Assessment of the efficiency and quality of medical care in anesthesiology and resuscitation (for pregnant women) in the Russian Federation

Introduction. The quality of anesthesiology and resuscitation care for pregnant and postpartum women is critical to the prevention of maternal mortality.

Materials and methods. We analyzed the provision of medical care in the profile “anesthesiology and resuscitation (for pregnant women)” according to the data of the subjects of the Russian Federation for 2020–2022, the insert to Form No. 32 for 2020–2021, the Register of critical obstetric conditions for 2021–2022, and field visits to the subjects of the Russian Federation over 2021–2022.

Results. During 2021, the number of intensive care beds for women in obstetric hospitals in Russia was 0.74 per 10,000 women of childbearing age, the average annual occupancy was 193.3 days and the average length of stay was 1.31 days. In the period 2021–2022 the staffing level of obstetrician-anesthesiologists and resuscitators increased from 68.4% to 69.5%, and that of anesthesiology nurses from 78.9% to 80.1%. The average rate of regional analgesia for spontaneous deliveries was 28.9% in 2021 and 28.7% in 2022, and for cesarean sections — 88.3% and 91.2%, respectively. Between 2020 and 2021, the rate of critical obstetric conditions increased by 54.5%, the number of consultations conducted by specialists of remote obstetric centers increased by 23.1%, and the number of patients evacuated by mobile teams increased by 23.0%.

Research limitations. The results of the study are applicable in the federal districts and constituent entities of the Russian Federation.

Conclusion. Analysis of the provision of medical care in the anesthesiology-resuscitation (for pregnant women) profile allows identifying problems and develop measures for the prevention and reduction of maternal mortality in the subjects of the Russian Federation.

Compliance with ethical standards. This type of research does not require review by a local ethics committee.

Contribution of the authors:
Guseva E.V. — concept and design of the study, collection and processing of material, writing the text, compiling a list of references;
Ketskalo M.V. — research concept and design, editing;
Silaev B.V. — collection and processing of material, writing the text.
All co-authors — approval of the final version of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no apparent and potentially conflicting interests in connection with the publication of this article.

Received: March 23, 2023 / Accepted: November 02, 2023 / Published: June 28, 2024