Role of Republican Perinatal Council in reducing infant mortality rate in the Republic of Sakha (Yakutia)

Abstract

Objective. To analyze the work of the Republican Perinatal Council in the Republic of Sakha (Yakutia).

Materials and methods. A retrospective analysis of the work of the Republican Perinatal Council in the Republic of Sakha (Yakutia) for 2018–2021 was carried out.

Results. A total of 1553 women were sent to the RPC in 2018–2021. The proportion of group 2 women with changes in biochemical screening, chromosomal and hereditary fetal pathology increased. According to the results of RPC, the routing of pregnant woman is clearly worked out. The effectiveness of RPC can be estimated by the infant mortality rate in the Republic of Sakha (Yakutia) (2021 – 3.6 %).

Conclusions. The work of the Republican Perinatal Council, strict control over the observance of the stages of obstetric care, the introduction of routing sheets in the Republic of Sakha (Yakutia), the concentration of pregnant women and women at high risk for maternal and perinatal pathology in third-level institutions allowed to reduce an early neonatal mortality, infant mortality.

Keywords

Republican Perinatal Council / high-risk pregnant women / congenital malformation of fetus / infant mortality / Republic of Sakha (Yakutia)

References

[1] Zhuchenko L.A., Andreeva E.N., Odegova N.O. et al. Analysis of the effectiveness of new diagnostic approaches in the Russian Federation to the prenatal diagnosis of frequent genetic diseases of medical and social significance. Russian Bulletin of the obstetrician-gynecologist 2015; 15 (6): 12–16 (in Russian).

[2] Жученко Л.А., Андреева Е.Н., Одегова Н.О. и др. Анализ эффективности новых диагностических подходов в Российской Федерации к пренатальной диагностике частых генетических заболеваний, имеющих медицинскую и социальную значимость. Российский вестник акушера-гинеколога 2015; 15 (6): 12–16.

[3] Arutyunyants A.G., Ovchinnikova M.B. Telemedicine in obstetrics in areas with low population density: legal foundations and practical results of integration. Medical science and education of the Urals 2021; 22 (3): 27–32 (in Russian).

[4] Арутюнянц А.Г., Овчинникова М.Б. Телемедицина в акушерстве на территориях с низкой плотностью населения: правовые основы и практические результаты интеграции. Медицинская наука и образование Урала 2021; 22 (3): 27–32.

[5] Klimov V.A. Routing of patients in critical conditions in obstetrics. The head doctor 2019; 4: 4–16 (in Russian).

[6] Климов В.А. Маршрутизация пациентов при критических состояниях в акушерстве. Главврач 2019; 4: 4–16.

[7] Moskvicheva M.G., Sakharova V.V., Semenov Yu.A. et al. Experience of the regional perinatal council in the Chelyabinsk region. Russian Medical Journal 2016; 22 (1): 4–6 (in Russian).

[8] Москвичева М.Г., Сахарова В.В., Семенов Ю.А. и др. Опыт работы областного перинатального консилиума на территории Челябинской области. Российский медицинский журнал 2016; 22 (1): 4–6.

[9] Kucherov Yu.I., Stygar A.M., Zhirkova Yu.V. et al. Perinatal consultation for malformations. Pediatric surgery 2016; 4: 211–215 (in Russian).

[10] Кучеров Ю.И., Стыгар А.М., Жиркова Ю.В. и др. Перинатальный консилиум при пороках развития. Детская хирургия 2016; 4: 211–215.

[11] Semenov Yu.A., Dolgushina V.F., Moskvicheva M.G. et al. The role of the three-level maternity service system of the Chelyabinsk region in the implementation of measures to reduce perinatal mortality. Preventive medicine 2020; 23 (4): 14–20 (in Russian).

[12] Семенов Ю.А., Долгушина В.Ф., Москвичева М.Г. и др. Роль трехуровневой системы службы родовспоможения Челябинской области в реализации мер по снижению перинатальной смертности. Профилактическая медицина 2020; 23 (4): 14–20.

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