Analysis of the activities of the maternity service at the Republic of Mari El

Relevance. Maternity protection is an urgent area of health development, since the health of the expectant mother largely determines the health of the future child.

The purpose of the study is to identify trends in complications of parturition and the postpartum period in the Republic of Mari El for 2010–2022.

Materials and methods. The authors analyzed forms No. 32 “Information on medical care for pregnant women, women in labor and maternity women” using methods of epidemiological analysis and medical statistics.

Results. A 49.3% decrease in normal labor was found (M ± SD 40 ± 7; 95% CI 36–44; p ˃ 0.05), an increase in the incidence of the studied cohort by 13% (M ± SD 600 ± 70; 95% CI 557–642; p ˃ 0.05), a decrease in the incidence of edema, proteinuria and hypertensive disorders by 14.3% (M ± SD 100 ± 17; 95% CI 89–110; p ˃ 0.05), since 2015 — a decrease in moderate preeclampsia by 19.8%, eclampsia by 22.5%, an increase in severe preeclampsia by 1.2%. A tendency to increase the incidence of diabetes mellitus has been established. There was a twofold increase in bleeding due to blood clotting disorders, a 30.4% decrease in labour disorders (M ± SD 105 ± 17; 95% CI 95–116; p ˃ 0.05), an increase in obstructed labour by 27.5% (M ± SD 66.54 ± 34.70; 95% CI 45.57–87.51; p ˃ 0,05). Anemia is the leader in the structure of diseases in 2010 and 2022 (45.67% and 30.32%), labour disorders (15.36%) in 2010 and diabetes mellitus (22.81%) in 2022 are in second place, edema, proteinuria and hypertensive disorders are in the third place in 2010 and 2022 (13.3% and 11.0%).

Research limitations. the present study was limited to the data of diseases that complicated childbirth on the territory of the Republic of Mari El.

Conclusion. There is a tendency to increase the incidence in pregnant women, severe preeclampsia, diabetes mellitus, the prevalence of bleeding due to blood clotting disorders, and difficult parturition. The results of this study allowed identifying trends in morbidity that can be taken into account when planning preventive programs.

Compliance with ethical standards. This type of research does not require examination by the local ethics committee.

Contribution of the authors:
Vinogradova I.V. — research concept and design, writing text, compiling a list of references, statistical data processing, editing;
Petrov I.V. — research concept and design, writing text, compiling a list of references, statistical data processing, editing;
Domracheva N.E. — editing;
Novoselova N.E. — editing;
Ivanova O.Yu. — collection and processing of material, statistical data processing;
Aleev I.L. — collection and processing of material, statistical data processing;
Almukhametov A.A. — concept and design of the study, statistical data processing, editing.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: June 23, 2023 / Revised: November 13, 2023 / Accepted: December 20, 2023 / Published: February 28, 2025