O.S. FILIPPOV^{1, 2}, E.V. GUSEVA³

 ¹Federal Scientific and Clinical Center for Children and Adolescents, Moscow

²Russian University of Medicine, Moscow

³National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Acad. V.I. Kulakov, Moscow

 Contact details:

Guseva E.V. — PhD (Medicine), Associate Professor, Deputy Director for Development of the National Medical Research Center for Anesthesiology and Resuscitation of Pregnant Women

Address: 4 Akademika Oparina St., 117997 Moscow, Russian Federation, tel.: +7-903-254-60-12, e-mail: el_guseva@oparina4.ru

The purpose — to analyze the organization of medical care for pregnant women and women in labor in critical obstetric conditions.

Material and methods. We conducted a retrospective analysis of 2019 and 2023 data of the Volga Federal District subjects and insert to Form No. 32.

Results. Between 2019 and 2023, the rate of critical obstetric conditions in the Volga Federal District increased from 1.5 to 7.0 per 1,000 live births; the number of intensive care beds for women in obstetric hospitals decreased from 0.82 to 0.72 per 10,000 women of childbearing age; the number of obstetricians-anesthesiologists and resuscitators decreased from 0.91 to 0.80 per 10,000 women of childbearing age; the number of consultations by specialists of remote obstetric centers increased by 67.7%; the number of patients evacuated by mobile teams increased by 3.3%.

Conclusion. Analysis of emergency medical care during pregnancy and childbirth is necessary to develop measures to prevent maternal mortality.

Key words: critical obstetric conditions, maternal mortality, emergency medical care.

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