HEALTHCARE SYSTEM


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Objective. To present trends in maternal mortality over 2014-2015, the pattern of causes and an analysis of the preventability of maternal losses. Material and methods. The official statistics on maternal mortality from the Russian Federal State Statistics Service and the Ministry of Health of Russia were used. Results. In 2015, the number of maternal deaths declined to 10.6 per 100,000 live births from 11.9 in 2014. The reduction was registered in all federal districts, except the Siberian and the Crimean ones, which was due to bleeding of ectopic pregnancy, after an abortion. Conclusion. To reduce maternal mortality is an important task not only of the healthcare system, but also the whole social service. Therefore, the analysis of the causes of maternal deaths in terms of the characteristics of the subjects of the Russian Federation can be the basis for the development of more effective measures to prevent deaths.

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作者简介

Olga Frolova

MD, PhD, Professor, Consultant of Research Group, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

Marina Shuvalova

Email: m_shuvalova@oparina4.ru
MD, PhD, Head of the Department of medical and social research of scientific and organizational support, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

Elena Guseva

MD, PhD, Deputy Director, Chief of Medical Care for Children and Services Delivery Department, Chief researcher of the Department of Pathology of Newborn, Ministry of Health of Russia

Irina Ryabinkina

Email: i_ryabinkina@oparina4.ru
Junior researcher of the Department of Medical and Social Researches of the Scientific and Organizational Support Service, Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

参考

  1. Материнская смертность в Российской Федерации в 2014 году: методическое письмо Минздрава России. М.; 2015. [Maternal mortality in the Russian Federation in 2014: Methodological letter of Ministry of Health of Russia. Moscow; 2015. (in Russian)]
  2. Trends in maternal mortality: 1990 to 2015 : estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. [Electronic resource] Available at: http://data.unicef.org/corecode/uploads/ documenté/ uploaded_pdfs/corecode/Trends-in-MMR-1990-2015_Full-report_243.pdf
  3. Основные показатели деятельности акушерско-гинекологической службы в Российской Федерации в 2015 году: методическое письмо Минздрава России. М., 2016. [Main indicators of obstetric service in the Russian Federation in 2015: Methodological letter of Ministry of Health of Russia. Moscow, 2016. (in Russian)]

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