Maternal mortality in siberia and far East of Russia

Abstract

Background: Maternal mortality (MM) affects a large part of the world. Annually, 289,000 women die during pregnancy and childbirth (more than one death every 2 minutes). Moreover, an audit of maternal mortality in the world showed significant problems in assessing the maternal mortality rate. Objectives: The objective of this study was to analyze maternal deaths in the Siberian and Far Eastern Federal Districts over 5 years from 2014 to 2018. Materials and Methods: An analysis of 165 emergency notifications of cases of maternal mortality over a 5-year period from 2014 to 2018 was carried out. Additionally, 26 case histories/births of maternal deaths in the Siberian Federal District for 2018 are analyzed, and 52 emergency notifications from 2014-2018 in the Far Eastern Federal District were also included. Results: For the period between 2014 and 2018, a decrease in maternal mortality (MM) in the Siberian and Far Eastern Federal Districts was recorded, and the year 2018 was characterized by an increase in MM because of social factors. Extragenital disease was the predominant cause of MM in these subjects; however, some differences were noted in the Siberian Federal District where the leading causes were embolism and placental abruption, and in the Far Eastern Federal District where hypertensive disorders and obstetric bleeding predominated. Conclusions: The main point being made here is that patients will be better served by closing low-tier medical institutions that are potentially dangerous in terms of MM, and relocating the patients to superior medical facilities. It is necessary to further introduce clinical recommendations and develop teamwork skills in simulation training centers.

Keywords

• embolism
• extragenital diseases
• far eastern federal district
• maternal mortality
• obstetric hemorrhage
• preeclampsia
• sepsis
• siberian federal district