Abortion in the Structure of Causes of Maternal Mortality

Abstract Objective To study the structure ofmaternalmortality caused by abortion in the Tula region. Methods The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed. Results Overall, 204,095 abortion cases were recor...

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Main Authors: Valery G. Volkov, Nina N. Granatovich, Elena V. Survillo, Leontina V. Pichugina, Zarina S. Achilgova
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2018-06-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000600309&tlng=en
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author Valery G. Volkov
Nina N. Granatovich
Elena V. Survillo
Leontina V. Pichugina
Zarina S. Achilgova
author_facet Valery G. Volkov
Nina N. Granatovich
Elena V. Survillo
Leontina V. Pichugina
Zarina S. Achilgova
author_sort Valery G. Volkov
collection DOAJ
description Abstract Objective To study the structure ofmaternalmortality caused by abortion in the Tula region. Methods The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed. Results 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 thematernal deaths, many women died in rural areas after pregnancy termination at 18 to 20 weeks of gestation (n = 4). In addition, three women died from sepsis and two from bleeding. Conclusion The introduction of modern, effective technologies of family planning has reduced maternal mortality due to abortion.
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spelling doaj.art-f963ebac618a40ff8b8378490bdff33c2022-12-21T21:23:35ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032018-06-0140630931210.1055/s-0038-1657765Abortion in the Structure of Causes of Maternal MortalityValery G. VolkovNina N. GranatovichElena V. SurvilloLeontina V. PichuginaZarina S. AchilgovaAbstract Objective To study the structure ofmaternalmortality caused by abortion in the Tula region. Methods The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed. Results 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 thematernal deaths, many women died in rural areas after pregnancy termination at 18 to 20 weeks of gestation (n = 4). In addition, three women died from sepsis and two from bleeding. Conclusion The introduction of modern, effective technologies of family planning has reduced maternal mortality due to abortion.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000600309&tlng=enabortionpregnancymaternal mortalityfamily planningsepsis
spellingShingle Valery G. Volkov
Nina N. Granatovich
Elena V. Survillo
Leontina V. Pichugina
Zarina S. Achilgova
Abortion in the Structure of Causes of Maternal Mortality
Revista Brasileira de Ginecologia e Obstetrícia
abortion
pregnancy
maternal mortality
family planning
sepsis
title Abortion in the Structure of Causes of Maternal Mortality
title_full Abortion in the Structure of Causes of Maternal Mortality
title_fullStr Abortion in the Structure of Causes of Maternal Mortality
title_full_unstemmed Abortion in the Structure of Causes of Maternal Mortality
title_short Abortion in the Structure of Causes of Maternal Mortality
title_sort abortion in the structure of causes of maternal mortality
topic abortion
pregnancy
maternal mortality
family planning
sepsis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000600309&tlng=en
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