Preeclampsia and lower maternal mortality in Russia
Objective. To study the most important aspects of maternal mortality from preeclampsia, eclampsia, the current clinical features of the most severe forms of this complication of pregnancy, as well as main defects in rendering qualified medical care, including those in the development of complications.Sidorova I.S., Nikitina N.A., Unanyan A.L.
Subjects and methods. A confidential audit of maternal mortality was conducted in different regions of the Russian Federation in 2013–2015. A total of 270 anonymous copies of primary medical records were analyzed.
Results. The features of development and progression of the most severe forms of preeclampsia and eclampsia were identified. The development of preeclampsia in the presence of previous extragenital diseases was seen in most clinical cases. Early clinical manifestation is characteristic in the vast majority of women; and the non-classical (atypical) clinical picture of the disease is also common.
Conclusion. Practical activities are proposed, which are aimed at reducing maternal mortality from preeclampsia in Russia.
Keywords
maternal mortality
preeclampsia
eclampsia
HELLP syndrome
endotheliosis
thrombotic microangiopathy
Supplementary Materials
References
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Received 07.04.2017
Accepted 28.04.2017
About the Authors
Sidorova Iraida Stepanovna, Academician of RAS, MD, Professor, Professor of Departament of Obstetrics and Gynecology № 1, Honoured Scientist of the Russian Federation, I.M. Sechenov First Moscow State Medical University, Therapeutic Faculty. 119991 Moscow, Russia, Trubetskaya str., 8, build. 2Nikitina Natalya Aleksandrovna, MD, Associate Professor of Departament of Obstetrics and Gynecology № 1, I.M. Sechenov First Moscow State Medical University, Therapeutic Faculty. 119991 Moscow, Russia, Trubetskaya str., 8, build. 2. E-mail: natnikitina@list.ru
Unanyan Ara Leonidovich, MD, Professor, Professor of Departament of Obstetrics and Gynecology № 1, I.M. Sechenov First Moscow State Medical University,
Therapeutic Faculty. 119991 Moscow, Russia, Trubetskaya str., 8, build. 2. E-mail: 9603526@mail.ru
For citations: Sidorova I.S., Nikitina N.A., Unanyan A.L. Preeclampsia and lower maternal mortality in Russia. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (1): 107-12. (in Russian)
https://dx.doi.org/10.18565/aig.2018.1. 107-112
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