Ukrainian Journal of Perinatology and Pediatrics. 2024. 3(99): 13-24. doi: 10.15574/PP.2024.3(99).1324
Vezhnovets T. A., Guryanov V. G., Korotkyi O. V., Orabina T. M., Gerevich N. V., Govsieiev D. O.
Bogomolets National Medical University, Kyiv, Ukraine

For citation: Vezhnovets TA, Guryanov VG, Korotkyi OV, Orabina TM, Gerevich NV, Govsieiev DO. (2024). Analysis of complications of pregnancy, childbirth, the postpartum period and extragenital morbidity in pregnant women in Ukraine and forecasting the dynamics of selected indicators until 2026. Ukrainian Journal of Perinatology and Pediatrics. 3(99): 13-24. doi: 10.15574/PP.2024.3(99).1324.
Article received: Jun 19, 2024. Accepted for publication: Sep 04, 2024.

Aim – evaluation of the quality of obstetric care in Ukraine and forecasting the dynamics of intranatal morbidity and complications of the postpartum period for the period until 2026.
Materials and methods. Statistical data of healthcare institutions of Ukraine for the period 2011-2022 were analyzed. One-factor linear regression models were used for mathematical modeling. Calculations by MedCalc® Statistical Software version 22.009.
Results. According to the data of the conducted analysis, the following stable trends were revealed: a decrease in the total number of births from 491,467 to 195,243; decrease in the share of physiological births from 68.6% to 61.6%; an increase in the number of multiple pregnancies (calculations per 1,000 pregnancies) from 10 to 13 per 1,000; number of pathological venous conditions from 25 to 50; number of gestational and pre-gestational diabetes from 1 to 10; the number of infections of the genitourinary system from 134 to 143. Pathologies of the circulatory system and diseases of the thyroid gland do not have a tendency to increase. The analysis of indicators related to childbirth revealed a significant increase in cesarean delivery from 16.17% to 27.43% with a further increase to 31.4% in 2026, an increase in the level of bleeding from 7.3 to 9.9 and the number of complicated births from 58 to 70 (the figures are calculated for 1000 births).
Conclusions. During the period of analysis, no significant deterioration in the quality of obstetric care was found, however, there are a number of negative trends, namely, an increase in the frequency of difficult childbirth and cesarean delivery. In the near future, we should expect a decrease in the total number of births, a decrease in the share of physiological births, an increase in the frequency of pre-existing somatic diseases and pregnancy complications, and an increase in the specific gravity of multiple pregnancies. The result will be a further increase in cesarean deliveries, and an increase in the frequency of abnormal placentation and associated heavy bleeding. The key approaches to managing the identified trends are the development and implementation of algorithms for timely detection of pregnant women at risk of developing perinatal and obstetric complications and optimal routing of pregnant women who are included in the formed risk groups for the occurrence of severe obstetric and perinatal pathology.
The authors declare no conflict of interest.
Keywords: obstetric and gynecological care, extragenital morbidity, complications of pregnancy, maternal mortality, childbirth.

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