About
The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
ArchiveEthical StandardsSubscription
For authors
InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
Reviewing
Procedure for reviewingReviewers 2023-2024
ISSN 0300-9092 (Print)
ISSN 2412-5679 (Online)
About
The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
ArchiveEthical StandardsSubscription
For authors
InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
Reviewing
Procedure for reviewingReviewers 2023-2024
Logout
Obstetrics and Gynegology2026№2

Dynamics of the number of births in assessing the stages of perinatal care in the Ural Federal District

DOI
https://dx.doi.org/10.18565/aig.2025.342

Sevostyanova O.Yu., Bashmakova N.V., Semenov Yu.A., Chumarnaya T.V., Sherstobitov A.V., Chizhovskaya T.V., Davydenko N.B.

1) Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Yekaterinburg, Russia; 2) Ural State Medical University, Ministry of Health of the Russian Federation, Yekaterinburg, Russia; 3) Institute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences, Yekaterinburg, Russia; 4) Ural Federal University named after the first President of Russia B.N. Yeltsin, Yekaterinburg, Russia

Objective: To study the distribution of births in obstetric hospitals at various levels in order to assess the stage of medical care provided in the Ural Federal District and its regions from 2019 and 2024.
Materials and methods: This was a descriptive epidemiological study of the number of births and their proportion in obstetric hospitals of the 1st, 2nd, and 3rd levels based on the data of the health authorities of six regions of the Ural Federal District. The study analyzed 36 forms of the Federal Statistical Survey No. 32 “Information on medical care for pregnant women, women in labor, and women have just given birth” from 2019 to 2024. Information on the number of births in the Russian Federation was obtained from the statistical materials of the Ministry of Health of the Russian Federation for the period 2019–2024. The descriptive statistical methods were used for statistical processing of the results. These methods included the absolute growth (decrease), the rate of increase (decrease), the rate of growth (decrease) on a basic and chain basis, and the average (average annual) rate of growth (decrease), expressed in %.
Results: In the Ural Federal District, the distribution of births among obstetric hospitals in groups 1, 2, and 3 followed the national trend. The average rate of growth of the proportion of births in obstetric hospitals for group 1 was -0.10%, for group 2 it was -4.01%, and for group 3 it was +5.68%. The concentration of 51.1% of births in perinatal centers of the 3rd group was noted due to the transfer of patients from obstetric hospitals of the 1st and 2nd groups.
Conclusion: The dynamics of the number of births in the Ural Federal District are characterized by a redistribution from the 1st and 2nd levels to the 3rd one, which corresponds to the all-Russian data. This indicates the positive trend in the staging of medical care and the concentration of patients in perinatal centers.

Authors’ contributions: Sevostyanova O.Yu. – developing the concept and design of the study, writing the text; Bashmakova N.V., Chumarnaya T.V., Sherstobitov A.V., Chizhovskaya A.V., Davydenko N.B. – collecting and processing the material; Semenov Yu.A., Bashmakova N.V. – editing the article. All authors approved the final version of the article before publication, and agreed to be responsible for all aspects of the work, including proper study and resolution of any issues related to the accuracy and integrity of any part of the work.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The authors state that there was no sponsorship during the research. The work was completed and published due to funding from the place of work of the authors, including the support of the state assignment of Institute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences No. 122022200089-4.
Ethical Approval: The Ethical Review Board of the Urals Scientific Research Institute for Maternal and Child Care of the Ministry of Health of Russia has been informed about the study. The approval of the study and informed consent of the patient are not required, as the forms of the sector statistics were analyzed.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Sevostyanova O.Yu., Bashmakova N.V., Semenov Yu.A., Chumarnaya T.V., 
Sherstobitov A.V., Chizhovskaya T.V., Davydenko N.B. Dynamics of the number of births in 
assessing the stages of perinatal care in the Ural Federal District.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (2): 120-127 (in Russian)
https://dx.doi.org/10.18565/aig.2025.342

Keywords

number of births
groups
obstetric hospital
Ural Federal District
Full text (in Russian)

