TUG‘RUQ MUASSASALARI DARAJASINING ONALAR O‘LIMIGA TA'SIRI
##article.subject##:
onalar o‘limi, homilador ayollarning yo‘naltirish, akusherlik yordamini xududiylashtirish, tug‘ruq muassasalari darajasi, akusherlik qon ketishi, preeklampsiya, kesar kesish##article.abstract##
Onalar o‘limini kamaytirish dunyodagi ustuvor vazifalardan biridir. Tadqiqotning maqsadi:Tug‘ruq muassasalarining darajasi bilan onalar o‘limi orasidagi bog‘liqliqni aniqlash. Materiallar va tadqiqot usullari. 2021-2022 yillarda respublika bo‘yicha 260 ta onalar o‘limi holati retrospektiv tahlil qilindi. Tadqiqot natijalari. Onalar o‘limi asosiy sabablari - bevosita akusherlik sabablardir. 2021-2022 yillarda onalar o‘limiga olib kelgan bevosita akusherlik sabablar: akusherlik qon ketish 22,3%, preeklampsiya 15%, tromboembolik asoratlar 14,6%, genital septik asoratlar 11,1%, anesteziya asoratlari 2,3%, anafilaksiya 2,3%. Somatik kasalliklar sababli bilvosita onalar o‘limi 25,4%ni tashkil etgan. Past darajali tug‘ruqxonalarda eng ko‘p onalar o‘limi sodir bo‘lgan: 2021 yilda 37,9%, 2022 yilda 50,76%da onalar o‘limi tuman tug‘ruq bo‘limlarida sodir bo‘lgan. Shaxar tug‘ruq komplekslarida 2021 yil 28,7%, 2022 yil 26,15%, viloyat perinatal markazlarida 23,2% va 19,2%, respublika miqyosidagi muassasalarida 6,3% va 3,1% onalar o‘limi sodir bo‘lgan. Xulosa. Akusherlik yordami bo‘yicha darajasi past bo‘lgan muassasalarda onalar o‘limi xavfi yuqori bo‘lgan. Homiladorlik, tug‘ish va tug‘ruqdan keyingi davrda asoratlar xavfi yuqori bo‘lgan homilador ayollar antenatal davrda aniqlanishi va ular xavf darajasiga mos keladigan sifatli yordam olishlari mumkin bo‘lgan yuqori darajadagi muassasalarga yuborilishi kerak.
Библиографические ссылки
Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, Fat DM, Boerma T, Temmerman M, Mathers C, Say L; United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016 Jan 30;387(10017):462-74. doi: 10.1016/S0140-6736(15)00838-7. Epub 2015 Nov 13. PMID: 26584737; PMCID: PMC5515236.
Baud D, Qi X, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID-19 infection. Lancet Infect Dis. 2020 Jul;20(7):773. doi: 10.1016/S1473-3099(20)30195-X. Epub 2020 Mar 12. PMID: 32171390; PMCID: PMC7118515.
Kyser KL, Lu X, Santillan DA, Santillan MK, Hunter SK, Cahill AG, Cram P. The association between hospital obstetrical volume and maternal postpartum complications. Am J Obstet Gynecol. 2012 Jul;207(1):42.e1-17.
MBRRACE-UK - Saving Lives, Improving Mothers’ Care 2021. Р.76. https://www.npeu.ox.ac.uk/assets/downloads/mbrrace-uk/reports/maternal-report-2021/MBRRACE-UK_Maternal_Report_2021_-_FINAL_-_WEB_VERSION.pdf
Musarandega R, Nyakura M, Machekano R, Pattinson R, Munjanja SP. Causes of maternal mortality in Sub-Saharan Africa: A systematic review of studies published from 2015 to 2020. //J Glob Health. 2021 Oct 9;11:04048. doi: 10.7189/jogh.11.04048.
Mussalli GM, Shah J, Berck DJ, Elimian A, Tejani N, Manning FA. Placenta accreta and methotrexate therapy: Three case reports. J Perinatol. 2000;20:331–334.).
Simpson KR. Effect of the COVID-19 Pandemic on Maternal Health in the United States. MCN Am J Matern Child Nurs. 2023 Mar-Apr 01;48(2):61. doi: 10.1097/NMC.0000000000000895. PMID: 36823723; PMCID: PMC9951405.
Sobhy S, Arroyo-Manzano D, Murugesu N, Karthikeyan G, Kumar V, Kaur I, Fernandez E, Gundabattula SR, Betran AP, Khan K, Zamora J, Thangaratinam S. Maternal and perinatal mortality and complications associated with caesarean section in low-income and middle-income countries: a systematic review and meta-analysis. Lancet. 2019 May 11;393(10184):1973-1982. doi: 10.1016/S0140-6736(18)32386-9. Epub 2019 Mar 28. PMID: 30929893.
Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. Executive summary”, Geneva: World Health Organization; 2023.
Wright JD, Herzog TJ, Shah M, Bonanno C, Lewin SN, Cleary K, Simpson LL, Gaddipati S, Sun X, D'Alton ME, Devine P. Regionalization of care for obstetric hemorrhage and its effect on maternal mortality. Obstet Gynecol. 2010 Jun;115(6):1194-1200)
