Maintaining the health of mothers and children is the main indicator that this or that perinatal center is proud of. Given the decline in the Russian population in 2017 by 31.1 thousand people according to the Federal State Statistics Service, the decrease in infant and maternal mortality is of paramount importance for the demographic situation in the country.

Not all Russian perinatal centers agree to disclose evidence of death of a fetus or newborn up to 7 days after birth. Such statistics are called "perinatal mortality." And only 34 specialized institutions were not afraid to share it. Thanks to their questionnaire at the “Roll-call of the perinatal centers” held every year, the “Media Presence” media bureau was compiled ranking of the best perinatal centers of Russia in 2017.

In the subjects of the study, 796.2 thousand women were “in position”, which is about 45% of all recorded pregnancies in Russia. Most pregnant women (100 thousand) were registered in Moscow, which is not surprising. The number of deliveries in all 34 centers amounted to 759.6 thousand. Each survey participant received points for various indicators.

• According to generalized information, 11.7 cases of perinatal mortality were recorded per 1000 born children (ppm).
• The highest infant mortality index (26.1 ppm) was in the RCH them. ON THE. Semashko (city of Simferopol). This is explained by regional specifics, as women with the most complicated cases fall into such perinatal centers.
• And the best indicators (only 3.4 ppm) were at the Sochi City Hospital No. 9.
• A special item in the study was the caesarean section efficiency coefficient (CECS). This is the ratio of cases of this operation and the death of infants. In 13 perinatal institutions, perinatal mortality due to CS was higher than during natural births. The drafters of the rating noted that last year there was no medical institution with a good or excellent KEKS. And in 2017, there were 7 such institutions.
• Subjects also received grades for a weighted indicator of perinatal mortality (WPS). This is the mortality rate, depending on how long a pregnant woman is.
• In addition, the correlation of IDU to perinatal mortality was taken into account. Thanks to this, it was possible to find out how effective the activity of the medical institution is.

Here's what the top 20 best and worst Russian perinatal centers of 2017 look like.

20 most effective perinatal centers of the Russian Federation

Most of the problems reported by doctors of the perinatal centers were similar to the problems of 2016.

• Severe complications in pregnant women, which are effectively handled by a lack of funding, a lack of qualified personnel and the necessary equipment.
• Non-genital diseases of expectant mothers.
• Difficulties with routing newborns.
• The need for legal assistance for perinatal centers.
• And finally, this is the development of fetal (intrauterine) medical care.

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