The result of 10 years of experience in monitoring indicators of infant and perinatal mortality in Khabarovsk Krai

Abstract

Aim.To evaluate the effectiveness of the obstetric care service in Khabarovsk Krai, based on a comparison of the dynamics of infant and perinatal mortality rates for the period 20092018.
 Materials and methods.A comparative analysis of official statistics of the Ministry of Health of Khabarovsk Krai and other territories of the Far Eastern Federal District was carried out using the Rosstat database for the period 20092018, taking into account the indicators of infant, perinatal mortality, and preterm birth. The trend of the dynamics was determined in the process of graphical analysis of the chart and by modeling trends. The results of the studies were subjected to methods of statistical processing of information.
 Results.The results revealed in our study indicate that over the 10-year interval, the infant and perinatal mortality rates in Khabarovsk Krai decreased by 2 times, the rate of decrease was higher than similar processes in the Far Eastern Federal District and the Russian Federation. A graphical representation of infant and perinatal mortality rates underlines the instability of these values in Khabarovsk Krai. Тhe decrease in infant and perinatal mortality in Khabarovsk Krai is mainly due to a decrease in early neonatal mortality. The ratio of stillbirth to early neonatal mortality indicates an excess of stillbirth by 7.88 and 6.95 times in 20172018. The relatively high stillbirth rate in Khabarovsk Krai indicates the instability of the results in providing assistance to pregnant women and women in childbirth.
 Conclusion.The infant mortality rate is the main quality indicator recommended by WHO for assessing the level of care. This indicator must be considered in conjunction with the indicator of perinatal mortality, especially its constituent components of stillbirth and early neonatal mortality, namely the ratio of stillbirth to early neonatal mortality. The deformation of this proportion towards a multiple increase in stillbirth, against the background of a progressive decrease in early neonatal mortality, indicates the presence of an inadequate assessment of the organization of medical care in the obstetric care service.