, Russian Federation
GRNTI 76.35 Прочие отрасли медицины и здравоохранения
In the UFO there are different models of perinatal care (MVPN, MNPN, M), which introduced a system of monitoring of cases of maternal mortality. The study of the dependence of the frequency of critical obstetric conditions on the model of perinatal care in the UFO was not revealed, but most clearly shows its advantage of a three-level system of perinatal care in the territory of the Yamal-Nenets Autonomous district by reducing the proportion of critical obstetric conditions (from 0.8% to 0.3%) after the completion of the three-level system of perinatal care. With regard to the models of perinatal care organization, the predominance of NM share in the model of MVPN was revealed. In addition, the MVPN model was dominated by all causes of critical obstetric conditions. In this case, bleeding is the leader of the causes at any gestation period. NM monitoring allowed to assess the optimality of the organization of a three-level system of perinatal care for the prevention of critical obstetric conditions.
near miss, preeclampsia, obstetric bleeding
1. Tuncalp O. The prevalence of maternal near miss: a systematic revuew/ O. Tuncalp // BJOG. – 2012. – Vol.119, № 6. – P. 653–661.
2. Bashmakova N.V. Kovalev V.V., Vartapetova N.V. Profilaktika materinskoy smertnosti: monitoring pri beremennosti i v rodah. – Akusherstvo i ginekologiya. – 2011.– № 2.– S. 86–92.
3. Sheldon W.R. Postpartum haemorrhage management, risks, and maternal outcomes: findings from the World Health Organization Multicountry Survey on Maternal and Newborn Health / W.R. Sheldon, J. Blum, J.P Vogel // Br. J. Obstet. Gynaecol. – 2014. – Vol. 121, № 1. – P 5–13.
4. Kostin I.N. Strategiya perinatal'nogo riska – arifmetika, spasayuschaya zhizn' / I.I. Kostin // Medicinskie aspekty zdorov'ya zhenschiny. – 2012. – № 4. – S. 5–16.
5. Kukarskaya I.I. Rezervy snizheniya materinskoy smertnosti – v audite sluchaev «near miss». – Vestnik RUDN. Ser. Medicina. Akusherstvo i ginekologiya. – 2011. – № 5. – S. 306–310.
6. Serov V.N. Profilaktika materinskoy smertnosti. – Akusherstvo i ginekologiya. – 2011. – № 7(1). – C. 4–10.
7. Chhabra P Maternal near miss: an indicator for maternal health and maternal care / P. Chhabra // Indian J. Community Med. – 2014. – Vol. 39. – № 3. – P. 132–137.
8. Aylamazyan E.Yu., Atlasov V.O., Yaroslavskiy K.V. Audit kachestva medicinskoy pomoschi pri kriticheskih sostoyaniyah (Near miss). – Zhurnal akusherstva i zhenskih bolezney. – 2016. – № 4. – S. 15–23.
9. Bushmeleva N.N. Defekty okazaniya medicinskoy pomoschi v sluchayah materinskoy smerti na urovne regiona. – Social'nye aspekty zdorov'ya naseleniya. – 2014. – № 3. – S. 4–9.
10. Prichiny i rezervy snizheniya materinskoy smertnosti na sovremennom etape: rukovodstvo dlya vrachey / pod red. A.P. Milovanova, I.O. Bushtyrevoy. – 2-e izd., dop. – M.: MDV, 2014. – 366 s.
11. Mal'gina G.B., Bashmakova N.V., Davydenko N.B., Litvinova A.M. Organizaciya perinatal'nogo audita: opyt Ural'skogo federal'nogo okruga – Zdravoohranenie Rossiyskoy Federacii. – 2016. – №1. – S. 16–22.
