Healthcare and Management Strategies for Reducing Maternal Deaths from Obstetric Hemorrhage
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In connection with the above, the purpose of this study was to study the risk factors leading to the development of massive obstetric hemorrhage. An analysis of 302,000 birth histories in the Samarkand region for the period 2021-2023 was conducted, among which 51 cases of MOH were identified during childbirth and the postpartum period, which amounted to 0.2%. Clinical, laboratory, functional and statistical research methods were used.
The article discusses strategies to reduce maternal mortality based on global and local experiences, including training skilled midwives, monitoring reproductive health, providing medical equipment and medicines, and optimizing the health management system. The results of the study have scientific and practical significance in developing prevention and treatment strategies for MMR, formulating health policies, and effectively implementing them in clinical practice.
1. Abdullaeva L.S., Kattakhodjaeva M.H., Safarov A.T., Suleymanova N. Clinical and morphological parallels in pregnancy complicated by polyhydramnios // in Library. 2022. Т. 22, №1. С. 4137-4141. URL: https://inlibrary.uz/index.php/archive/article/view/14758 (date of reference: 08.11.2022).
2. Babadjanova Sh.D. Improvement of organizational and therapeutic-diagnostic technologies for reduction of maternal mortality: Cand. Doctor of medical sciences. Tashkent, 2022. 259 с.
3. Bashmakova N.V., Davydenko N.B., Malgina G.B. Monitoring of obstetric “near misses” in the development strategy of obstetrics service // Russian Messenger of Obstetrician-Gynecologist. 2019. № 19(3). С. 5-10.
4. Davlyatova G.K., Kamilova M.Y., Rakhmatulloeva D.M. Impact of the use of critical cases audit on the change in some indicators of obstetric bleeding // Journal of Obstetrics and Women's Diseases. 2018. Т. 67, №1. С. 13-19. DOI: 10.17816/JOWD67113-19.
5. Demographic yearbook of Russia 2017 / Oksenoit G.K., Nikitina S.Y., Andreev E.M. et al. - Stat. sb./ Rosstat. Moscow, 2017. 263 с.
6. Demographic Yearbook of Russia. 2019: Stat. coll. / Rosstat. Moscow, 2019. 252 с.
7. Diagnosis and treatment of cardiovascular diseases in pregnancy. National recommendations // Russian Cardiology Journal. 2018. №3. С. 91-134.
8. Dondyuk Y.V. Frequency and causes of severe obstetric complications that almost led to death in level II and III perinatal centers - a retrospective study // Problems of Reproduction. 2018. №1. С. 77-81.
9. Yenkova E.V., Vukolova V.A., Ryzhikov Y.S. Bulletin of new medical technologies. 2018. № 12(4). С. 57-64.
10. Kamilova M.Y., Rakhmatulloeva D.M. Journal of obstetrics and women's diseases. 2018. Т. 67, №1. С. 13-19. DOI: 10.17816/JOWD67113-19.
11. Kattakhodjaeva M.H., Abdullaeva L.S., Safarov A.T. Clinical and morphologic parallels in uterine overstretching syndrome // Kazan Medical Journal. 2021. №6/S. URL: https://cyberleninka.ru/article/n/kliniko-morfologicheskie-paralleli-pri-sindrome-pererastyazheniya-matki (date of address: 08.11.2022).
12. Clinically significant morphologic and immunohistochemical features of intact and scar-altered myometrium / D.A. Atyakshin et al.
13. Lebedenko E.Y., Michelson A.F., Rosenberg I.M. Dangerous past, difficult present, vague future of patients who survived obstetric catastrophes (“near miss”) // International Journal of Applied and Fundamental Research. 2015. № 3-3. С. 372-377.
14. Mamontova I.K., Shevlyakova T.V., Petrova E.I. “Near miss” in obstetrics: place in the evaluation of health care technologies, approaches to classification and evaluation // Modern pharmacoeconomics and pharmacoepidemiology. 2018. №12(4). С. 92-96. DOI: 10.17749/2313-7347.2018.11.4.092-096.
15. Murashko M.A., Sukhikh G.T., Pugachev P.S. et al. International and Russian experience in monitoring critical obstetric conditions // Obstetrics and Gynecology. 2021. №3. С. 5-11.
16. Organization of medical evacuation of pregnant women, women in labor and delivery in emergency conditions. Clinical Recommendations. 2015. URL: http://www.consultant.ru/document/cons_doc_LAW_319942/.
17. Pregravidar preparation. Clinical protocol of the Interdisciplinary Association of Reproductive Medicine Specialists (MARS). Version 2.0. Moscow: Editorial office of StatusPraesens journal, 2020. 128 с.
18. Prevention, algorithm of management, anesthesia and intensive therapy for postpartum hemorrhage. Clinical recommendations. Moscow, 2018. 76 с.

