Maternal mortality among adolescents in the Russian Federation

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Objective: To analyze maternal mortality in adolescents in the Russian Federation.

Materials and methods: This was a retrospective analysis of 112 maternal deaths of adolescents from 2009–2023 compared to women 20–34 years of age. Medical and social parameters and organization of medical care were analyzed.

Results: The maternal mortality rate in adolescents (9.9 per 100,000 live births) is lower than in women aged 20–34 (12.8 per 100,000 live births) (p<0.05). The main causes of death in adolescents were extragenital diseases (44.6%), preeclampsia and eclampsia (17.0%) and sepsis after delivery and abortions (14.3%). Adolescents had a higher risk of maternal death from preeclampsia and sepsis and a lower risk of death from extragenital diseases. There were more adolescents living in rural areas, unmarried and single. Pregnancies were more likely to be unwanted. Adolescents were more frequently registered in prenatal clinics after 12 weeks gestation and were observed in medical organisations of group I. Adolescents had higher rates of anemia and genitourinary diseases, pregnancy-related vomiting, preeclampsia, eclampsia and fetal hypoxia during pregnancy and delivery, and postpartum infection. Most deaths (50.9%) occurred in specialized and high-tech medical facilities.

Conclusion: To prevent maternal mortality among adolescents, it is necessary to take measures to prevent abortions, improve the quality of medical care and introduce modern organizational and medical technologies.

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作者简介

Elena Guseva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

编辑信件的主要联系方式.
Email: el_guseva@oparina4.ru
ORCID iD: 0000-0002-7480-9625

PhD, Associate Professor, Deputy Director for Development of the National Medical Research Center for Anesthesiology and Resuscitation for Pregnant Women

俄罗斯联邦, 117997, Moscow, Ac. Oparin str., 4

Oleg Filippov

Federal Research and Clinical Centre for Children and Adolescents, Federal Medical and Biological Agency; Russian University of Medicine, Ministry of Health of Russia

Email: Filippovolsem@yandex.ru
ORCID iD: 0000-0003-2654-1334

Dr. Med. Sci., Professor, Deputy Director, Federal Scientific and Clinical Center for Children and Adolescents of the Federal Medical and Biological Agency of Russia

俄罗斯联邦, 115409, Moscow, Moskvorechye str., 20; 127006, Moscow, Dolgorukovskaya str., 4

Vladimir Klimov

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: va_klimov@oparina4.ru
ORCID iD: 0000-0002-4699-7614

PhD, Head of the Service for Organization of Medical Care and Information Service

俄罗斯联邦, 117997, Moscow, Ac. Oparin str., 4

Natalia Kan

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: kan-med@mail.ru
ORCID iD: 0000-0001-5087-5946
SPIN 代码: 5378-8437
Scopus 作者 ID: 57008835600
Researcher ID: B-2370-2015

Professor, Dr. Med. Sci., Honored Scientist of the Russian Federation, Deputy Director for Research – Director of the Institute of Obstetrics

俄罗斯联邦, 117997, Moscow, Ac. Oparin str., 4

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2. Fig. 1. Age-specific maternal mortality rates (per 100,000 live births) in the Russian Federation, 2009-2023.

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3. Fig. 2. Dynamics of the maternal mortality rate (per 100,000 live births) at the age of 15-19 and 20-34 years in the Russian Federation, 2009-2023.

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4. Fig. 3. Maternal mortality rates from leading causes at the age of 15-19 and 20-34 years in the Russian Federation, 2009-2023

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