References

  1. Министерство здравоохранения Российской Федерации. Приказ от 1 ноября 2012 г. № 572н № «Об утверждении Порядка оказания медицинской помощи по профилю ʺакушерство и гинекология (за исключением вспомогательных репродуктивных технологий)ʺ». М.; 2012. 344 с. [Ministry of Health of the Russian Federation. Order № 572n dated November 1, 2012 «On approval of the Procedure for providing medical care in the profile ʺobstetrics and gynecology (with the exception of assisted reproductive technologiesʺ». Moscow; 2012. 344 р. (in Russian.)]. https://minzdrav.gov.ru/documents/9154-prikaz-ministerstva-zdravoohraneniya-rossiyskoy-federatsii-ot-1-noyabrya-2012-g-572n-ob-utverzhdenii-poryadka-okazaniya-meditsinskoy-pomoschi-po-profilyu-akus
  2. Министерство здравоохранения Российской Федерации. Приказ от 20 октября 2020 г. № 1130н «Об утверждении Порядка оказания медицинской помощи по профилю ʺакушерство и гинекологияʺ». М.; 2020. 688 с. [Ministry of Health of the Russian Federation. Order № 1130n dated October 20, 2020 «On approval of the Procedure for providing medical care in the profile ʺobstetrics and gynecologyʺ». Moscow; 2020. 688 р. (in Russian)]. http://publication.pravo.gov.ru/Document/View/0001202011130037
  3. Chalmers B., Mangiaterra V., Porter R. WHO principles of perinatal care: the essential antenatal, perinatal, and postpartum care course. Birth. 2001; 28(3): 202-7. https://dx.doi.org/10.1046/j.1523-536x.2001.00202.x
  4. Мурашко М.А. Перинатальная помощь и роль перинатального центра в регионе с низкой плотностью населения. Сыктывкар; 2002. 38 с. [Murashko M.A. Perinatal care and the role of a perinatal center in a low-density region. Syktyvkar; 2002. 38 с. (In Russian)].
  5. Kunz S.N., Phibbs C.S., Profit J. The changing landscape of perinatal regionalization. Semin. Perinatol. 2020; 44(4): 151241. https://dx.doi.org/10.1016/j.semperi.2020.151241
  6. Handley S.C., Lorch S.A. Regionalization of neonatal care: benefits, barriers, and beyond. J. Perinatol. 2022; 42(6): 835-8. https://dx.doi.org/10.1038/s41372-022-01404-7
  7. Satoh S., Itakura A., Ikeda T., Kurasawa K., Nakai A. The Perinatal Committee report: Review of the progress of obstetric healthcare in Japan. J. Obstet. Gynaecol. Res. 2025; 51(7): e16354. https://dx.doi.org/10.1111/jog.16354
  8. Башмакова Н.В., Фаткуллин И.Ф., Адамян Л.В., Филиппов О.С., Гусева Е.В., Мальгина Г.Б., Давыденко Н.Б., Репалова Е.Ю., Ахмадеев Н.Р., Ахметгалиев А.Р. Материнская смертность в Уральском и Приволжском федеральных округах Российской Федерации. Проблемы репродукции. 2020; 26(6-2): 42-52. [Bashmakova N.V., Fatkullin I.F., Adamyan L.V., Filippov O.S., Guseva E.V., Malgina G.B., Davydenko N.B., Repalova E.Yu., Akhmadeev N.R., Akhmetgaliev A.R. Maternal mortality in the Ural and Volga Federal districts. Russian Journal of Human Reproduction. 2020; 26(6-2): 42-52 (in Russian)]. https://dx.doi.org/10.17116/repro20202606242
  9. Байбарина Е.Н., Филиппов О.С., Гусева Е.В. Итоги развития службы родовспоможения в Российской Федерации и мероприятия по ее совершенствованию. Российский вестник акушера-гинеколога. 2014; 14(4): 4‑8. [Baybarina E.N., Filippov O.S., Guseva E.V. Results of the development of maternity care in the Russian Federation and measures to improve it. Russian Bulletin of Obstetrician-Gynecologist. 2014; 14(4): 4-8 (in Russian)].
  10. Паспорт Национального проекта «Здравоохранение». Доступно по: https://www.garant.ru/products/ipo/prime/doc/72085920/ [Passport of the National Healthcare Project. Available at: https://www.garant.ru/products/ipo/prime/doc/72085920/ (in Russian)].
  11. Башмакова Н.В., Семенов Ю.А., Чижовская А.В., Долгорукова Ю.А. Итоги работы акушерско-гинекологической службы Уральского федерального округа в 2024 году. Екатеринбург; 2024. 21 с. [Bashmakova N.V., Semenov Yu.A., Chizhovskaya A.V., Dolgorukova Yu.A. Results of the Obstetric and Gynecological Service of the Ural Federal District in 2024. Yekaterinburg; 2024. 21 р. (in Russian)].
  12. Котова Е.Г., Семенов Ю.А., Башмакова Н.В., Мелкозерова О.А., Давыденко Н.Б. Основные тренды и научные инновации в сфере работы службы родовспоможения Уральского федерального округа. Вестник охраны материнства и младенчества. 2024; 1(1): 12-24. [Kotova E.G., Semenov Yu.A., Bashmakova N.V., Melkozerova O.A., Davydenko N.B. Main trends and scientific innovations in the field of maternity services in the Ural Federal District. Bulletin of Maternal and Infant Health Care. 2024; 1(1): 12-24 (in Russian)]. https://dx.doi.org/10.69964/BMCC-2024-1-1-12-24
  13. Филиппов О.С., Гусева Е.В., Павлов К.Д. Мировые и отечественные тренды в динамике материнской смертности. Проблемы репродукции. 2024; 30(1): 100-8. [Filippov O.S., Guseva E.V., Pavlov K.D. Global and domestic trends in maternal mortality dynamics. Russian Journal of Human Reproduction. 2024; 30(1): 100-8 (in Russian)]. https://dx.doi.org/10.17116/repro202430011100
