Regional features of pregnant women's health
Keywords:health of pregnant women, extragenital pathology, complications, adverse consequences of pregnancy, integral indicator, assessment
Purpose of the study: to determine the regional characteristics of the health indicators of pregnant women on the basis of integral assessment of extragenital pathology, complications and adverse consequences of pregnancy.
Materials and methods. A comprehensive retrospective analysis of regional characteristics and dynamics of the main indicators of pregnant women’s health in Ukraine for the period 2010–2019 was carried out. According to the Center for Medical Statistics of Ukraine integral assessment (IA) of pregnant women’s health was carried out according to the generally accepted calculation method using integral indicators of the extragenital pathology frequency, pregnancy complications and its adverse consequences.
Results. Health of pregnant women remains unsatisfactory with multidirectional trends in the frequency of individual pathologies in recent years. Simultaneously with a downward trend against the background of a high level of anemia and genitourinary system diseases (24.73 and 14.38 per 100 pregnant women in 2019, the rate of decline was 6.29% and 1.74%), gestosis, preeclampsia and eclampsia (6.57, 2.11 and 1.2%, 9.48%), not carrying a pregnancy, delivering a dead fetus (5.84, 0.43 and 15.92%, 9.3%), the incidence of circulatory system diseases and thyroid gland dysfunctions (7.61, 9.88, growth rate 18.7%, 2.33%) is increasing. Incidence of diabetes in pregnant women in Ukraine rapid increases in 10.4 times (0.17 per 100 pregnant women in 2010 and 0.77 in 2019).
High regional differences in the frequency of different pathologies of pregnant women were revealed. The difference between the highest and lowest rates of circulatory system diseases in 2019 was 23.9 times, diabetes mellitus – 12.6 times, thyroid diseases – 5.4 times, genitourinary system diseases – 4.3 times, anemia in pregnant women – 3.4 times, and complications and adverse effects of pregnancy – 2.4–4.7 times.
The analysis of the IA of the health status of pregnant women according in 2019 revealed that the level of health was higher than the average in Ukraine in Ivano-Frankivsk (65.5%), Zaporizhzhya (72.82%), Odesa (75.5%), Zakarpattia (76.5%), Lviv (81.1%), Sumy (81.3%), Luhansk (84.3%) and Ternopil (84.4%) regions, and low than the average level in Dnipropetrovsk (132.35%), Poltava (123.1%), Chernivtsi (118.0%), Chernihiv (111.7%) regions and Kyiv (117.1%).
Conclusions. Developed toolkit for the IA of pregnant women’s health makes it possible to provide an objective assessment of pregnant women’s health in general and for individual components in the context of regions as a means of timely identification of problems that require intervention and effective management decisions to minimize risk factors that cause impaired health in pregnant women.
Antypkin, Y.G., Lapshin, V.F., Marushko, R.V., et al. “Current state of reproductive potential of Ukrainian women.” Reproductive Endocrinology 53 (2020): 9–18. DOI: 10.18370/2309-4117.2020.53.9-18
Hoida, N.G. Scientific substantiation and development of the medical care system for women with extragenital pathology. Thesis abstract for MD degree, specialty 14.02.03. O.O. Bogomolets National Medical University. Kyiv (2000): 34 p.
Gorshunova, G.P. Current technologies for reducing perinatal losses. Thesis abstract for PhD degree, specialties 14.00.33, 14.00.09. Vladivostok State Medical University. Vladivostok (2003): 25 p.
Denisova, T.G. Ways to improve the management of the prevention process of antenatal and intranatal losses at the regional level (according to the materials of the Chuvash Republic). Thesis abstract for MD degree, specialties 14.00.33, 14.00.01. Kazan (2008).
American College of Obstetricians and Gynecologists (ACOG). “Diseases of the thyroid gland during pregnancy. Clinical guidelines for obstetricians and gynecologists.” Women’s Health 5–6 (2020): 151–2.
Leshchenko Y.A., Leshchenko Ya.A., Boeva AV, Lakhman T.V. (2015). Features of morbidity of pregnant women, women in labor and newborns in the Irkutsk region. International Journal of Applied and Basic Researches. 12-2. 274-278; http://www.applied-research.ru/ru/article/view?id=7902
Lymar, L.E. Extragenital pathology and pregnancy. [Electronic resource]. Available from: [https://svitppt.com.ua/medicina/ekstragenitalna-patologiya-i-vagitnist.html], last accessed Mar 18, 2021.
Martych, А.М., Iavir, V.S., Spichak, K.O., et al. “Evolution in views on the etiopathogenesis of preeclampsia.” Ukrainian Journal of Perinatology and Pediatrics 4.80 (2019): 69–74. DOI: 10.15574/PP.2019.80.69
Marushko, R.V., Dudina, O.O. “Modern aspects of perinatal mortality in Ukraine.” Ukrainian Journal of Perinatology and Pediatrics 2.82 (2020): 76–85. DOI: 10.15574/PP.2020.82.76
Medvid, V.I. “Diabetes mellitus in pregnant women: features of the problem in Ukraine.” Endocrinology 1 (2003): 4–9.
Klymenko, V.I., Taranov, V.V.“Comprehensive assessment of public health based on integrated indicators.” In: Methodical instructions for a practical lesson on the subject “Social medicine and health care organization” for 6th year course students in specialty “Medical care, pediatrics”. Zaporizhzhya (2015). Available from: [http://dspace.zsmu.edu.ua/bitstream/123456789/2846/1/KlimenkoVI15_Vikor_statist_%D1%96nformac.pdf], last accessed Mar 18, 2021.
Shabunova, A.A., Stepanenko, V.V. “Socially corrective factors that impact on the health of young children.” [Electronic resource]. Internet portal of Vologda Research Centre of Russian Academy of Sciences. Available from: [http://journal. vscc.ac.ru/php/jou/41/art41_09.php], last accessed Mar 18, 2021.
Ukrainian Institute for Strategic Studies of the MoH of Ukraine. Annual report about population health, sanitary and epidemiological situation and results of the health care system in Ukraine. Kyiv (2017): 458 p.
Liu, L., Johnson, H.L., Cousens, S., et al. “Global, regional, and national causes of child mortality: An updated systematic analysis for 2010 with time trends since 2000.” Lancet 379 (2012): 2151–61. DOI: 10.1016/S0140-6736(12)60560-1
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