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      Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia)

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          Abstract

          In the absence of a medical birth registry, the official statistics are the only sources of information about pregnancy outcomes in the Republic of Sakha (Yakutia) (RS). We analysed the official statistical data about birth rate, fertility, infant and maternal mortality in the RS in the period 2003–2014. Compared with all-Russian data, the RS had a higher birth rate, especially in rural districts. Maternal and infant mortality were also higher compared with all-Russian data, but had a decreasing trend. The majority of deaths occurred in the small level 1 units. We suggest that establishment of good predelivery transportation of pregnant women with high risk of complications from remote areas and centralization of risk deliveries with improved prenatal and neonatal care could improve the pregnancy outcome in Yakutia.

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          Implementation, quality control and selected pregnancy outcomes of the Murmansk County Birth Registry in Russia.

          To describe the essential features of the newly established Murmansk County Birth Registry (MCBR); make some preliminary comparisons of selected variables related to pregnancy and delivery in northern counties of the Nordic countries and in cities and towns of Murmansk County [Murmanskaja Oblast (MO)] and explore some research possibilities. A registry-based cohort study. The MCBR was established in 2005 and registration began on 1 January 2006. A registry form draws upon both hospital files and information from the mother. There are 54 major fields consisting primarily of tick-off boxes and International Classification of Diseases (ICD-10) codes. A quality control exercise was conducted in both 2006 and 2007. During 2006, 8,468 births were registered in the MO (coverage = 98.9%). The proportion of errors was below 1% in both years. Limiting the descriptive statistics to 2006, compared to counties of the Nordic counties in the Barents Region, the delivering women in the MO were younger and had fewer and lighter (mean of 200 g) babies. The gestational age was somewhat shorter in the MO than in the Nordic counties and fewer babies had a birthweight above 4,500 g. The perinatal mortality corresponding to a gestational age (GA) of either 22 or 28 completed weeks was higher (p < 0.02) in the MO than the Nordic counties in this study. In the MO, the birth rate does not balance the reported increase in death rate. Our study concludes that a medical birth registry of satisfactory quality has been established for the world's largest arctic population.
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            Circumpolar health indicators: sources, data, and maps

            TK Young (2008)
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              Perinatal care in the Komi Republic, a sparsely populated region of the Russian Federation.

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                Author and article information

                Journal
                Int J Circumpolar Health
                Int J Circumpolar Health
                IJCH
                International Journal of Circumpolar Health
                Co-Action Publishing
                1239-9736
                2242-3982
                13 December 2016
                2016
                : 75
                : 10.3402/ijch.v75.33956
                Affiliations
                [1 ]Yakut Scientific Center of Complex Medical Problems, Yakutsk, Russia
                [2 ]Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of, Tromsø, Norway
                [3 ]North-Eastern Federal University, Yakutsk, Russia
                [4 ]The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia
                Author notes
                [* ]Correspondence to: Jon Øyvind Odland, Department of Community Medicine, UiT The Arctic University of Tromsø, Norway, Email: jon.oyvind.odland@ 123456uit.no

                This paper is part of the Special Issue: Arctic Monitoring and Assessment Program, guest edited by Jon Øyvind Odland. More papers from this issue can be found at www.circumpolarhealthjournal.net

                Article
                33956
                10.3402/ijch.v75.33956
                5156853
                27974143
                eed37e5c-0f5a-4c7c-a2c9-5823075e0092
                © 2016 Tatyana E. Burtseva et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.

                History
                Categories
                Arctic Monitoring and Assessment Program

                Medicine
                pregnancy outcomes,birth rate,fertility,infant mortality,maternal mortality,circumpolar area,russia

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