ДИНАМИКА АБОРТОВ У НЕСОВЕРШЕННОЛЕТНИХ В РОССИЙСКОЙ ФЕДЕРАЦИИ ЗА 2015-2019 гг.

Abstract

Significance. Analysis of literary sources indicates the need and importance of preventive work among minors on adherence to healthy lifestyle, which is one of the fundamental factors for preventing pregnancy in children under 18. This work has a number of features and involves cooperation between many specialists, while organization of this work in healthcare facilities is rather tricky due to legislation and requires appropriate competencies of the doctor and challenges his or her professional performance. Preventing pregnancies in minors requires special competencies and skills to work with minors and their families and is a criterion for care organization in the subject of the Russian Federation. The purpose of the study is to analyze dynamics in abortions among minors in the Russian Federation in 2015-2019. Material and methods. The analysis included data from literature sources (n=101 for the last 5 years, including 13 sources included in the reference list). The study analyzed statistical indicators for 2015-2019 from collections of the Department of Health Monitoring, Analysis and Strategic Development of the Ministry of Health of the Russian Federation and "Basic indicators of maternal and child health, performance of Mother and Child services in the Russian Federation of the Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation. The growth/decline rates of indicators were calculated. Results. Analysis of the dynamics in abortions among minors in 2015-2019 showed that the lowest rates were registered in the North Caucasus and Southern Federal Districts, while the highest ones - in the Far Eastern, Siberian and Northwestern Federal Districts. The Sakhalin, Magadan and Amur regions lead in high rates of abortions among minors. Conclusion. Prevention of abortions in minors calls for a comprehensive doctor’s work aimed at preventing pregnancy and an integrated approach in medical organizations. Therefore, the abortion rate in minors should be considered as a criterion for organizing preventive work in healthcare facilities when providing medical care in outpatient settings.