Regional features of obstetric and gynaecological care in Russia

Abstract

The study presents peculiarities of the organization of obstetric care in regions of the Russian Federation. The dependence of the maternal mortality and geographical, demographic, economic, medical, organizational factors in the regions was analyzed. The main determinants associated with maternal mortality rate were defined. The power of influence of the organizational, demographic and economic factors on the maternal mortality rate was determined. The clinical and anamnestic risk of the maternal mortality was evaluated. The clinical features of pregnancy and childbirth, forming maternal mortality in different regions, were identified. The complex of priority measures to reduce maternal mortality in the regions was developed and implemented.

Keywords

• материнская смертность
• коэффициент материнской смертности
• организация акушерско-гинекологической службы в регионах
• демографо-экономические и медико-организационные детерминанты материнской смертности
• клинико-анамнестические риски материнской смертности