title: Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia).
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.
authors.affiliation: Yakut Scientific Center of Complex Medical Problems, Yakutsk, Russia.
authors.forename: Tatyana E
authors.initials: TE
authors.lastname: Burtseva
authors.affiliation: Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of, Tromsø, Norway; jon.oyvind.odland@uit.no.
authors.forename: Jon Øyvind
authors.initials: JØ
authors.lastname: Odland
authors.affiliation: North-Eastern Federal University, Yakutsk, Russia.
authors.forename: Natalya I
authors.initials: NI
authors.lastname: Douglas
authors.affiliation: The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia.
authors.forename: Antonina N
authors.initials: AN
authors.lastname: Grigoreva
authors.affiliation: The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia.
authors.forename: Tatyana Y
authors.initials: TY
authors.lastname: Pavlova
authors.affiliation: The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia.
authors.forename: Dgulustan A
authors.initials: DA
authors.lastname: Chichahov
authors.affiliation: North-Eastern Federal University, Yakutsk, Russia.|The Ministry of Health of the Republic of Sakha (Yakutia), Yakutsk, Russia.
authors.forename: Lena N
authors.initials: LN
authors.lastname: Afanasieva
authors.affiliation: North-Eastern Federal University, Yakutsk, Russia.
authors.forename: Nurguyana S
authors.initials: NS
authors.lastname: Baisheva
authors.affiliation: North-Eastern Federal University, Yakutsk, Russia.
authors.forename: Yana G
authors.initials: YG
authors.lastname: Rad
authors.affiliation: Yakut Scientific Center of Complex Medical Problems, Yakutsk, Russia.
authors.forename: Mikhail I
authors.initials: MI
authors.lastname: Tomsky
authors.affiliation: Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of, Tromsø, Norway.
authors.forename: Vitaly A
authors.initials: VA
authors.lastname: Postoev
mesh_terms: D001723:Birth Rate; D005260:Female; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D008427:Maternal Health Services / Q000458:organization & administration*; D008428:Maternal Mortality; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000517:prevention & control*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012424:Rural Population / Q000706:statistics & numerical data*; D012800:Siberia; D014187:Transportation of Patients / Q000706:statistics & numerical data*; D014586:USSR
keywords: Russia; birth rate; circumpolar area; fertility; infant mortality; maternal mortality; pregnancy outcomes