THE ROLE OF PRINCIPLES OF A FINAL CLINICAL DIAGNOSISIN FORMATION THE STRUCTURE OF MATERNAL MORTALITY
https://doi.org/10.21886/2219-8075-2014-1-60-65
Abstract
Purpose: To evaluate the role of statement, classification and comparison of final clinical and pathologic diagnosis in the structure formation of maternal losses,Materials and Methods: A posthoc analysis of medical records of 74 deaths of pregnant, parturient and puerperal women, registered in the obstetrics institution in the Rostov region from 2000 to 2007.Results: Non-classified final clinical diagnosis (chronological registration of symptoms, lack of headings of underlying disease, fatal complications, accurate dating of surgical measures and major components of remedial and resuscitation measures) objectively reflects the diagnosis defects of prime causes of maternal deaths and wrong treatment policy.Summary: Detailed clinical analysis of the causes of maternal deaths, comparison of the final and pathologic diagnosis clarifies the actual nosological profile of maternal mortality and its intensive parameters, as well as determines the reserves of its further decrease.
About the Authors
E. Yu. Lebedenko
Rostov State Medical University
Russian Federation
Department of Obstetrics and Gynecology №3 of the Faculty of Advanced Training and Professional Retraining
Russian Federation
Department of Obstetrics and Gynecology №3 of the Faculty of Advanced Training and Professional Retraining
A. P. Milovanov
Research Institute of Human Morphology Russian Academy of Medical Sciences
Russian Federation
Laboratory of the Female Reproductive System
Russian Federation
Laboratory of the Female Reproductive System
A. F. Michelson
Rostov State Medical University
Russian Federation
Department of Obstetrics and Gynecology №3 of the Faculty of Advanced Training and Professional Retraining
Russian Federation
Department of Obstetrics and Gynecology №3 of the Faculty of Advanced Training and Professional Retraining
I. M. Rozenberg
Rostov State Medical University
Russian Federation
Department of Obstetrics and Gynecology №3 of the Faculty of Advanced Training and Professional Retraining
Russian Federation
Department of Obstetrics and Gynecology №3 of the Faculty of Advanced Training and Professional Retraining
References
1. Бурдули Г.М., Фролова О.Г. Причины и технология анализа репродуктивных потерь/Г.М. Бурдули, О.Г. Фролова. -М.: Триада-Х, 2008. -128с.
2. Милованов А.П. Анализ причин материнской смертности/Руководство для врачей/Под редакцией профессора А.П. Милованова. -М.: МДВ, 2008. -228с.
3. Зайратьянц О.В., Кактурский Л.В., Автандилов Г.Г. Форму-лировка и сопоставление заключительного клинического и патологоанатомического диагнозов/Зайратьянц О.В., Кактурский Л.В., Автандилов Г.Г.//Методические рекомендации. -М, 2008 г.-45с.
4. Фролова О.Г. Региональные аспекты материнской смертности в Российской Федерации (2010)/Фролова О.Г., Гусева Е.В., Шувалова М.П., Долгушина Н.В./Методическое письмо. -М., 2011. -32с.
5. Лебеденко Е.Ю. Пути снижения акушерских потерь/Лебеденко Е.Ю., Милованов А.П., Михельсон А.Ф.//Журнал акуш. и гин. -2012. -№4-1. -С. 74-78.
6. Лебеденко Е.Ю. Экономические аспекты материнских потерь в Ростовской области//Вестник Российского университета дружбы народов. -2008. -№5. -С. 75-84.
Review
For citations:
Lebedenko E.Yu., Milovanov A.P., Michelson A.F., Rozenberg I.M. THE ROLE OF PRINCIPLES OF A FINAL CLINICAL DIAGNOSISIN FORMATION THE STRUCTURE OF MATERNAL MORTALITY. Medical Herald of the South of Russia. 2014;(1):60-65. (In Russ.) https://doi.org/10.21886/2219-8075-2014-1-60-65
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