Reducing maternal mortality is one of the priority tasks in the world. Objective: to determine the impact of the level of maternity institutions on maternal mortality. Materials and methods. A retrospective analysis of 260 cases of maternal death in 2021-2022 in the country was conducted. Results. The main causes of maternal mortality were direct obstetric causes: obstetric hemorrhage 22.3%, preeclampsia 15%, thromboembolic complications 14.6%, genital sepsis 11.1%, anesthesia complications 2.3%, anaphylactic reactions 2.3%. Indirect maternal mortality from somatic diseases was 25.4%. Most maternal deaths occurred in low-level maternity hospitals: in 2021 - 37.9%, and in 2022 - 50.76% of maternal deaths occurred in district maternity wards. In 2021, 28.7% of maternal deaths occurred in city maternity hospitals, in 2022 - 26.15% of cases of maternal deaths, in level 3 institutions: in regional perinatal centers - 23.2% and 19.2%, in republican institutions - 6.3% and 3.1% of cases of maternal deaths. Conclusions. The risk of maternal mortality was higher in institutions with a lower level of obstetric care. Pregnant women with a high risk of complications during pregnancy, childbirth and the postpartum period should be identified in the antenatal period and referred to higher-level institutions where they can receive quality care that matches their risk level.
| Mualliflar | Бабажанова Шахида Дадажановна, Асадова Гульнара Акмаловна, Бобожонов Зулфикор Эргашевич |
|---|---|
| Jurnal | Journal of reproductive health and uro-nephrology research (Репродуктив саломатлик ва уро-нефрологик тадқиқотлар журнали) |
| Nashr sanasi | 2024-10-08 |
| Jild | 5 |
| Son | 3 |
| Til | O‘zbek |
материнская смертность, маршрутизация беременных, регионализация акушерской помощи,уровни родильных учреждений, акушерские кровотечения, преэклампсия, кесарево сечение, maternal mortality, referral of pregnant women, regionalization of obstetric care, maternity hospital levels, obstetric hemorrhage, preeclampsia, cesarean section, onalar o‘limi, homilador ayollarning yo‘naltirish, akusherlik yordamini xududiylashtirish, tug‘ruq muassasalari darajasi, akusherlik qon ketishi, preeklampsiya, kesar kesish
To evaluate the influence of platelet autoplasma administered intraoperatively on the processes of reparative regeneration and the formation of a full-fledged scar on the uterus after cesarean section. Material…
Vulvovaginitis is one of the most common pathologies encountered in the practice of a pediatric gynecologist. Objective: to determine the clinical and microbiological features of vulvovaginitis in prepubertal…
Perinatology as an independent branch of medicine was formed quite recently, only 50 years ago. In the Republic of Uzbekistan, the first steps of perinatal medicine were noted 25 years ago; currently there are 15…
Due to its structural and functional features, the cervix occupies a special place in the reproductive system, largely determining the prospects for full-fledged fertilization, uncomplicated pregnancy and timely…
Despite the progress made in the study of etiopathogenesis, new methods for diagnosing and treating endometrial hyperplasia, the problem of treating patients with this pathology still remains far from being solved. All…
PCOS is a complex syndrome of reproductive, metabolic and psychological problems characterized by a variety of clinical manifestations and is the main cause of female infertility. Polycystic ovary syndrome (PCOS), a…
Objective: to study serum growth factors in women with placental dysfunction (PD). Material and methods. The study involved 47 pregnant women, with a gestation period of 26-40 weeks, with an established diagnosis of…
Predicting premature abruption of a normally located placenta (PANLP) is very relevant, since this pathology is always sudden and difficult to control and carries with it great risks of complications and adverse…
Bacterial vaginosis occurs when the normal vaginal flora is replaced by opportunistic microorganisms. The disease may be asymptomatic or accompanied by clinical symptoms; A pH above 4.5 and a high number of…
In connection with the above, the purpose of this study was to study the risk factors leading to the development of massive obstetric hemorrhage. An analysis of 302,000 birth histories in the Samarkand region for…