Analysis of selected statistical indicators of the North-Western Federal district in aspect of infant mortality and stillbirths

Ivanov, Dmitry O.; Shevtsova, Kseniia G.

doi:10.17816/ped925-15

Cited by 5 publications

(1 citation statement)

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“…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). For the full functioning of society it is extremely important to preserve the life of every child (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Fetoinfantile losses in the north-west region of Russia

et al. 2019

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In order to assess fetoinfantile losses in the NorthWest 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 NorthWest 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 NorthWest region. The structure of fetoinfantile losses in 2016 in the Russian Federation was significantly dominated by the share of infant mortality, and in the NorthWest 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 NorthWest 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 NorthWestern region exceeded the figure for the whole Russia by 48.32%.

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Section: Introductionmentioning

confidence: 99%

Fetoinfantile losses in the north-west region of Russia

et al. 2019

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History and prospects of perinatal mortality rate in Russia

2022

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Population reproduction is a priority task of social policy and a factor of Russias national security. The review presents the stages of recording the perinatal mortality indicator, which is closely related to the frequency of preterm birth. In the first stage, the criteria for registering preterm birth were 28 weeks of pregnancy, and in the second, since 2012, 22 weeks. At both stages, due to underreporting of low birth weight babies (their transfer to the miscarriage group), stillbirths, including full-term babies, prevailed in the preterm birth indicator structure. The authors of the article stressed that the main cause of preterm birth (including iatrogenic) is the formation of endotoxemia syndrome, or systemic effects of aggressive metabolites in the mother placenta fetus system. In this etiopathogenetic therapeutic means are methods of efferent therapy in the form of plasmapheresis, etc. These technologies in many obstetric pathologies (thrombophilia, preeclampsia, Rh-conflict, isthmic-cesmic and chronic placental insufficiency, etc.) sanitize the mother placenta fetus system and allow to prolong pregnancy with a reduction of perinatal mortality index. The authors cite their own data on the use of efferent therapy methods in 102 women presenting at 2228 weeks of pregnancy to the Perinatal Center of Saint Petersburg State Medical University from other institutions after unsuccessful treatment according to the Protocols for various obstetric complications. Pregnancies were prolonged by 215 weeks; all 123 children (20 twins, 1 triplet) were born alive, did not require long-term intensive care, survived and were not disabled. Six newborns died and the perinatal mortality rate was 48 : 1000, which is an order of magnitude lower than that quoted in the literature for similar pathologies and gestational ages. In conclusion of the article, it is suggested that in order to reduce perinatal mortality in Russia, all large institutions should arrange efferent therapy rooms to treat sick pregnant women using the safe, low-cost technologies developed by the authors, using domestic equipment.

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Neonatologists at the Obstetric Organizations of Megapolis: Occupational Activity and Attitude to the Occupation

Moiseeva

2019

RPJ

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Materials and methods. An anonymous survey of 146 neonatologists working in obstetric organizations in the city St. Petersburg was conducted. Mathematical data processing was carried out using spreadsheets “MS Office Excel 2010” and the statistical software package PASW STATISTICS. Results. 36.4% of neonatologists working in obstetric organizations believe the occupational standard “Neonatologist” fails to fully reflect all their duties. Neonatologists call the functions associated with the implementation of medical work to be the most important labor functions included in the Occupational Standard, sanitary and educational work and activities related to the maintenance of accounting and medical records are believed to be the least important. 29.1% of neonatologists of obstetric care organizations work for more than one rate, 28.6% of doctors do not work on schedule, 58.4% have a feeling of overwork. Conclusions. Despite the fact that most neonatologists have chosen their occupation by vocation and because of love for children, more than half of the doctors are partially or completely disappointed with their work, most often due to unsatisfactory working conditions and its financial support. High workload and labor intensity, observed by almost 30% of neonatologists, can lead to an increase in the risk of medical error and a decrease in the quality of medical care. 51.7% of doctors are partially or completely unsatisfied with their work. The main reasons for the dissatisfaction of neonatologists are significant physical and psychological stress (36.6%) and low wages (34.4%). Neonatologists working in maternity hospitals (departments) are 26.8% less likely than doctors at neonatologists at perinatal centers to work at the same rate and 57.1% less often than during working hours but have a higher labor intensity during the working day. Neonatologist working in perinatal centers, to a greater extent than doctors in maternity hospitals (departments), are not satisfied with the conditions and financial support of their activities and are 24.1% more likely to perform occupational duties that are not part of the professional standard “Neonatologist”. Most neonatologists working in obstetric organizations have chosen their profession by calling (58.5%) and because of their love for children (62.8%), they fully feel responsible for the quality of their work (99.3%), they do not want to change their medical specialty (93.5%) and are satisfied with the choice of occupation (93.3%).

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Analysis of selected statistical indicators of the North-Western Federal district in aspect of infant mortality and stillbirths

Cited by 5 publications

References 1 publication

Fetoinfantile losses in the north-west region of Russia

Fetoinfantile losses in the north-west region of Russia

History and prospects of perinatal mortality rate in Russia

Neonatologists at the Obstetric Organizations of Megapolis: Occupational Activity and Attitude to the Occupation

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