DYNAMICS OF AND TRENDS IN THE INCIDENCE IN PREGNANT, LABORING AND POSTPARTUM WOMEN IN THE REPUBLIC OF DAGESTAN; [ДИНАМИКА И ТЕНДЕНЦИИ ЗАБОЛЕВАЕМОСТИ БЕРЕМЕННЫХ, РОЖЕНИЦ И РОДИЛЬНИЦ В РЕСПУБЛИКЕ ДАГЕСТАН]

Introduction. In accordance with the concept of Russia’s demographic policy for the period until 2025, the priorities include reducing the level of reproductive losses, strengthening the reproductive health of the population, and finding reserves to increase birth rates. Aim of the study is to analyze the dynamics and trends in birth, and morbidity rates among pregnant women, women in labor, and postpartum, as well as maternal mortality in the Republic of Dagestan. Materials and Methods. Materials were taken from official statistical reports for the period 2013-2022. The above rates were compared for the Republic of Dagestan, the North Caucasus Federal District, and the Russian Federation as a whole. In analyzing time series, the main trends in rates changing were identified by modeling trends using the approximation method. Results and Discussion. In 2013-2022, the birth rates in the Republic of Dagestan were constantly higher than in the comparison territories. At the same time, among the constituent regions of the North Caucasian Federal District, the Republic of Dagestan ranked 3rd out of 7 in terms of birth rates in 2022. The structure of morbidity among pregnant women in the North Caucasian Federal District, the Russian Federation as a whole, and the Republic of Dagestan is very similar, and the most common are the threat of miscarriage and premature birth. The proportion of normal births in the Republic of Dagestan during the entire observation period was lower than in other territories, but unlike the latter, it had a statistically significant upward trend. At the same time, in the structure of morbidity among women in labor and postpartum, about a half was accounted for by pre-existing hypertension, approximately 1/3 was accounted for by moderate preeclampsia, and 1/10 was accounted for by severe preeclampsia. Maternal mortality in the Republic had significant year-over-year fluctuations and most often exceeded the relevant rates in the territories of comparison. Conclusions. Organizational and managerial decisions aimed at improving the medical and demographic situation in the Republic must be developed and implemented taking into account the current trends in the rates of birth and morbidity among pregnant women, women in labor and postpartum, as well as in the maternal mortality rates. © 2024 LLC "IMC" Modern Clinical Medicine. All rights reserved.