Maternal Mortality in Siberia and Far East of Russia

Journal of Obstetric Anaesthesia and Critical Care

article

Natalya Vladimirovna Artymuk¹  Tatyana E. Belokrinitskaya²  Oleg S. Filippov³  Maria N. Surina¹  Natalya I. Frolova²  Vasiliy N Palichev¹ 

[1] Kemerovo State Medical University of the Ministry of Health of Russia;Chita State Medical Academy of the Ministry of Health of Russia;Moscow State Medical and Dental University Named After A.I. Evdokimova, Ministry of Health of Russia

关键词: Embolism;    extragenital diseases;    Far Eastern Federal District;    maternal mortality;    obstetric hemorrhage;    preeclampsia;    sepsis;    Siberian Federal District;   

DOI  :  10.4103/joacc.JOACC_4_20

学科分类：社会科学、人文和艺术（综合）

来源: Medknow

【 摘 要 】

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.

【 授权许可】

CC BY-NC-SA