Mothers' mortality in the territory of Krasnoyarsk region for the period of 1986-1998

Abstract

Purpose: To hold an expert analyze of mother's mortality for last 10 years and to define the way to reduce it.

Full Text

Methods: Clinico-statistics analysis of 253 medical cards.

Results: The rate of mother's mortality in the region is two times more Russian's rate. Late gestosis (83- 32,8%) predominate in the structure of mother's mortality, then sepsis comes (45-18,8%), extragenital pathology (32-12,6%) and obstetrics bleeding (26-11,4%). The number of deaths from gestosis and sepsis increased twice, bleeding death reduced in 20%. Clinical analysis of medical cards died from gestosis points to its mutual character and apathetic symptoms but a real gestosis heaviness was not assessed, then came a long-term treatment and more than often a wrong choice of period and methods of outcome. Haft of sick patients were not recommended to pregnancy 80%o of mortality were patients suffered from sepsis after criminal interference. Their death was inevitable, patients were delivered to hospitals in an extremely grave condition - in a stage of infection spreading or in a phase of bacteria shock to reduce, mother's mortality.

Conclusions: Early diagnostic is necessary to reveal and to treat women with extragenital pathology. Besides one should perfect assistance in family planning: scrinning programms outcome to reveal pregnancy complications and to correct them timely.