Critical obstetric conditions during pandemic (COVID-19) and pre-pandemic years
https://doi.org/10.23946/2500-0764-2021-6-3-56-63
Abstract
Aim. To assess the structure of critical obstetric conditions and maternal mortality in Transbaikal Region in pandemic (COVID-19) and pre-pandemic years (2020 and 2019, respectively).
Materials and Methods. We retrospectively analysed “near miss” (NM) and maternal deaths (MD) in 2019 and 2020, further calculating the severe maternal outcome ratio (SMOR), the summary indicator which includes both NM and MD per 1000 live births.
Results. In a pandemic year (2020), we observed an increase in SMOR in comparison with a pre-pandemic year (3.0 vs 2.0, respectively). In 2019, maternal mortality was exclusively caused by obstetric complications, while extragenital pathology (cardiovascular disease and COVID-19) was responsible for that in 2020. However, the main causes of «near miss» in 2019 and 2020 were similar, including obstetric haemorrhage because of placental abruption and severe pre-eclampsia. Maternal near-miss mortality ratio (MNM/MD) increased from 7.3: 1 in 2019 to 11.3: 1 in 2020, and mortality index (MD/(MNM + MD) × 100) reduced from 12.0 to 8.1. Therefore, fewer women with life-threatening conditions died in 2020 as compared with 2019, indicating a better quality of obstetric care.
Conclusion. Analysis of the critical obstetric conditions can probably find regional issues of maternal healthcare during the COVID-19 pandemic and propel the policy makers to find additional resources to minimise maternal morbidity and mortality.
About the Authors
T. E. Belokrinitskaya
Chita State Medical Academy
Russian Federation
Russian Federation
Tatiana Е. Belokrinitskaya, Prof., MD, DSc, Professor, Chief of the Department of Obstetrics & Gynecology, Faculty of Pediatrics
39a, Gor’kogo Street, Chita, 672000
S. A. Iozefson
Chita State Medical Academy
Russian Federation
Russian Federation
Sergey A. Iozefson, Prof., MD, DSc, Professor, Department of Obstetrics & Gynecology, Faculty of Pediatrics
39a, Gor’kogo Street, Chita, 672000
N. I. Frolova
Chita State Medical Academy
Russian Federation
Russian Federation
Nataly I. Frolova, Dr., MD, DSc, Associate Professor, Department of Obstetrics & Gynecology, Faculty of Pediatrics
39a, Gor’kogo Street, Chita, 672000
O. Yu. Brum
Transbaikal Regional Perinatal Centre
Russian Federation
Russian Federation
Olga Yu. Brum, Dr., MD, Deputy Chief Physician for Obstetric and Gynecological Care
16, Kohanskogo Street, Chita, 672090
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Review
For citations:
Belokrinitskaya T.E., Iozefson S.A., Frolova N.I., Brum O.Yu. Critical obstetric conditions during pandemic (COVID-19) and pre-pandemic years. Fundamental and Clinical Medicine. 2021;6(3):56-63. (In Russ.) https://doi.org/10.23946/2500-0764-2021-6-3-56-63
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