STATISTICS OF OBSTETRIC AID IN RUSSIA: TENDENCIES, PROBLEMS, WAYS OF IMPROVEMENT
The analysis of statistical data on reproductive behavior of women of Russia, i.e. dynamics of childbirth and prevalence of abortions, and also indicators of health for pregnant women, women in childbirth and newborns during 1991-2008 is submitted. The special attention is given to the analysis of the new data of the statistical account, i.e. operative interventions in the term of gestation less than 28 weeks. On the basis of the revealed negative data on frequency and outcomes of small Cesarean sections and hysterectomy operations at late abortions (in term of 22-27 weeks of pregnancy) in comparison with operations at women in childbirth and puerperal, it is stated that it is necessity to recognize as childbirth abortions of pregnancy in the terms mentioned in favor not only interests of a fruit / child, but also a woman.  The revealed large number of newborns, from whom parents have refused in a maternity hospital (3.93 on 1000 newborns), dictates the necessity of careful analysis of the reasons of this phenomenon with studying the social factors which are not taken into account by modern statistics of obstetric aid, and also provision of necessary social support to women and families with children. The high importance of obstetric aid service in varying conditions of its functioning dictates the necessity of operative correction of statistical indicators of health taken into account and indicators of quality of medical aid during pregnancy and childbirth.