The question of the perinatal morbidity and mortality and ways of its reduction in a hospital obstetric and antenatal clinic

Abstract

Background. Of the general problem of mortality of its social significance stands the problem of perinatal mortality. The concept of health-care development of Russia until 2020 provides for the reduction of infant mortality to 7.5 per 1,000 live births (by 20% incomparing to 2007). Methods. On the basis of the VMH No 4 been provided retrospective analysis of annual reports of providing medical care to pregnant women, new mothers and lying-in woman for 2011-2013. During this period, perinatal mortality was registered in 44 cases. Also analyzed cards of dispensary observation of pregnant woman reports of histological study of retained products, medical certificate of perinatal death. Results. In all cases of perinatal death in mothers been registered one or another extragenital pathology. Of the total number of stillbirths 20 girls and 24 - boys. Antenatal death was noted in 92.4%, intrapartum death - in 7.5% of cases. The total rate of stillbirths during the first pregnancy was equal to 28.2%. Most of intrauterine foetal demise (49%) happened at 26-27 weeks of gestation. Conclusions. In order to reduce perinatal morbidity and mortality it is recommended early (before pregnancy) recognition of extragenital pathology, its qualified treatment and individual preparatory courses for pregnancy in women of this category. Also necessary early diagnosis of pregnancy complications such as gestosis, threatened miscarriage and placental insufficiency with earlyl referal of pregnant patients to the hospital.