The organization of perinatal audit: the experience of the Ural federal okrug

Abstract

The article presents three-year experience of organization of implementation of perinatal audit of service of delivery and childhood on territories of the Ural federal okrug and attached territories of Siberia and Far East. The primary, current and target stages of perinatal audit are marked out. On the basis of carried out studies the territories were singled out: leaders with “standard” indicators of service functioning (the Khanty-Mansi Autonomous Okrug and the Tyumenskaia oblast) and territories outsiders with high indicators on maternity mortality and feto-infant losses (Yamal-Nenets Autonomous Okrug and Tcheliabinskaia oblast). The described system of organization ofperinatal audit permits in operative mode to implement evaluation of effectiveness of functioning of service of delivery and childhood of territories and to formulate recommendations on increasing effectiveness of service functioning.