Trends of maternal mortality in Ukraine and it’s main causes

  • N. Ya. Zhylka Shupyk National Medical Academy of Postgraduate Education
  • A. V. Kudria The Committee On Healthcare Issues of the Verkhovna Rada of Ukraine Secretariat
Keywords: maternal mortality, standardization, pathology, family planning, WHO, trends, globalization, strategy

Abstract

The indicator of maternal mortality (MS) is considered to be an integrated indicator of women's reproductive health, which reflects not only the state of general health, the quality of medical care for pregnant women and the level of organizational work of maternity hospitals, but also the interaction of these factors with economic, environmental, sanitary, social, hygienic and other factors. Today, the indicator of maternal mortality is an emerging problem of the domestic health care system: according to the Ministry of Healthcare of Ukraine in 2016, 77 women died, whose death is associated with pregnancy. The maternal mortality rate is 14.5% per 100,000 live births. According to the United Nations Maternal Mortality Estimation Inter-agency Group (MMEIG), which takes into account the fertility rate and the economic situation of the country, the ratio of MM in Ukraine is 5 times (32 per 100 thousand live births in 2010) higher than in the European Union (6 per 100 thousand live births in 2010). There is a negative stable tendency of the maternal mortality level in Ukraine, the main reasons for which are insufficient access to family planning services; high level of pathology of pregnant women; an imperfect system for standardizing medical care; insufficient monitoring of maternal deaths; insufficient state support of the planning and birth of a child. The implementation of the Global Strategy and the goal of stopping maternal mortality by 2030 will contribute to the reduction of MM: to overcome inequalities in the availability and quality of health services in the areas of reproductive health, maternal and newborn health; to ensure universal coverage of health services for comprehensive health and sanitary assistance in reproductive health; to overcome all causes of maternal mortality, reproductive and maternal morbidity and related disabilities; to strengthen health systems by collecting reliable data in order to respond to the needs and priorities of women and girls; to ensure accountability for improving of the quality of care and justice.

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Abstract views: 158
PDF Downloads: 93
Published
2018-06-27
How to Cite
Zhylka, N. Y., & Kudria, A. V. (2018). Trends of maternal mortality in Ukraine and it’s main causes. Likarsʹka Sprava, (3-4), 161-168. https://doi.org/10.31640/JVD.3-4.2018(27)
Section
Public health service organization