Audit of maternal mortality in a large agricultural region of south Siberia

Aim. To audit the maternal mortality rate in the Altai Region, an agrarian region of southern Siberia, for the period 2015−2024 and assess the contribution of extragenital pathology and direct obstetric causes to its structure. Materials and methods. A retrospective comparative analysis of the dynamics and structure of causes of maternal mortality for the period 2015−2024 was carried out in the number of 58 sectional observations in the Altai Region, characterized by a large territory, a population density below average and a predominance of women of fertile age living in rural areas (40.2 %). Results. The maternal mortality rate in the large agricultural region of southern Siberia over the 10-year period under study was unstable. The sharp increase in its level in 2021 (73.7 per 100,000 live births) was due to COVID-19 and its consequences in the form of thromboembolic complications. The leading causes of maternal mortality in the post-pregnancy period are complications of cardiovascular diseases, HIV- infection, and cases of direct obstetric causes are determined by the social factor. Conclusion. To achieve the goals of sustainable development at the regional level, interdisciplinary interaction and coordination of the efforts of specialized specialists for the correction of cardiovascular pathology, HIV-infection, effective social and psychological work with patients at high social risk is necessary.