Maternal mortality in St. Petersburg, Russian Federation
OBJECTIVE: To study the levels and causes of maternal mortality in St. Petersburg, Russian Federation. METHODS: We collected data about all pregnancy-related deaths in St. Petersburg over the period 1992-2003 using several sources of information. An independent research group reviewed and classified...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The World Health Organization
2006-01-01
|
| Series: | Bulletin of the World Health Organization |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862006000400012 |
| _version_ | 1797281586209619968 |
|---|---|
| author | Gurina Natalia A Vangen Siri Forsén Lisa Sundby Johanne |
| author_facet | Gurina Natalia A Vangen Siri Forsén Lisa Sundby Johanne |
| author_sort | Gurina Natalia A |
| collection | DOAJ |
| description | OBJECTIVE: To study the levels and causes of maternal mortality in St. Petersburg, Russian Federation. METHODS: We collected data about all pregnancy-related deaths in St. Petersburg over the period 1992-2003 using several sources of information. An independent research group reviewed and classified all cases according to ICD-10 and the Confidential Enquiries into Maternal Deaths in the United Kingdom. We tested trends of overall and cause specific ratios (deaths per 100 000 births) for four 3-year intervals using the chisuperscript two test. FINDINGS: The maternal mortality ratio for the study period was 43 per 100 000 live births. A sharp decline of direct obstetric deaths was observed from the first to fourth 3-year interval (49.8 for 1992-94 versus 18.5 for 2001-03). Sepsis and haemorrhage were the main causes of direct obstetric deaths. Among the total deaths from sepsis, 63.8% were due to abortion. Death ratios from sepsis declined significantly from the first to second study interval. In the last study interval (2001-03), 50% of deaths due to haemorrhage were secondary to ectopic pregnancies. The death ratio from thromboembolism remained low (2.9%) and stable throughout the study period. Among indirect obstetric deaths a non-significant decrease was observed for deaths from cardiac disease. Death ratios from infectious causes and suicides increased over the study period. CONCLUSIONS: Maternal mortality levels in St. Petersburg still exceed European levels by a factor of five. Improved management of abortion, emergency care for sepsis and haemorrhage, and better identification and control of infectious diseases in pregnancy, are needed. |
| first_indexed | 2024-03-07T16:58:34Z |
| format | Article |
| id | doaj.art-f91ad19e475f4b87a9163109fb6f34b9 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T16:58:34Z |
| publishDate | 2006-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-f91ad19e475f4b87a9163109fb6f34b92024-03-03T03:30:27ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862006-01-01844283289Maternal mortality in St. Petersburg, Russian FederationGurina Natalia AVangen SiriForsén LisaSundby JohanneOBJECTIVE: To study the levels and causes of maternal mortality in St. Petersburg, Russian Federation. METHODS: We collected data about all pregnancy-related deaths in St. Petersburg over the period 1992-2003 using several sources of information. An independent research group reviewed and classified all cases according to ICD-10 and the Confidential Enquiries into Maternal Deaths in the United Kingdom. We tested trends of overall and cause specific ratios (deaths per 100 000 births) for four 3-year intervals using the chisuperscript two test. FINDINGS: The maternal mortality ratio for the study period was 43 per 100 000 live births. A sharp decline of direct obstetric deaths was observed from the first to fourth 3-year interval (49.8 for 1992-94 versus 18.5 for 2001-03). Sepsis and haemorrhage were the main causes of direct obstetric deaths. Among the total deaths from sepsis, 63.8% were due to abortion. Death ratios from sepsis declined significantly from the first to second study interval. In the last study interval (2001-03), 50% of deaths due to haemorrhage were secondary to ectopic pregnancies. The death ratio from thromboembolism remained low (2.9%) and stable throughout the study period. Among indirect obstetric deaths a non-significant decrease was observed for deaths from cardiac disease. Death ratios from infectious causes and suicides increased over the study period. CONCLUSIONS: Maternal mortality levels in St. Petersburg still exceed European levels by a factor of five. Improved management of abortion, emergency care for sepsis and haemorrhage, and better identification and control of infectious diseases in pregnancy, are needed.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862006000400012Maternal mortality/trendsPregnancy complications/mortalityAbortionSpontaneous/mortalityAbortion, CriminalComparative studyProspective studiesRussian Federation |
| spellingShingle | Gurina Natalia A Vangen Siri Forsén Lisa Sundby Johanne Maternal mortality in St. Petersburg, Russian Federation Bulletin of the World Health Organization Maternal mortality/trends Pregnancy complications/mortality Abortion Spontaneous/mortality Abortion, Criminal Comparative study Prospective studies Russian Federation |
| title | Maternal mortality in St. Petersburg, Russian Federation |
| title_full | Maternal mortality in St. Petersburg, Russian Federation |
| title_fullStr | Maternal mortality in St. Petersburg, Russian Federation |
| title_full_unstemmed | Maternal mortality in St. Petersburg, Russian Federation |
| title_short | Maternal mortality in St. Petersburg, Russian Federation |
| title_sort | maternal mortality in st petersburg russian federation |
| topic | Maternal mortality/trends Pregnancy complications/mortality Abortion Spontaneous/mortality Abortion, Criminal Comparative study Prospective studies Russian Federation |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862006000400012 |
| work_keys_str_mv | AT gurinanataliaa maternalmortalityinstpetersburgrussianfederation AT vangensiri maternalmortalityinstpetersburgrussianfederation AT forsenlisa maternalmortalityinstpetersburgrussianfederation AT sundbyjohanne maternalmortalityinstpetersburgrussianfederation |