РОЛЬ ПЕРИНАТАЛЬНОГО ЦЕНТРА МНОГОПРОФИЛЬНОЙ БОЛЬНИЦЫ В ПРОФИЛАКТИКЕ МАТЕРИНСКОЙ СМЕРТНОСТИ ОТ АКУШЕРСКИХ КРОВОТЕЧЕНИЙ: КАК БЫЛО И КАК СТАЛО

Abstract

The study aims to evaluate the role of a perinatal center in a multidisciplinary hospital in the prevention of maternal mortality caused by obstetric bleeding. The study used the continuous sampling method to conduct a retrospective analysis of 185 cases of pregnancies and their outcomes in women with obstetric bleeding during pregnancy, labor, and the postpartum period treated at the Perinatal Center in Khanty-Masiysk from 2010 to 2011 and from 2019 to 2020. It was identified that primary risk factors for maternal mortality due to obstetric bleeding include iron deficiency anemia; gestational diabetes mellitus with complications; four or five pregnancies in anamnesis; and one to three scars on a uterus, which are the most significant risk factors for obstetric bleeding. From 2019 to 2020, there was a 1.3-fold increase in cases of premature detachment of normally situated placentas and a 2.5-fold increase in cases of placenta praevia with bleeding and fused placentas in the structure of hemorrhage. Taking into account existing risk factors, identifying a group of near miss cases and timely routing of patients to a level 3 medical facility is a necessary condition for preventing maternal mortality.