The structure of reprodactive loses

Relevance: Reducing reproductive losses is an important reserve for improving the demographic situation. Reproductive losses – the loss of products of conception in all stages of development of the fetus by spontaneous and forced abortion, stillbirths and death of babies in their first year of life.

Objective: to assess the dynamics of reproductive losses in Perm from 2006 to 2016.

Materials and methods: the analysis of statistical forms: 13 "Information about the termination of pregnancy"; 32 "Information about medical care for pregnant women, women in labor and childbirth"; 14 "Information about the activities of the hospital" in Perm for the period from 2006 to 2016 was carried out including changes in criteria of live birth in 2012.

Results: During the analyzed period there was an increase in births in 8 times and reducing the number of medical abortions (decrease 71%). In the structure of the pregnancies with abortive outcome, the proportion of miscarriage has increased in 8 times, the proportion of ectopic pregnancy remains at the same level. A decrease in the stillbirth rate is in 3 times.

Conclusions: Reproductive losses in Perm are performed: the first place – the miscarriage in early terms; the second place – the ectopic pregnancy; the third place – the miscarriage in the later stages; the forth place - stillbirths. The loss of desired pregnancies is taking more place, so we consider that it appropriate to focus the attention of specialists on the issues of family planning, pregravid preparation and maintenance of pregnancy in the early stages.