Analysis of stillbirths in 2017 in the Republic of Tatarstan ― problems and ways of their solution
E.A. AMPILOVA1,2, L.D. EGAMBERDIEVA1,2, L.S. FATKHEEVA2 , N.R. ZAKIROVA3,4
1Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
2Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064
3Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012
4Republic Medical Information and Analytical Center, 88 Adela Kutuya Str., Kazan, Russian Federation, 420073
Ampilova E.A. ― Assistant of the Prof. V.S. Gruzdev Department of Obstetrics and Gynecology, obstetrician-gynecologist, e-mail: trubkinaelena@mail.ru, ORCID ID: 0000-0003-2595-0187
Egamberdieva L.D. ― PhD (medicine), Associate Professor of the Prof. V.S. Gruzdev Department of Obstetrics and Gynecology, obstetrician-gynecologist, e-mail: lutsia1@yandex.ru
Fatkheeva L.S. ― Head of the Clinical Expertise Department, e-mail: L.Fatkheeva@mail.ru
Zakirova N.R. ― PhD (medicine), Associate Professor of the Department of Phthisiology and Pulmonology, Head of the Department of the Republican Medical Information and Analytical Center, e-mail: nellirz@mail.ru
The level and structure of perinatal deaths is one of the main demographic indicators and reflects the quality of obstetric and neonatal care. Stillbirth is part of the perinatal loss structure and is an important part of the demographic indicator of the Republic of Tatarstan. The article presents the birth rate, as well as stillbirths in the Republic of Tatarstan for 2017. The clinical and statistical characteristics of pregnancies that ended in stillbirth in 2017 in the Republic of Tatarstan ― 363 cases (10 of them twins) by the statistical and medical documentation of for 2017 ― were studied and presented. According to the data obtained, the stillbirth rate tends to decrease, but remains relatively high in relation to the total number of births. The share of antenatal fetal death is high, and does not tend to decrease. There are reserves for reducing stillbirth. The main reserve is improving the perinatal examination of fetus, reduced miscarriage at later stages, and improved quality of obstetric and perinatal assistance both at outpatient stage and in maternity institutions.
Key words: stillbirth, antenatal fetal death, intrapartum fetal death
(For citation: Ampilova E.A., Egamberdieva L.D., Fatkheeva L.S., Zakirova N.R. Analysis of stillbirths in 2017 in the Republic of Tatarstan ― problems and ways of their solution. Practical Medicine. 2018)
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