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Main arrow Archive of previous Issues arrow ╣4 2014 (38) arrow Reproductive loss and ways to reduce it in the region (exemplified by the Udmurtian Republic)
Reproductive loss and ways to reduce it in the region (exemplified by the Udmurtian Republic) Print
Monday, 01 September 2014

N.N. Bushmelňva
State Medical Academy of the city of Izhevsk, city of Izhevsk

Abstract. Unfavorable demographic situation in Russia at the turn of the XX-XXI centuries characterized by the natural decline in the population and deterioration of population health makes improved fertility and reduced reproductive loss a socially and politically sound issue.

The aim of the study was to develop, introduce and evaluate effects of measures aimed at reducing reproductive loss based on improving organization of mother and child health service at the regional level.

Methods. Expert review of quality of medical care delivery in cases of maternal death and perinatal deaths, simulation of the service organization and its evaluation.

Results. Improvement of medical care aimed at reducing reproductive loss at all stages of care delivery is based on a unified system of obstetric care organization headed by the perinatal center and coordinated efforts of obstetric and pediatric services as well as effective use of resources (infrastructure and human resources). Normative legal documents that regulate stages of care delivery to women and routing of patients were developed; the system of training and advanced training of obstetric personnel was improved as well as software and information support on organization and management of care delivery to women; a monitoring system of women with risk factors of reproductive loss was developed and preventive activities were intensified.

Keywords: reproductive loss; maternal mortality; perinatal mortality; somatic and reproductive health of women; defects of medical care.


  1. Analysis of causes of maternity mortality: Manual for physicians. A.P. Milovanov, editor. Moscow: Meditsina dlya vsekh; 2008. 228 p. (In Russian).
  2. Arkhangel'skiy V.N. On assessment of reserves for increasing birth rate in Russia and its regions. In: ôDemographic present and future of Russia and its regionsö, All-Russian scientific and practical conference. Proceedings. Moscow. 2012. P. 11ľ25. (In Russian).
  3. Baybarina E.N., Dektyarev D.N. Perinatal medicine: from the theory to practice. Rossiyskiy vestnik perinatologii i pediatrii 2013; 58 (5): 4-7. (In Russian).
  4. Baranov A.A., Velichkovskiy B.T., Kuchma V.R. Implementation of legal requirements on preventing reproductive losses is an important part of the state demographic policy. Rossiyskiy pediatricheskiy zhurnal 2010; (5): 4-7. (In Russian).
  5. Burduli G.M. Reproductive losses (causes, risk factors, preventive measures). Dr.Med.Sci [thesis]. Moscow. 1998. 47 p. (In Russian).
  6. Burduli G.M., Frolova O.G. Reasons and technology for analysis of reproductive losses. Moscow. 2008. 128 p. (In Russian).
  7. Gasnikov V.K..Application of the methods of generalized assessment of indicators in regional health care management: Methodical Guidelines. Izhevsk. 1996. 16 p. (In Russian).
  8. Kulakov V.I. The role of reproductive health protection in population of Russia for solution of demographic problems. Vrach 2006; (9): 3-4. (In Russian).
  9. Mukhina T.V. Some aspects of reproductive health and womenĺs reproductive behavior (by the materials of the pilot study). In: "New technologies in modern health care". Moscow: Federal Research Institute for Health Organization and Informatics of the MoH of the RF; 2007. Part. 2. P. 96-100. (In Russian).
  10. Sorokina Z.Kh., Baybarina E.N., Yakovleva T.V. Problems and priorities in improving the quality of medical care to new-born children. Moscow. 2011. 236 p. (In Russian).
  11. Starodubov V.I., Sukhanova L.P. Reproductive problems in demographic development of Russia. Moscow: Menedzher zdravookhraneniya; 2012. 320 p. (In Russian). (In Russian).
  12. Sukhanova L.P. Reproductive process in demographic development of Russia. Sotsial'nye aspekty zdorov'ya naseleniya [series online]. 2009 [cited 2014 May 15]; 12(4). Available from: http://vestnik.mednet.ru/content/view/159/30/lang,ru/. (In Russian).
  13. Sukhanova L.P., Leonov S.A. Maternity obstetric service in Russia: the current state, development tendencies, and way for improvement. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2010 [cited 2014 May 15]; 14 (2). Available from: http://vestnik.mednet.ru/content/view/201/30/. (In Russian).
  14. Sukhikh G.T., Adamyan L.V. Reproductive health protection is an important part of health care modernization. Problemy reproduktsii. Special issue. 2012. P. 5-10. (In Russian).
  15. Filippov O.S., Guseva E.V., Frolova O.G. The results of monitoring of maternity mortality in the Russian Federation in 2006. Rossiyskiy vestnik akushera-ginekologa. 2008; 8(2); 9-12. (In Russian).
  16. Frolova O.G., Tokova Z.Z., Pugacheva T.V., Volgina V.F., Gudimova V.V., Makarova E.E. Methodical approaches to studying reproductive losses. Byulleten' NII sotsial'noy gigieny, ekonomiki i upravleniya zdravookhraneniem im. N.A. Semashko. 1999. Special issue. P. 70-74. (In Russian).
  17. Tsybul'skaya I.S. Medical and social aspects in formation of childrenĺs health. Tver. 2013. 288 p. (In Russian).

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