Organization three-tier system of care pregnant women and mothers in the Chelyabinsk region
Objective: To analyze the effectiveness of organizational activities to improve health care for women during pregnancy, childbirth and the postpartum period on the basis of the creation of a three-tier system. STUDY DESIGN: The study served as we have developed a three-level routing scheme for women during pregnancy, childbirth and the postpartum period in the Chelyabinsk region, on the basis of which been prepared the order of Ministry of Health of the Chelyabinsk region from 03.07.2013 № 1030 "On health care during pregnancy, childbirth and the postpartum period in the Chelyabinsk region". Analysis of the effectiveness was based on Rosstat data for 2009 - 2013, evaluation of annual reports of medical organizations, in structure of which organized interdistrict, city and regional obstetric and gynecological departments for 2009-2013. Results: As a result of the reorganization of obstetric - gynecological service in the Chelyabinsk region there was a positive dynamics of the main indicators of obstetric services: reduce maternal and infant mortality. Conclusion: The obtained results allow us to conclude about the effectiveness of the implementation at the regional level the three-tier system of care for pregnant women, women in labor and childbirth, which indicates about necessity of continuation work in this direction, processing and improving organizational documents about routing pregnant, postpartum women and women in labor at the regional level.