The main causes of maternal mortality in the Tula region in the twenty-first century

• Valerii G. Volkov
• Granatovich N.N.

Abstract

Objective. Medical-social significance of maternal mortality requires a dynamic analysis of regional causes with the aim of developing organizational strategy obstetric services to reduce it.

Aims - analyze and study the structure of maternal mortality in the Tula region and to characterize the organizational and methodological measures for its reduction.

Material and methods. Retrospective analysis of medical records of the deceased pregnant women, childbirth and postpartum women in the Tula region with 01.01.2001 till 31.12.2015.

Results. Decreased maternal mortality rate in the region over the past 15 years by 43.7%, from 25.5 (2001) to 12.9 (2015) per 100,000 live births by reducing the rate of abortion, preeclampsia and eclampsia, complications of anesthesia. The analysis showed that 68.6% of maternal deaths in the region are specified the main causes: preeclampsia (25.7%), bleeding (17.15%), extragenital pathology (17.15%), sepsis (8.6%).

Conclusion. Tula is a region with a maternal mortality rate below or at the level of the average Russia.

Keywords:pregnancy, preeclampsia, eclampsia, maternal mortality, extragenital pathology

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