Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia).

Autor:	Burtseva TE; Yakut Scientific Center of Complex Medical Problems, Yakutsk, Russia., Odland JØ; Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of, Tromsø, Norway; jon.oyvind.odland@uit.no., Douglas NI; North-Eastern Federal University, Yakutsk, Russia., Grigoreva AN; The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia., Pavlova TY; The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia., Chichahov DA; The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia., Afanasieva LN; North-Eastern Federal University, Yakutsk, Russia.; The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia., Baisheva NS; North-Eastern Federal University, Yakutsk, Russia., Rad YG; North-Eastern Federal University, Yakutsk, Russia., Tomsky MI; Yakut Scientific Center of Complex Medical Problems, Yakutsk, Russia., Postoev VA; Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of, Tromsø, Norway.
Jazyk:	angličtina
Zdroj:	International journal of circumpolar health [Int J Circumpolar Health] 2016 Dec 13; Vol. 75, pp. 33956. Date of Electronic Publication: 2016 Dec 13 (Print Publication: 2016).
DOI:	10.3402/ijch.v75.33956
Abstrakt:	In the absence of a medical birth registry, the official statistics are the only sources of information about pregnancy outcomes in the Republic of Sakha (Yakutia) (RS). We analysed the official statistical data about birth rate, fertility, infant and maternal mortality in the RS in the period 2003-2014. Compared with all-Russian data, the RS had a higher birth rate, especially in rural districts. Maternal and infant mortality were also higher compared with all-Russian data, but had a decreasing trend. The majority of deaths occurred in the small level 1 units. We suggest that establishment of good predelivery transportation of pregnant women with high risk of complications from remote areas and centralization of risk deliveries with improved prenatal and neonatal care could improve the pregnancy outcome in Yakutia. Competing Interests: and funding The authors have not received any funding or benefits from industry or elsewhere to conduct this study.
Databáze:	MEDLINE
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