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Analysis of obstetric «near miss» cases in the Ryazan region

https://doi.org/10.17749/2313-7347.2018.12.4.030-036

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Abstract

Although maternal mortality cases in Russia have become rare, the problem of their prevention remains relevant. To enforce the preventive measures, an analysis of critical conditions and «near miss» cases in obstetrics is commonly used. As a result, the quality of medical care in obstetric institutions improves. Aim: to assess the character and incidence of critical situations in obstetrics practice over the Ryazan region in 2015-2017 and to analyze the failures in medical care that led to such situations. Materials and methods. We analyzed 46 «near miss» cases and 1 case of maternal death recorded in the Ryazan region in 2015-2017. Results. The leading cause of critical conditions in obstetrics found in the Ryazan region was hemorrhage following an emergency caesarean section delivery. In most cases, bleeding was caused by pregnancy complications, although extragenital conditions also contributed to the development of the «near miss» situations. The main indication for emergency delivery was the premature detachment of a normally located placenta; in the normal term delivery, it was an inconsistent uterine scar after cesarean section and the accompanying pathology, such as placenta accreta. Conclusion. Considering the «near miss» cases as a separate group of obstetrics conditions contributes to the prevention of maternal mortality and improves the healthcare standards in obstetric institutions.

About the Authors

I. K. Мamontova
Ryazan Regional Clinical Perinatal Center
Russian Federation

 Obstetrician-gynecologist

1i Internatsionalnaya St., Ryazan 390039, Russia

+7(910)9008445



T. V. Shevlyakovа
Ryazan Regional Clinical Perinatal Center
Russian Federation

PhD, Obstetrician-gynecologist, Head of the Regional Obstetric Counseling Center

1i Internatsionalnaya St., Ryazan 390039, Russia

+7(910)9025493



E. I. Petrova
Ryazan Regional Clinical Perinatal Center
Russian Federation

PhD, Obstetrician-gynecologist, Physician-in-Chief

1i Internatsionalnaya St., Ryazan 390039, Russia

+7(910)9040309



References

1. Report of the Minister of Health of Russian Federation Veronika Skvortsova in State Duma within the «Governmental hour». [Doklad Ministra zdravoohraneniya Rossijskoj Federacii Veroniki Skvorcovoj v Gosudarstvennoj Dume v ramkah «Pravitel'stvennogo chasa»] (in Russ.). Available at: http://www.rosminzdrav.ru/news/2017/12/06. [Accessed: 26.10.2018].

2. Souza J.P., Gulmezoglu A.M., Vogel J. et al. Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study. Lancet. 2013;381(9879):1747–55. DOI: 10.1016/S0140-6736(13)60686-8.

3. Say L., Pattinson R.C., Gülmezoglu A.M. WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reprod Health. 2015;1:3. DOI: 10.1186/1742-4755-1-3. PMID: 15357863.

4. Bushtyrev V.A., Barinova V.V., Zavarzin P.Zh., Umansky M.N. Clinical audit of maternal cases near miss in HRU RO «PC» in 2015. [Klinicheskij audit materinskih sluchaev near miss v GBU RO «PC» v 2015 godu. Glavnyj vrach YUga Rossii]. Glavnyj vrach Yuga Rossii. 2016;2(49):16–21 (in Russ.).

5. Мamontova I.К., Shevlyakovа Т.V., Petrova E.I. «Near miss» in obstetrics: classification, evaluation, and significance for healthcare technology assessment. [«Near miss» v akusherstve: mesto v ocenke tekhnologij zdravoohraneniya, podhody k klassifikacii i ocenke]. FARMAKOEKONOMIKA. Sovremennaya farmakoekonomika i farmakoepidemiologiya. 2018;12(4):98–102 (in Russ.). DOI: 10.17749/2313-7347.2018.12.4.098-102.


For citation:


Мamontova I.K., Shevlyakovа T.V., Petrova E.I. Analysis of obstetric «near miss» cases in the Ryazan region. Obstetrics, Gynecology and Reproduction. 2018;12(4):30-36. (In Russ.) https://doi.org/10.17749/2313-7347.2018.12.4.030-036

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)