Regional features of obstetric and gynaecological care in Russia

The study presents peculiarities of the organization of obstetric care in regions of the Russian Federation. The dependence of the maternal mortality and geographical, demographic, economic, medical, organizational factors in the regions was analyzed. The main determinants associated with maternal mortality rate were defined. The power of influence of the organizational, demographic and economic factors on the maternal mortality rate was determined. The clinical and anamnestic risk of the maternal mortality was evaluated. The clinical features of pregnancy and childbirth, forming maternal mortality in different regions, were identified. The complex of priority measures to reduce maternal mortality in the regions was developed and implemented.

maternal mortality, maternal mortality rate, organization of obstetric care in regions, demographic, economic, medical and organizational determinants of maternal mortality, clinical and anamnestic risks of maternal mortality