The article presents organization of three-level system of obstetrics service in rural region with large territory and lower population density (the Altai Krai) in actual conditions. The dynamic analysis of indices of maternal and perinatal mortality in 2007-2016 was implemented on the basis of evaluation of efficiency of implemented innovative informative technology "The Register of Pregnant Women". The priority directions of functioning of service are family planning and reproductive health care, safe maternity, perinatal care of fetus and newborn.
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