Fetoinfantile losses in the north-west region of Russia

E N Berezkina,K E Moiseeva,K G Shevtsova,V K Iurev,D O Ivanov

doi:10.29333/ejgm/102417

Abstract

In order to assess fetoinfantile losses in the North-West of Russia, the official and operational data of the Federal State Statistics Service and the Central Research Institute of Health Organization and Informatization of the Ministry of Health of the Russian Federation for 2010-2016 were studied. It is established that the indicator of fetoinfantile losses in the North-West region is much lower than fetoinfantile losses in the whole Russia. The evaluation of the dynamic coefficient of fetoinfantile losses showed a decrease for the years 2012-2016, as in Russia in general and in the North-West region. The structure of fetoinfantile losses in 2016 in the Russian Federation was significantly dominated by the share of infant mortality, and in the North-West Federal district – stillbirth. In the structure of fetoinfantile losses attributable to the period of infant mortality, the largest share accounted for mortality in the early neonatal period. Reduction of fetoinfantile losses due to infant mortality has been achieved mainly due to early neonatal mortality. Level of fetoinfantile losses attributable to the period of early neonatal deaths had a direct correlation with mortality level of children with a body weight of 1000 grams or more in the departments of pathology of newborns. The frequency of deaths in children weighing 1000 grams or more in the neonatal pathology departments of the North-West Federal district is significantly higher than in the whole Russia. The survival rate of children with extremely low birth weight from the total number of children born with a body weight of 500-999 grams in the North-Western region exceeded the figure for the whole Russia by 48.32%.

Highlights

In Russia, the concept of “demographic policy” goes far beyond the usual population statistics [1, 2]
Comparison of the total number of stillborn children and children with a body weight of 1000 grams or more, whose death occurred before the birth, in 11 of 85 subjects of the Russian Federation, showed a negative difference, i.e. the number of children who died antenatally exceeded the total number of stillborn children accounted
A comparative assessment of the coefficient of fetoinfantile losses in the North–Western Federal district showed that in 2016 it was 10.78‰ (m ± 0.24), which is significantly lower than the same indicator for the whole Russia– 11.75 (m ± 0.08)

Summary

Introduction

In Russia, the concept of “demographic policy” goes far beyond the usual population statistics [1, 2]. The Russian Federation, being the largest state in the world by the size of its territory, has a rather low number and density of the population living on it. In such an unfavorable situation, there is a real threat of weakening the political, economic and defense potential of the country, which becomes a matter of state security [3]. The problem of preserving the life and strengthening the health of children is a top priority of state policy and is considered as a guarantee of success in the social and economic development of the state [4,5,6,7]. Comparison of the total number of stillborn children and children with a body weight of 1000 grams or more, whose death occurred before the birth, in 11 of 85 subjects of the Russian Federation, showed a negative difference, i.e. the number of children who died antenatally exceeded the total number of stillborn children accounted

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Conclusion