Abstract
The article presents an analysis of the main indicators of obstetric care in the region of the Central Federal District – Kostroma Region. Despite the identified positive trends in the reproductive and demographic process in the Kostroma region, a number of significant problems remain (exceeding the Russian average for the number of complications in labor, termination of pregnancy, infant mortality, etc.) that require management decisions in improving the obstetric care system and ensuring the proper level of medical care mother and child. This direction of improving the activities of the healthcare system of the Kostroma region is of paramount importance in conditions of reduced population reproduction
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