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Tuesday, 22 December 2015

Sergeyko I.V.
ôTrastmedö 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 2nd 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.


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