{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:10:07Z","timestamp":1793052607242,"version":"4.5.0"},"reference-count":17,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"06","license":[{"start":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T00:00:00Z","timestamp":1528761600000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>\n            Objective\u2003To study the structure of maternal mortality caused by abortion in the Tula region.<\/jats:p><jats:p>\n            Methods\u2003The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed.<\/jats:p><jats:p>\n            Results\u2003Overall, 204,095 abortion cases were recorded in the Tula region for over 15 years. The frequency of abortion was reduced 4-fold, with 18,200 in 2001 to 4,538 in 2015. The rate of abortions per 1,000 women (age 15\u201344 years) for 15 years decreased by 40.5%, that is, from 46.53 (2001) to 18.84 (2015), and that of abortions per 100 live births and stillbirths was 29.5%, that is, from 161.7 (2001) to 41.5 (2015). Five women died from abortion complications that began outside of the hospital, which accounted for 0.01% of the total number. In the structure of causes of maternal mortality for 15 years, abortion represented 14.3% of the cases. Lethality mainly occurred in the period from 2001 to 2005 (4 cases). Among the maternal deaths, many women died in rural areas after pregnancy termination at 18 to 20 weeks of gestation (n\u2009=\u20094). In addition, three women died from sepsis and two from bleeding.<\/jats:p><jats:p>\n            Conclusion\u2003The introduction of modern, effective technologies of family planning has reduced maternal mortality due to abortion.<\/jats:p>","DOI":"10.1055\/s-0038-1657765","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T23:10:42Z","timestamp":1528845042000},"page":"309-312","source":"Crossref","is-referenced-by-count":13,"title":["Abortion in the Structure of Causes of Maternal Mortality"],"prefix":"10.61622","volume":"40","author":[{"given":"Nina N.","family":"Granatovich","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical institute, Tula State University, \u0422ula, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena V.","family":"Survillo","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical institute, Tula State University, \u0422ula, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leontina V.","family":"Pichugina","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical institute, Tula State University, \u0422ula, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zarina S.","family":"Achilgova","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical institute, Tula State University, \u0422ula, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valery G.","family":"Volkov","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical institute, Tula State University, \u0422ula, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2018,6,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/S0140-6736(15)00838-7","article-title":"Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group","volume":"387","author":"L Alkema","year":"2016","journal-title":"Lancet"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1097\/AOG.0b013e3182a7dc8c","article-title":"Maternal mortality: time for national action","volume":"122","author":"E K Main","year":"2013","journal-title":"Obstet Gynecol"},{"key":"ref3","first-page":"163","article-title":"[Maternal mortality as an integral indicator, reflecting the health of women]","volume":"83","author":"V M Zagidullina","year":"2015","journal-title":"Voprosy Jekonomiki Prava"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"92","DOI":"10.26442\/2079-5696_18.1.92-96","article-title":"[Abortion: special statistics in the federal districts of Russian Federation]","volume":"18","author":"O S Filippov","year":"2016","journal-title":"Gynecology"},{"key":"ref5","first-page":"10","article-title":"[The main causes of maternal mortality in the Tula region in the twenty-first century]","volume":"2","author":"V G Volkov","year":"2017","journal-title":"Akusherstvo Ginekologiya Novosti Mneniya Obuchenie"},{"key":"ref7","first-page":"164","article-title":"[A comparative analysis of birth and abortion rates in Ukraine and in Donetsk region]","volume":"1","author":"S A Petrenko","year":"2012","journal-title":"Bull Urgent Recover Med"},{"key":"ref8","first-page":"68","article-title":"[Frequency and structure of abortions among women of reproductive age in the Kyrgyzstan]","volume":"5","author":"M A Mambetov","year":"2016","journal-title":"Nauka Novye Tehnologii Innovacii"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/S0140-6736(16)30380-4","article-title":"Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends","volume":"388","author":"G Sedgh","year":"2016","journal-title":"Lancet"},{"key":"ref10","first-page":"144","article-title":"[Abortion in post-soviet Russia: is there any reason for optimism?]","volume":"1","author":"B P Denisov","year":"2014","journal-title":"Demograficheskoe Obozrenie"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"47","DOI":"10.17749\/2313-7347.2016.10.2.047-052","article-title":"[The abortion problem situation in Russia in 2008\u20132015 years]","volume":"10","author":"M N Bantyeva","year":"2016","journal-title":"Obstet Gynecol Reprod"},{"issue":"10","key":"ref12","first-page":"1462","article-title":"[Epidemiology of induced abortion in France]","volume":"45","author":"S Vigoureux","year":"2016","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"ref13","first-page":"49","article-title":"[Obstetrics technology in XXI century and maternal mortality in Sankt-Peterburg]. Herald of the Northwestern State Medical University Named After I.I","volume":"2","author":"M A Repina","year":"2010","journal-title":"Mechnikov"},{"key":"ref14","first-page":"7","article-title":"[Sepsis and maternal mortality in the Kemerovo region]","volume":"10","author":"G A Ushakova","year":"2010","journal-title":"Rossijskij Vestnik Akushera-Ginekologa"},{"key":"ref15","first-page":"36","article-title":"Sepsis in childbirth and the postnatal period as a cause of the regional maternal mortality rate. V.F","volume":"4","author":"N N Granatovich","year":"2017","journal-title":"Snegirev Arch Obstet Gynecol"},{"key":"ref16","first-page":"50","article-title":"[Maternal Mortality in the Khabarovsk region: analysis of structure and ways of its reduction]","volume":"1","author":"V S Stupak","year":"2013","journal-title":"Dal'nevostochnyj Medicinskij Zhurnal"},{"key":"ref17","first-page":"119","article-title":"[Dynamic peculiarities of the structure of maternal mortality in the large industrial region]","volume":"12","author":"B V Kovalev","year":"2008","journal-title":"Ural Med J"},{"key":"ref18","first-page":"2","article-title":"[Comparative analysis of reproductive attitudes in university female students]","volume":"2","author":"E V Survillo","year":"2016","journal-title":"Bull N Med Technol"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/abortion-in-the-structure-of-causes-of-maternal-mortality\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1657765.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:58:25Z","timestamp":1721336305000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/abortion-in-the-structure-of-causes-of-maternal-mortality\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":17,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2018,7,6]]},"published-print":{"date-parts":[[2018,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1657765","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6]]}}}