ANALYSIS OF MATERNAL MORALITY IN THE SOGD REGIONAL MATERNITY HOSPITAL

ANALYSIS OF MATERNAL MORALITY IN THE SOGD REGIONAL MATERNITY HOSPITAL

Kasimova Z.N., Kobilov S.S.

ANALYSIS OF MATERNAL MORALITY IN THE SOGD REGIONAL MATERNITY HOSPITAL

The course of obstetrics and gynecology of Hujand department of State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan” Sogd regional maternity hospital

 

Aim. To examine the structure of maternal mortality in the Sogd regional maternity hospital and identify ways to reduce it.

Materials and methods. It was done the prospective analysis of the history of the birth of the dead women, analyzed data from collated critical cases and annual reports of ARDS in the period from 2010 to 2014.

Results. Revealed the tendency to increase to maternal death. Her reasons: complications associated with extragenital pathology — 41,3%, obstetrical bleeding — 23,5%, sepsis — 23,5%, hypertensive disorders during pregnancy (eclampsia, HELLR syndrome) and pulmonary thromboembolism — 5,9%..

Conclusion. The leading cause of maternal mortality at the maternity hospitals (41,37%), as well as throughout the country, prevails extragenital pathology. Before Health Organization is an issue of development and implementation in practice of maternity hospitals protocols for management of women with extragenital diseases during pregnancy, childbirth and the postpartum period.

Key words: maternal mortality, extragenital pathology, hemorrhage, sepsis, hypertensive disorders

RESERENSES

1.  Nazirova M. A. Analiz materinskoy smertnosti v Sogdiyskoy oblasti Respubliki Tadzhikistan [Analysis of maternal mortality in the Sogd region of Tajikistan]. Zdravookhranenie Tadzhikistana — Health care of Tajikistan, 2014, No. 2, pp. 20-26.

2.  Materinskaya smertnost v 2005 g. (po otsenkam VOZ, YuNISEF, YuNFPA i Vsemirnogo banka) [Maternal mortality in 2005 (according to the WHO, UNICEF, UNFPA and the World Bank)]. WHO Geneva, 2007.

3.   Mayn R. "Model trekh zaderzhek" ekstrennoy pomoschhi, predopredelyayushchikh letalnyy iskhod. Rukovodstvo VOZ [«The model of the three delays» emergency predetermining death. WHO Guidelines]. 2002

4.    Radzinskiy V E. [Maternal mortality in the modern world]. Materialy 1-go sezda akusherskikh anesteziologov [Proceedings of the 1st Congress of obstetric anesthesiologists]. Moscow, 2014. (In Russ.)

5.  WHO, UNISEF, UNFPA and The Word Bank. Trendsin Maternal Mortality: 1990 to 2013, WHO Geneva 2014.

1.  WHO, UNISEF, UNFPA and The Word Bank. Trendsin Maternal Mortality: 1990 to 2013, WHO Geneva 2014.

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