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Obstetrics and Gynegology2024№4
Reproductive losses in the Far...

Reproductive losses in the Far Eastern Federal District: trends and problems

DOI
https://dx.doi.org/10.18565/aig.2023.238

Stupak V.S., Bantyeva M.N., Manoshkina E.M.

Russian Research Institute of Health, Ministry of Health of Russia, Moscow, Russia

In the Russian Federation, reproductive losses mainly refer to abortive outcomes of pregnancy. Since the demographic situation in the country is difficult, it is necessary to analyze the situation and find the solutions to increase the birth rate.
Objective: To determine the dynamics of the main reproductive losses (abortions) in the Russian Federation, in the Far Eastern Federal District and its regions from 2003 to 2022. 
Materials and methods: This is the analysis of the data of Form No. 13 of the Federal Statistical Observation in the Russian Federation, Federal Districts and regions of the Far Eastern Federal District for 2003–2022. The research method is a continuous statistical observation; dynamic series indicators were calculated; direct ranking method and descriptive statistics were used.
Results: From 2003 to 2022, there was a decrease in the absolute number of all types of abortions in the Far Eastern Federal District, as well as in the Russian Federation, in general, by 71.32% and 76.4%, respectively. The abortion rate per 1,000 women of reproductive age decreased by 73.0% (from 42.3 to 11.41) in the Russian Federation and it decreased by 72.37% (from 58.3 to 16.1) in the Far Eastern Federal District. The rate of various types of abortions also decreased: the rate of medical (legal) abortions reduced by 84.2% in the Russian Federation and by 79.5% in the Far Eastern Federal District; the rate of spontaneous abortions decreased by 46.8% in the Russian Federation and by 41.0% in the Far Eastern Federal District; the rate of medically indicated abortions reduced by 10.4% in the Russian Federation and by 66.0% in the Far Eastern Federal District, and the rate of socially indicated abortions decreased  from 0.7731 to 0.0005 in the Russian Federation and  from 1.2234 to 0.0021 in the Far Eastern Federal District.
Conclusion: The absolute number and rate of all types of abortions decreased in the Far Eastern Federal District, as well as in the Russian Federation as a whole, in 2003–2022, but their level remains high. The prevention and successful treatment of miscarriage with the preservation of each desired pregnancy is a real reserve for increasing the birth rate.

Authors’ contributions: Stupak V.S., Bantyeva M.N. – developing the concept and design of the study; Bantyeva M.N. – collecting and processing material, statistical data processing; Bantyeva M.N., Manoshkina E.M. – writing the text; Stupak V.S., Manoshkina E.M. – editing the article.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
For citation: Stupak V.S., Bantyeva M.N., Manoshkina E.M. Reproductive losses in
the Far Eastern Federal District: trends and problems.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (4): 116-125 (in Russian)
https://dx.doi.org/10.18565/aig.2023.238

Keywords

reproductive losses
Far Eastern Federal District
abortion
spontaneous abortion
miscarriage
termination of pregnancy
abortive outcome of pregnancy
Full text (in Russian)

References

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Received 13.10.2023

Accepted 28.03.2024

About the Authors

Valerij S. Stupak, Dr. Med. Sci., Associate Professor, Head of the Department of Public Health and Demography, Russian Research Institute of Health,
127254, Russia, Moscow, Dobrolubova str., 11, stupak@mednet.ru, https://orcid.org/0000-0002-8722-1142, SPIN-code: 3720-1479, Author ID: 593110.
Marina N. Bantyeva, Ph.D., Leading Researcher at the Department of Public Health and Demography, Russian Research Institute of Health,
127254, Russia, Moscow, Dobrolubova str., 11, ba.mani@yandex.ru, https://orcid.org/0000-0002-2521-4377, SPIN-code: 4529-3252.
https://orcid.org/0000-0001-6161-440X SPIN-код: 5949-9970; Author ID 168231
Elena M. Manoshkina, Ph.D., Leading Researcher at the Department of Public Health and Demography, Russian Research Institute of Health,
127254, Russia, Moscow, Dobrolubova str., 11, +7(925)299-78-01, Emanoshkina2@ya.ru, https://orcid.org/0000-0001-6161-440Х, SPIN-code: 5949-9970, Author ID: 168231.
Corresponding author: Elena M. Manoshkina, Emanoshkina2@ya.ru

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