Objective. To analyze and evaluate the factors connected with age and territorial distribution among women with unfavorable maternal outcomes.
 Materials and methods. A retrospective epidemiological analysis of official statistics data on all cases of unfavorable maternal outcomes (deceased women and women with near-miss "almost dead") by age and structure at the place of residence (city, village) in comparison with successful outcomes in Perm Krai (PK), Privolzhsky Federal Region (PFR) and the Russian Federation (RF) for 19972020 was carried out.
 Results. In the age structure of deceased women in PK, the main share of 46.7 % was occupied by women aged 2029 and 3039 years, that differed from the comparison group. Among the mothers with successful outcomes in PK, PFR and RF, women aged 2029 years were in the first place 59.3, 62.5 and 60.2 %, respectively, that is 1.3 times higher than the corresponding proportion in MM. In the second place, there were women aged 3039 years 29.6; 27.9 and 29.1 %, respectively, that is 1.6 times less than the deceased women of the corresponding age. The percentage of young mothers aged 1519 was 9.2; 7.7 and 8.9 %, respectively, that is 1.4 times higher than that of the deceased women.
 The age structure of women with failed maternal mortality (FMM) differed slightly from that of deceased women and significantly from all puerperas in PK, PFR, RF. Thus, according to the ave-rage longterm data, the main share of women with FMM was women aged 2029 years 51.8 %. The percentage of puerperas aged 2029 years in PK, Privolzhsky Federal Region and the Russian Federation was 59.3, 62.5 and 60.2 respectively. In the second place in PK are women with FMM aged 3039 years 31.5 %. The share of puerperas aged 3039 years in PK, PFR and RF is 29.6 %, 27.9 % and 29.1 %, respectively. In the third place, there are young puerperas with FMM aged 1519 years 14.8 %. The proportion of such patients in PK, PFR and RF is 9.2, 7.7 and 6.6 %, respectively.
 According to the average longterm data, the proportion of urban residents prevailed among the deceased women 60.0 %. In the rural areas, the proportion of women who died was 40.0 %.
 By the place of residence, the share of women with FMM did not differ from the corresponding data in the MM group and amounted to 57.4 % in the city and 42.6 % in the village. In PK, PFR and RF, this ratio was 72.7 and 27.3 %; 71.6 and 28.4 %; 73.3 and 26.7 % respectively in all the compared territories).
 Conclusions. The risk groups for MM and FMM were women aged 2029 years, residents of the city and village, high-risk group rural women 3039 years.
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