Maternal Mortality in the Context of the Aging Female Population in Moscow
https://doi.org/10.47619/2713-2617.zm.2024.v.5i4p2;305-315
Abstract
Background. Maternal mortality is a key indicator characterizing the status of the healthcare system and the social well-being of the population. Most of the countries, especially developing countries, still face the problem of maternal mortality. Maternal age at birth is one of the main factors affecting maternal mortality. The studies show that women under 20 and over 35 are at high risk of pregnancy and delivery complications. During the past decades, the changes in social, economic, and cultural settings have resulted in an increase of the average maternal age in many countries, including Russia.
Objective. To analyze maternal mortality in the context of the aging maternal age structure using the case of Moscow.
Material and methods. The research used the official data from the Federal State Statistics Service of the Russian Federation (Rosstat).
Results. The study investigated the correlation between changes in the age structure of women at birth and maternal mortality dynamics. The majority of maternal deaths is observed in women aged 30–40, especially in the 30-34 age group. The study confirmed the global trend towards an increasing age of first-time mothers. The aging of maternal age structure presents challenges for healthcare. The study results could be used to develop effective measures for reducing maternal mortality in the context of the aging maternal age structure.
About the Authors
A. A. Savina
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation
Russian Federation
Anna A. Savina – PhD in Medicine, Leading Researcher, Demography Division
9, Sharikopodshipnikovskaya ul., 115088, Moscow, Russian Federation
V. N. Arkhangelskiy
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department; Institute for Demographic Research – Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
Russian Federation
Russian Federation
Vladimir N. Arkhangelskiy – PhD in Economics, Researcher; Leading Researcher
9, Sharikopodshipnikovskaya ul., 115088, Moscow, Russian Federation;
6, bld. 1, Fotieva ul., 119333, Moscow, Russian Federation
E. V. Zemlyanova
Institute for Demographic Research – Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
Russian Federation
Russian Federation
Elena V. Zemlyanova – PhD in Economics, Leading Researcher
6, bld. 1, Fotieva ul., 119333, Moscow, Russian Federation
References
1. Boyko Yu.P., Shapovalova M. A., Shcherbin A.V., Ugurchieva H. Y., Kashkarova I. A. Analysis of maternal mortality in the Russian Federation. Main trends. Caspian Bulletin of Medicine and Pharmacy. 2020;1(3-4):8-16. DOI:10.17021/20.1.3-4.8.16 (In Russ.)
2. WHO Newsletters. Maternal mortality [Electronic resource]. Available from: https://www.who.int/ru/news-room/fact-sheets/detail/maternal-mortality (accessed: 30.09.2024).
3. WHO Newsletters. Aging and health [Electronic resource]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (accessed: 28.09. 2024).
4. Demikova N.S., Podolnaya M.A., Lapina A.S. Mother’s age as a risk factor of birth defects. Ros Vestn Perinatol i Pediatr 2020; 65:(2): 34-39 DOI:10.21508/1027-4065-2020-65-2-34-39 (In Russ.)
5. Ayubova T. K. The age of a woman as a medical and social risk factor for maternal and perinatal pathology and the development of organizational approaches to eliminate it. Social aspects of public health. 2015; 45 (5): 7 (In Russ.)
6. Kapustin R.V., Kopteeva E.V., Alexeenkova E.N., Tsybuk E.M., Arzhanova O.N. Analysis of Risk Factors and Perinatal Mortality Structure in Pregnant Patients with Diabetes Mellitus. Doctor.Ru. 2021; 20(6): 46-52. (in Russian). DOI: 10.31550/1727-2378-2021-20-6-46-52 (In Russ.)
7. Khudoyarova D., Babaeva S., Pulatova Z. Pregnancy and age. Eurasian Journal of Medical and Natural Sciences. 2024. – vol. 4. No. 7. – pp. 91-95. DOI:10.5281/zenodo.13219012 (In Russ.)
8. Axelle B., Guillaume F., Karine L., Joanna S., David B., David D. Advanced Maternal Age Among Nulliparous at Term and Risk of Unscheduled Cesarean Delivery. Am J Obstet Gynecol MFM. 2023 Aug;5(8):100972. DOI: 10.1016/j.ajogmf.2023.100972. Epub 2023 Apr 14.
9. Moscow Statistical Yearbook. 2023: Statistical Collection/ Mosgorstat. – Moscow, 2023. c. 25-27. Available from: https://77.rosstat.gov.ru/storage/mediabank/2023%20%D0%B3%D0%BE%D0%B4 (3).pdf (in Russ)
10. Rosstat. The estimate of the population of Moscow as of January 1, 2024 and the average for 2023 Available from: https://77.rosstat.gov.ru/folder/64634 (In Russ.)
11. Vandekerckhove, M., Guignard, M., Civadier, MS. et al. Impact of maternal age on obstetric and neonatal morbidity: a retrospective cohort study. BMC Pregnancy Childbirth 21, 732 (2021). https://doi.org/10.1186/s12884-021-04177-7
Review
For citations:
Savina A.A., Arkhangelskiy V.N., Zemlyanova E.V. Maternal Mortality in the Context of the Aging Female Population in Moscow. City Healthcare. 2024;5(4):305-315. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2024.v.5i4p2;305-315
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