  14. Беженарь В.Ф., Адамян Л.В., Филиппов О.С., Гусева Е.В., Нестеров И.М. Материнская смертность в Северо-Западном федеральном округе Российской Федерации: сравнительный анализ 2018-2019 гг., концептуальные подходы к снижению. Проблемы репродукции. 2020; 26(6‑2): 33‑41. [Bezhenar V.F., Adamyan L.V., Filippov O.S., Guseva E.V., Nesterov I.M. Maternal mortality in the Northwestern Federal Region of the Russian Federation: a comparative analysis 2018—2019, conceptual approaches to reduction. Russian Journal of Human Reproduction. 2020; 26(6‑2): 33‑41 (in Russian)]. https://dx.doi.org/10.17116/repro20202606233
  15. Министерство здравоохранения Российской Федерации. Письмо от 15 декабря 2023 г. № 13-2/И/2-23728 «Порядок составления сводных годовых статистических отчетов по формам федерального и отраслевого статистического наблюдения органами государственной власти субъектов Российской Федерации». М.; 2023; 184 с. [Ministry of Health of the Russian Federation. Letter dated December 15, 2023, No. 13-2/I/2-23728 «Procedure for compiling consolidated annual statistical reports on federal and sectoral statistical observation forms by state authorities of the constituent entities of the Russian Federation». Moscow. 2023; 184 p. (in Russian)]. https://base.garant.ru/408405887/
  16. Александрова Г.А., Голубев Н.А., Тюрина Е.М., Огрызко Е.В., Залевская О.В. и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. М.; 2020. 169 с. [Alexandrova G.A., Golubev N.A., Tyurina E.V., Ogryzko E.V., Zalevskaya O.V. et al. Main indicators of maternal and child health, and activities of the child protection and maternity services in the Russian Federation. Moscow; 2020.169 р. (in Russian)].
  17. Котова Е.Г., Кобякова О.С., Стародубов В.И., Александрова Г.А., Голубев Н.А., Огрызко Е.В. и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. M.; 2021. 170 с. [Kotova E.G., Kobyakova O.S., Starodubov V.A., Alexandrova G.A., Golubev N.A., Ogryzko E.V. et al. Main indicators of maternal and child health, and activities of the child protection and maternity services in the Russian Federation. Moscow; 2021. 170 р. (in Russian)]. https://dx.doi.org/10.21045/978-5-94116-052-5
  18. Котова Е.Г., Кобякова О.С., Стародубов В.И., Александрова Г.А., Голубев Н.А., Кучерявая Д.А. и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. M.; 2022. 171 с. [Kotova E.G., Kobyakova O.S., Starodubov V.I., Alexandrova G.A., Golubev N.A., Kucheryavaya D.A. et al. Main indicators of maternal and child health, and activities of the child protection and maternity services in the Russian Federation. Moscow; 2022. 171 р. (in Russian)]. https://dx.doi.org/10.21045/978-5-94116-094-5
  19. Котова Е.Г., Кобякова О.С., Стародубов В.И., Александрова Г.А., Голубев Н.А. и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. M.; 2023. 172 с. [Kotova E.G., Kobyakova O.S., Starodubov V.I., Alexandrova G.A., Golubev N.A. et al. Main indicators of maternal and child health, and activities of the child protection and maternity services in the Russian Federation. Moscow; 2023. 172 р. (in Russian)].
  20. Деев И.А., Кобякова О.С., Стародубов В.И., Александрова Г.А., Голубев Н.А. и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. M.; 2024. 173 с. [Deev I.A., Kobyakova O.S., Starodubov V.I., Alexandrova G.A., Golubev N.A. et al. Main indicators of maternal and child health, and activities of the child protection and maternity services in the Russian Federation. Moscow; 2024. 173 р. (in Russian)].
  21. Деев И.Ф., Кобякова О.С., Стародубов В.И., Александрова Г.А., Голубев Н.А. и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. М.; 2025. 173 с. [Deev I.A., Kobyakova O.S., Starodubov V.I., Alexandrova G.A., Golubev N.A. et al. Main indicators of maternal and child health, and activities of the child protection and maternity services in the Russian Federation. Moscow; 2025. 173 р. (in Russian)].
  22. Слободенюк А.В., Косова А.А., Ан Р.Н. Эпидемиологический анализ: учебное пособие. Екатеринбург; 2015. 36 с. [Slobodenyuk A.V., Kosova A.A., An R.N. Epidemiological analysis: textbook. Yekaterinburg; 2015. 36 р. (in Russian)].
  23. Министерство здравоохранения Российской Федерации. Информация о реализации федерального проекта «Развитие детского здравоохранения, включая создание современной инфраструктуры оказания медицинской помощи детям» национального проекта «Здравоохранение» за период за период 2019-2024 годов. Доступно по: https://minzdrav.gov.ru/ministry/natsproektzdravoohranenie/detstvo [Ministry of Health of the Russian Federation. Information on the implementation of the federal project Development of Children's Healthcare, including the creation of a modern infrastructure for providing medical care to children" as part of the national project «Healthcare» for the period 2019-2024. Available at: https://minzdrav.gov.ru/ministry/natsproektzdravoohranenie/detstvo (in Russian)].

