N.N. Bushmelåva
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.

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