Volkov Valery G, Granatovich Nina N, Survillo Elena V, Pichugina Leontina V, Achilgova Zarina S
Department of Gynecology and Obstetrics, Medical institute, Tula State University, Тula, Russia.
Rev Bras Ginecol Obstet. 2018 Jun;40(6):309-312. doi: 10.1055/s-0038-1657765. Epub 2018 Jun 12.
To study the structure of maternal mortality caused by abortion in the Tula region.
The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed.
Overall, 204,095 abortion cases were recorded in the Tula region for over 15 years. The frequency of abortion was reduced 4-fold, with 18,200 in 2001 to 4,538 in 2015. The rate of abortions per 1,000 women (age 15-44 years) for 15 years decreased by 40.5%, that is, from 46.53 (2001) to 18.84 (2015), and that of abortions per 100 live births and stillbirths was 29.5%, that is, from 161.7 (2001) to 41.5 (2015). Five women died from abortion complications that began outside of the hospital, which accounted for 0.01% of the total number. In the structure of causes of maternal mortality for 15 years, abortion represented 14.3% of the cases. Lethality mainly occurred in the period from 2001 to 2005 (4 cases). Among the maternal deaths, many women died in rural areas after pregnancy termination at 18 to 20 weeks of gestation ( = 4). In addition, three women died from sepsis and two from bleeding.
The introduction of modern, effective technologies of family planning has reduced maternal mortality due to abortion.
研究图拉地区因流产导致的孕产妇死亡结构。
分析2001年1月1日至2015年12月31日期间死亡孕妇、分娩及产后的医疗记录。
总体而言，图拉地区15年多来共记录了204,095例流产病例。流产频率降低了4倍，从2001年的18,200例降至2015年的4,538例。15年间每1000名（15 - 44岁）妇女的流产率下降了40.5%，即从2001年的46.53降至2015年的18.84，每100例活产和死产中的流产率为29.5%，即从2001年的161.7降至2015年的41.5。5名妇女死于院外发生的流产并发症，占总数 的0.01%。在15年孕产妇死亡原因结构中，流产占病例的14.3%。致死主要发生在2001年至2005年期间（4例）。在孕产妇死亡中，许多妇女在妊娠18至20周终止妊娠后死于农村地区（ = 4）。此外，3名妇女死于败血症，2名死于出血。
采用现代有效的计划生育技术降低了因流产导致的孕产妇死亡率。