Received 25.11.2025

Accepted 29.01.2026

About the Authors

Olga Yu. Sevostyanova, Dr. Med. Sci., Associate Professor, Leading Researcher, Department of Antenatal Fetal Сare, Urals Research Institute of Maternity and Child Care, Ministry of Health of the Russian Federation, 620028, Russia, Yekaterinburg, Repina str., 1, +7(922)211-79-16, olsyava@gmail.com; Professor at the Department of Obstetrics and Gynecology, Ural State Medical University, Ministry of Health of the Russian Federation, https://orcid.org/0000-0002-0828-0479
Nadezhda V. Bashmakova, Dr. Med. Sci., Professor, Honored Doctor of the Russian Federation, Chief Researcher, Urals Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, 620028, Russia, Yekaterinburg, Repina str., 1; Chief Obstetrician-Gynecologist of the Ural Federal District, +7(343)371-87-68, BashmakovaNV@niiomm.ru, https://orcid.org/0000-0001-5746-316X
Yuri A. Semenov, Dr. Med. Sci., Associate Professor, Honored Doctor of the Russian Federation, Rector, Ural State Medical University, Ministry of Health of the Russian Federation, 620028, Russia, Yekaterinburg, Repina str., 3, +7(343)214-86-52, u-sirius@mail.ru, https://orcid.org/0000-0002-4109-714X
Tatiana V. Chumarnaya, PhD (Bio), Senior Researcher, Institute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences, 620049, Russia, Yekaterinburg, Pervomaiskaya str., 106, +7(343)374-00-70, chumarnaya@gmail.com, https://orcid.org/0000-0002-7965-2364
Alexey V. Sherstobitov, Acting Director, Urals Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, 620028, Russia, Yekaterinburg, Repina str., 1, +7(343)371-87-68, arno1980@yandex.ru, https://orcid.org/0009-0000-3556-9764
Anna V. Chizhovskaya, PhD, Deputy Director for Organizational and Methodological Work and Public Affairs, Urals Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, 620028, Russia, Yekaterinburg, Repina str., 1, +7(343)371-87-68, ms.chizhovskaya@mail.ru, https://orcid.org/0000-00030-1574-1613
Natalia B. Davydenko, PhD, Senior Researcher, Ural Federal University named after the First President of Russia B.N. Yeltsin, 620062, Russia, Yekaterinburg, Mira str., 19, https://orcid.org/0000-0002-1617-5521
Corresponding author: Olga Yu. Sevostyanova, olsyava@gmail.com

Similar Articles

№5 / 2020
Bettocchi S., Veretzky A., Ivanov D.O., Condo W., Krylov K.Yu., Lisi F., Petraglia F., Reznik V.A., Rukhlyada N.N., Saini S., Sanabria D.
A generalized action plan for obstetric hospitals and outpatient clinics during the suspected or confirmed COVID-19 pandemic
№8 / 2023
Bashmakova N.V., Sevostyanova O.Yu., Chumarnaya T.V., Oboskalova T.A.
The prevalence of benign breast disease in the Ural Federal District
№10 / 2017
Shuvalova M.P., Pismenskaya T.V., Kan N.E., Tyutyunnik V.L., Tetruashvili N.K.
Patient-centered care: The vector of development of obstetric hospital
№5 / 2025
Mateykovich E.A., Karpova I.A., Shevlyukova T.P., Topchiu I.F., Bratova O.V., Marchenko R.N., Polyakova V.A.
Uterine scar: cesarean section or vaginal birth? Impact on reproductive outcomes
By continuing to use our site, you consent to the processing of cookies that ensure the proper functioning of the site.