Is there any effect of miscarriage on the demographic situation?

Background. One of the current problems of modern obstetrics is miscarriage; its frequency is 10-20% and has no tendency to decrease, despite the achievements in the field of diagnosis and prevention of recent years. Objective. Evaluation of the long-term dynamics of the main indicators of pregnancy loss, and the probability of miscarriage effect on the demographic situation. Methods. The official statistics of the Population Census and Demographic Statistics Departments of ROSSTAT and PERMSTAT were used to assess the demographic situation. Also, an analysis of the official statistical forms characterizing the loss of pregnancy was carried out. Results. Analysis of the birth rate showed that over the past 26 years, there has been a positive trend in the Russian Federation and in the Perm Territory, but the indicators returned to the level of the early 1990s only by 2012. In 2016, the birth rate has been falling again, and this tendency is likely to continue in the next 5-10 years, as the generation of the 1990s entered the period of reproductive age, and this period was marked by a low birth rate. The structure of miscarriage included cases of spontaneous miscarriage and non-developing pregnancy. The analysis showed an 8-fold increase in the number of miscarriages in the structure of pregnancy interruptions, which may be associated with a decrease in the number of medical abortions, on the one hand, and with an direct increase in miscarriages, on the other hand. Conclusion. Preventive measures aimed at maintaining each pregnancy, especially wanted pregnancy, are fundamental in terms of medical and organizational measures in conditions of reducing reproductive potential, as evidenced by the study,.

miscarriage, incidence, demography