MEDICO-DEMOGRAPHIC ISSUES RELATED TO REPRODUCTIVE POTENTIAL OF THE OMSK REGION POPULATION IN 2007-2017
Despite improvements in the demographic situation, Russia still preserves low fertility. An unfavorable trend is mainly manifested through slow rates of reduction in reproductive loss. The level of reproductive loss clearly shows that Russia falls behind the developed countries. Purpose. To analyze trends in reproductive potential of the Omsk region population in 2007-2017. Methods. Data of the Ministry of Health of the Omsk region served as the study information basis. The study employed alternatives and variance analysis. Results. Medico-demographic processes were not ambiguous in certain rural areas and were characterized by a general unfavorable trend in the whole region for the 10-year period from 2007 to 2017. The analysis of health status of the pregnant and parturient in the Omsk region identified the following characteristics of gestation: first, a high disease prevalence in pregnant women (the average annual rate in the Omsk region equals to 83.4 per 100 completed pregnancies, which is higher than in the Russian Federation-79.1, respectively). Anaemia is registered in every fourth pregnant women, gestoses - in every fifth, diseases of the circulatory and urogenital system - in every seventh. Incidence of diabetes is also on the rise. Second, one could note that disease incidence in pregnant women in 2017 increased by 12% compared to 2007. Maternal mortality rates were also higher than in the Russian Federation. More than half of pregnant women, parturient and puerperant die of obstetric death at 28 weeks and almost a third (33.2%) of all those who died during pregnancy. The perinatal mortality level reduced from 11.2 to 7.4 per 1000 live births and stillbirths, mostly due to reduction in early neonatal mortality. At the same time the share of stillbirths in the perinatal loss continues to increase and equals, on average, to 70% within the study period. Infant mortality rates also declined due to reduction in early neonatal mortality. Conclusions. The Omsk region is characterized by: a) unfavorable demographic situation, b) poor health status of pregnant women and newborns, c) high level of reproductive loss associated with manageable pathologies in childbirth, and d) deterioration of these indicators compared to the Russian Federation. Scope of application. The study results can be used to plan measures aimed at improving quality of obstetric care.