DYNAMICS IN SOMATIC MORBIDITY COMPLICATING LABOR
Somatic morbidity in parturient and puerperant women, mainly diabetes mellitus and anemia remains an urgent problem of the modern obstetrics due to the multiple negative effect on both maternal and newborn health. Dynamic analysis of this morbidity makes it possible to identify priorities in preventive activities to ensure effective coordination of the multidisciplinary team of highly qualified specialists. Purpose. To study dynamics in somatic morbidity complicating labor in the Russian Federation. Material and methods. The analysis was carried out according to the form of statistical observation No. 32 «Information on medical care for pregnant, parturient and puerperant women» and on the basis of data from the collections «Main indicators of maternal and child health, performance of mother and child services in the Russian Federation» for 2016-2020, using methods of descriptive statistics, calculation of the increase and decrease rates of indicators, as well as prognostic options for diseases. Results. In 2016-2020 Russia registered increased morbidity among parturient and puerperant women with diabetes (+ 170.33%; 31.88 ‰ - 86.18 ‰), venous complications (+ 27.33%; 19.9 ‰ - 24.30 ‰) and anemia (+ 5.65%; 247.68 ‰ - 261.70 ‰). Diseases of the cardiovascular system (-15.76%; 57.11 ‰ - 48.10 ‰) and urinary tract infections (-7.44%; 51.13 ‰ - 47.30 ‰) tend to decrease. According to the calculated forecasts, a similar trend will remain until 2025. At the same time, there are pronounced regional differences in indicators with multidirectional nature of the dynamics. Conclusion. Dynamic analysis of morbidity makes it possible to identify priorities for preventive activities. However, the existing reporting forms contain a narrow list of pathologies, not fully reflecting diseases that significantly affect mother and child health.