Sergeyko I.V.
“Trastmed” Multispecialty Medical Center, Moscow

Contacts: Irina Sergeyko, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Significance. Protection of reproductive health remains nowadays one of the most challenging objectives. This is explained by unfavorable demographic situation in Russia. Perinatal loss accounts for 65-70% of loss in viable infants. Perinatal causes play an essential role in premature loss of population rating 2^nd after traumas and poisonings.

The study purpose: to determine the most frequent risk factors of maternal and perinatal mortality.

Results. The study determined major groups of risk factors. Prevalence of the "unhealthy lifestyle" group of risk factors among pregnant women is rather high nowadays: average population value equals to 961.8±3.2 per 1000 women, 635.56±15.3 in the Tula region and 572.97±9.77 per 1000 pregnant women in the Ivanovo region. The highest prevalence is registered for factors characterizing women's medical activity (489.75±15.61 and 500.92±9.87), a less prevalent are "bad habits" group - (13.72±3.6 and 51.79±4.37) and "low sanitary and hygienic activity" group (34.15±5.67 and 20.26±2.78). "Women's low medical activity" factor was regestered both during pregnancy and its planning, which is evidenced by the following regestered factors: unplanned (unwanted) pregnancy against the background of extremely unfavorable factors (migration from areas of ethnic conflicts, zones of ecological catastrophe, social vulnerability, unfavorable physiological periods of reproductive age (under 18 and over 35 years), noncompliance with doctors' recommendations during pregnancy, refusal from antenatal care early in pregnancy.

Conclusions. The study shows that social and economic factors are most important. The following three types of this group' factors can be distinguished: a) factors associated with insufficient resources for medical technologies and control (192.17±6.57 and 162.94 ±6.16 per 1000 women); b) factors associated with insufficient qualification skills of doctors (57.54±3.88 and 64.49±4 respectively); c) factors associated with violation of medical ethics, deontology, and doctor's responsibility (9.8±1.6 and 4.28±1.08 respectively).

Keywords. Maternal mortality; perinatal loss; pregnancy; groups of factors.

References

1. Bashmakova N.V. Antifosofolipidnyy sindrom i nevynashivanie beremennosti: klinika, diagnostika, lechenie [Antiphospholipid syndrome and miscarrage; clinics, diagnosis, and treatment]. Patologiya beremennosti 2000;(1):52-58. (In Russian)
2. Borshcheva A.A. Ekspertnaya otsenka kachestva okazaniya akusherskoy pomoshchi v sisteme OMS Rostovskoy oblasti [Expert assessment of the quality of obstetric care in MHI system of Rostov region]. Vestnik obyazatel'nogo meditsinskogo strakhovaniya 2002;(2):19-24. (In Russian)
3. Vasil'eva T.P. Metodicheskie podkhody k upravleniyu faktorami, opredelyayushchimi adekvatnost' meditsinskoy pomoshchi [Methodical approaches to management factors which determine the adequacy of medical care]. Ekonomika zdravookhraneniya 2004;(2):27-30. (In Russian)
4. Trifonova N.Yu., Borsova F.R. Vliyanie kureniya na sostoyanie zdorov'ya zhenshchin s nerazvivayushcheysya beremennost'yu [Impact of smoking on the health of women with non-developing pregnancy]. Vestnik Mediko-stomatologicheskogo instituta 2011; (2): 69-72. (In Russian)
5. Frolova O.G., Nikolaev E.I., Tokova Z.Z. Mediko-sotsial'nye aspekty zdorov'ya materi i novorozhdennogo [Health and social aspects of maternal and newborn health]. Akusherstvo i ginekologiya 1994; (4): 34-37. (In Russian)
6. Frolova O.G. Dispanserizatsiya v snizhenii materinskoy i perinatal'noy smertnosti [Clinical examination in reduction of maternal and perinatal mortality]. Akusherstvo i ginekologiya 1990; (10): 15-17. (In Russian)
7. Euro-Peristat. European Perinatal Health Report. Health and Care of Pregnant Women and Babies in Europe in 2010. Euro-Peristat. [Online] 2013 [cited 2015 Apr 15]. Available from:http://anrdpn.vjf.cnrs.fr/sites/default/files/European%20Perinatal%20Health%20Report_2010.pdf .
8. WHO. European health for all database (HFA-DB). World Health Organization Regional Office for Europe. [Online] 2014 [cited 2014 Apr 15]. Available from: http://data.euro.who.int/hfadb/.
9. WHO. WHO Mortality Data base. World Health Organization. [Online] 2014 [cited 2014 Apr 15]. Available from: http://www.who.int/whosis/mort/download/en/index.html.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*