jsmsJournal of Siberian Medical SciencesJournal of Siberian Medical Sciences2542-1174Federal state budgetary educational institution of higher education "Novosibirsk state medical university" of Ministry of Health of the Russian Federation (FSBEI HE NSMU MOH Russia)jsms-452Research ArticleСтатьиAssessment of preventability of perinatal losses when using the NordicBaltic perinatal death classificationNadeevA. P.nadeevngma@mail.ruKarpovM. A.noemail@neicon.ruZhukovaV. A.noemail@neicon.ruChernovaT. G.noemail@neicon.ruNovosibirsk State Medical University; Research institute of experimental and clinical medicine, NovosibirskRussian FederationNovosibirsk State Medical UniversityRussian Federation201704062018011318Copyright © Nadeev A.P., Karpov M.A., Zhukova V.A., Chernova T.G., 20182018Nadeev A.P., Karpov M.A., Zhukova V.A., Chernova T.G.Nadeev A.P., Karpov M.A., Zhukova V.A., Chernova T.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://jsms.elpub.ru/jour/article/view/452

We have studied the dynamics of preventability of perinatal losses according to data of Maternity Department of а large versatile hospital using the NordicBaltic perinatal death classification taking into account transition to criteria of the World health organization to the period from 2010 to 2015. We investigated 649 protocols of postmortem examination of fetus and the newborns died in Maternity Department of a large versatile hospital (Novosibirsk) during the period from 2010 to 2015. Unavoidable losses for the probed period of observation have a clear tendency to decrease, that is connected with the improving of prenatal diagnosis of congenital malformations and termination of pregnancy before 22nd week. In 2012 after transition to criteria of the World health organization the indices of perinatal losses increased due to the III category, coming under conditionally preventable losses, and the categories integrating the death of the newborn infants (the VIII-XII categories) coming under preventable losses. After transition to criteria of the World health organization the share of preventable losses is reached more than 90%, that represents the considerable reserve for decreasing of a perinatal lethality.

preventability of perinatal losses The NordicBaltic perinatal death classification NovosibirskReferencesPrince C.B., Young M.B., Sappenfield W., Parrish J.W.(2016). Investigating the decline of fetal and infant mortality rates in Alaska during 2010 and 2011. Matern. Child Health J., 20(4), 754754. doi: 10.1007/s1099501519068.Prince C.B., Young M.B., Sappenfield W., Parrish J.W.(2016). Investigating the decline of fetal and infant mortality rates in Alaska during 2010 and 2011. Matern. Child Health J., 20(4), 754754. doi: 10.1007/s1099501519068.Gordijn S.J., Korteweg F.J., Erwich J.J., Holm J.P., van Diem M.T., Bergman K.A., Timmer A. (2009). A multilayered approach for the analysis of perinatal mortality using different classification systems. Eur. J. Obstet. Gynecol. Reprod. Biol., 144(2), 99-104.Gordijn S.J., Korteweg F.J., Erwich J.J., Holm J.P., van Diem M.T., Bergman K.A., Timmer A. (2009). A multilayered approach for the analysis of perinatal mortality using different classification systems. Eur. J. Obstet. Gynecol. Reprod. Biol., 144(2), 99-104.Borch Cristensen H., Langhoff J., Larsen S., Lindberg B., Wennergren M. (1997). The Nordic/Baltic perinatal death classification. Acta Obstet. Gynecol. Scand.,164, 40-42.Borch Cristensen H., Langhoff J., Larsen S., Lindberg B., Wennergren M. (1997). The Nordic/Baltic perinatal death classification. Acta Obstet. Gynecol. Scand.,164, 40-42.Elamin S., Langhoff Roos J., Boedker B., Ibrahim S.A., Ashmeig A.L., Lindmark G. (2003). Classification of perinatal death in a developing country. Int. J. Gynaecol. Obstet., 80(3), 327-333.Elamin S., Langhoff Roos J., Boedker B., Ibrahim S.A., Ashmeig A.L., Lindmark G. (2003). Classification of perinatal death in a developing country. Int. J. Gynaecol. Obstet., 80(3), 327-333.Janson M., Lazdane G. (1996). Perinatal problems and quality assurance in Latvia - a country in economic transition. Acta Obstet. Gynecol. Scand., 75, 820-825.Janson M., Lazdane G. (1996). Perinatal problems and quality assurance in Latvia - a country in economic transition. Acta Obstet. Gynecol. Scand., 75, 820-825.Janson M., Lindmark G., Langhoff Roos J. (2005). Perinatal deaths and insufficient antenatal care in Latvia. Acta Obstet. Gynecol. Scand., 80, 1091-1095.Janson M., Lindmark G., Langhoff Roos J. (2005). Perinatal deaths and insufficient antenatal care in Latvia. Acta Obstet. Gynecol. Scand., 80, 1091-1095.Mogilevkina I.А., Bodker B., Langhoff Roos J., Orda A., Lindmark G. (2002). Using the Nordic Baltic perinatal death classification to assess perinatal care in Ukraine. Europ. Journ. Оbstet. Gynecol. Reprod. Boil., 100, 152-157.Mogilevkina I.А., Bodker B., Langhoff Roos J., Orda A., Lindmark G. (2002). Using the Nordic Baltic perinatal death classification to assess perinatal care in Ukraine. Europ. Journ. Оbstet. Gynecol. Reprod. Boil., 100, 152-157.Khoshnood Shariati M., Karimi Z., Rezaienejad M. (2015). Perinatal complications associated with preterm deliveries at 24 to 33 weeks and 6 days gestation (2011-2012): A hospitalbased retrospective study. Iran J. Reprod Med., 13(11), 697-702.Khoshnood Shariati M., Karimi Z., Rezaienejad M. (2015). Perinatal complications associated with preterm deliveries at 24 to 33 weeks and 6 days gestation (2011-2012): A hospitalbased retrospective study. Iran J. Reprod Med., 13(11), 697-702.Nadeev A.P., Karpov M.A., Zhukova V.A., Chernova T.G. (2014). Frequency and nosological forms of congenital malformations in structure of a lethality of foetus and newborn infants in Novosibirsk. Surgery, Morphology, Lymphology, 11(21), 111-113.Nadeev A.P., Karpov M.A., Zhukova V.A., Chernova T.G. (2014). Frequency and nosological forms of congenital malformations in structure of a lethality of foetus and newborn infants in Novosibirsk. Surgery, Morphology, Lymphology, 11(21), 111-113.Marinkin I.O., Nadeev A.P., Shkurupy V.A. (2014). A Liver and a placenta are in perinatal and the postnatal periods in case of pathology. Novosibirsk: Science, 244.Marinkin I.O., Nadeev A.P., Shkurupy V.A. (2014). A Liver and a placenta are in perinatal and the postnatal periods in case of pathology. Novosibirsk: Science, 244.

The authors declare that there are no conflicts of interest present.