Epidemiological monitoring of morbidity in pregnant women in the Russian Federation: trends and medical and organizational prerequisites for adjusting prevention programs at the population level

The aim of the study. To determine the main trends and medical and organizational prerequisites for adjusting prevention programs at the population level in the Russian Federation based on a long-term epidemiological analysis of complications of childbirth and the postpartum period. Material and methods. The authors analyzed forms No. 32 «Information on medical care for pregnant women, women in labor and women in labor», data from the collection «Main indicators of maternal and child health, activities of the child protection and obstetric services in the Russian Federation» of «Central Research Institute for the Organization of Health Informatization» of the Ministry of Health of the Russian Federation. Statistical analysis was performed using the StatTech v. 3.0.9 program (OOO «Stattech», Russia). Results. A decrease in the number of normal births in the Russian Federation, except for the North Caucasian Federal District, was established. In the Central, Ural and Siberian Federal Districts, an increase in the incidence of hypertension, which complicated childbirth and the postpartum period, is noted. A decrease in the incidence of preeclampsia has been established in the North Caucasus Federal District, while in other territories an increase in this indicator is observed, as in the country as a whole. In Russia, an increase in the incidence of premature placental abruption and a decrease in the frequency of difficult labor are observed. The incidence of placenta previa with bleeding has decreased. The frequency of bleeding due to blood clotting disorders has increased in the Northwestern Federal District. An increase in the incidence of labor dysfunction has been established in the Urals Federal District. In Russia, an increase in the incidence of grade III-V perineal rupture, uterine rupture, obstetric sepsis, diffuse postpartum infection, venous complications, and diabetes mellitus is observed. Conclusion. The study allowed us to determine the incidence trends that can be used as a methodological basis for developing preventive programs.