COMPARATIVE EVALUATION OF THE LEVEL OF PERINATAL MORTALITY AND FREQUENCY OF CAESAREAN SECTIONS
Purpose of the study was comparative evaluation of the level of perinatal mortality in maternity homes, depending on the frequency of caesarean section. Monitoring was carried out in the state maternity homes in cities (Sumgayit, Ganja, Shirvan and Mingechaur) and in regions (Lenkoran, Masally, Udzhar, Beylagan, Tovuz, Sheki, Guba and Shemakha) of Azerbaijan during 2012-2014. We have determined the proportion of abdominal deliveries (PAD) (in percentage) and level of perinatal mortalities (Still births after 22 completed weeks of gestation and neonatal mortality in the early neonatal period) per 1000 live births and the dead for maternity homes of each city and region during a calendar year. The proportion of abdominal delivery in 2012 was the lowest in Shemakhinsky region (5,1%) and highest in Mingechaur city (27,5%). The lowest level of perinatal mortality during the recent year have been determined in Tovuzsky region (1,7±0,76)% (proportion of abdominal deliveries was 23,4%), and the highest in Ganja city [(58,0±3,41)%] where the proportion of abdominal deliveries was 19,5%. Proportion of abdominal deliveries (x) and level of perinatal mortality (y) in regional maternity homes are not correlated (r=0,09) during 2012. So, the proportion of abdominal deliveries and level of perinatal mortalities change are between 5,1-57,2% and (0,6±0,42) - (64,2±3,85)% in regions of Azerbaijan. The level of perinatal mortality and proportion of abdominal deliveries have no bi-directional communication and haven't been clearly defined.