Нозологический и медико-экспертный анализ материнской смертности в Туркестанской области Республики Казахстан

Abstract

Introduction. The maternal mortality (MM) rate is a direct indicator of the quality of the healthcare system, primarily the obstetric and gynecological services, and at the same time makes it possible to judge the socio-economic development of a country or regions. Aim. An analysis of the main causes of MM and the structure of defects in the quality of medical care to the population of the Turkestan Region of the Republic of Kazakhstan. Materials and methods. The study was carried out in 2020 based on the material of 16 autopsies performed at the Turkestan Regional Anatomic Pathology Bureau and the Laboratory of Pathomorphology of the Clinical Diagnostic Center of the Akhmet Yassawi International Kazakh-Turkish University (Republic of Kazakhstan). A complex of modern research methods was used: pathoanatomic, medical-statistical and retrospective. Results. The main primary causes of MM in the Republic of Kazakhstan in 2015–2020 were extragenital pathology, obstetric hemorrhage, preeclampsia and eclampsia, septic infections and complications of abortions. In the structure of medical care defects, those of treatment prevailed (47.2%). In 31.5% of cases, there were diagnostic defects, in 23.6% incomplete examination of patients was noted, in 7.9% – incorrect or untimely diagnosis. Organizational defects in the provision of medical care were observed in 6.3% of cases. In 15.0% of cases, there were no defects in the quality of medical care. Conclusion. The analysis of the identified defects in the quality of medical care will allow the healthcare authorities of Kazakhstan to improve the quality of medical and preventive care for pregnant women.