Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny · 2025
[THE PERINATAL LOSSES IN THE REGIONS OF THE ARCTIC ZONE OF THE RUSSIAN FEDERATION: ANALYSIS OF DYNAMICS AND AVERTABILITY].
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Starodubov V I, Postoev V A, Kurochka D V, Stupak V S, Sokolovskaya T A, Menshikova L I
Аннотация
The article presents, on the basis of data analysis of the Federal statistical monitoring, dynamics of perinatal losses in 2014-2023 in the Subjects of the Russian Federation having in its structure territories attributed to the Arctic Zone considering their distribution according to avertability on the basis of the Nordic-Baltic perinatal classification The main components contributing the most in the structure of perinatal mortality are determined It is established that in the regions of the Arctic Zone perinatal mortality had lower rate of decreasing as compared with infant mortality In all studied regions during the last 10 years, decreasing of perinatal mortality occurred mostly at the expense of early neonatal and intranatal mortality At that, most of the cases of perinatal deaths fell at deaths among premature born At the same time, there were established no relationship between rate of premature deliveries and level of premature mortality at the regional level and in the Arctic Zone in general The classification of perinatal losses according avertability demonstrates decreasing of percentage of cases of preventable perinatal mortality At that, the most valuable reserve of decreasing of perinatal mortality in circumpolar regions is decreasing of of rate of antenatal death of fetuses whose percentage in perinatal mortality makes up to 70% nowadays.