Влияние заболеваемости женщин в период беременности, родов и послеродовой период на показатели использования коечного фонда отделений патологии беременности.

Abstract

P u r p o s e : assessment of the impact of morbidity in women during pregnancy, childbirth and the postpartum period on the utilization of bed capacity in pregnancy pathology departments. Materials and methods. Based on official statistics, a comparative statistical analysis of the incidence rates of women of fertile age with the XV class of diseases ICD‑10 «Pregnancy, childbirth and the postpartum period» and indicators of the use of bed capacity in pregnancy pathology departments of St. Petersburg with indicators for the Russian Federation and the Northwestern Federal District in dynamics for 2017 was carried out. 2022. To assess the relationship between indicators, the nonparametric Spearman rank correlation method was used. Statistical data processing was carried out using the MS Office‑2016 and StatSoft-Statistica 10.0 software packages. Results. In 2017–2022, there were significant differences in the level and dynamics of the incidence of class XV diseases in women of fertile age in the metropolis and from the indicators for the Russian Federation and the Northwestern Federal District. With multidirectional dynamics of these indicators, almost the entire study period, the incidence rate of women in St. Petersburg was lower than the national and district averages, and over six years the incidence rate decreased by 30.8%. The work of pregnancy pathology beds, the average length of stay of patients on them in the metropolis were higher than the Russian and regional averages, and the turnover of beds was higher. It was revealed that in Russia and the Northwestern Federal District, the morbidity of pregnant women, women in labor and postpartum had virtually no effect on the average occupancy of a pregnancy pathology bed per year and its average downtime, and in the metropolis, with a decrease in morbidity rates, bed occupancy moderately decreased and its downtime increased. At the same time, the impact of the incidence of class XV diseases in women on the average length of stay of patients in pregnancy pathology beds in the country as a whole and in the Northwestern Federal District was more significant than in the metropolis. At the same time, the impact of morbidity among pregnant women, women in labor and postpartum in the city on the turnover of beds in this profile was less significant than on the indicators in the federal district. It was found that the decrease in morbidity had a moderately pronounced effect on reducing the length of stay of women in the city’s pregnancy pathology departments and increasing the turnover of beds. Conclusion. There are differences in the level and dynamics of morbidity indicators for pregnant women, parturients and postpartum women and indicators of the use of obstetric beds for the pathology of pregnancy in the metropolis from these indicators in Russia and the Northwestern Federal District. The incidence of women during this period has a moderate impact on the average bed occupancy per year, the average length of stay on a bed, bed turnover and the average bed idle time. The impact of a decrease in morbidity on the use of pregnancy pathology beds in the metropolis differed from Russia and the Northwestern Federal District, which was expressed in the strength and significance of the connection.