Analysis of critical obstetric conditions in a megalopolis

The article presents an analysis of critical conditions (near miss) in obstetrics since the beginning of their systematic recording (2016). The analysis of critical conditions showed that the reserves in reducing these pathological conditions lie in the qualitative observation of pregnant women, the timely detection of extragenital diseases and the prevention of pregnancy with absolute contraindications at the primary health care (PHC) level, as well as adherence to the management algorithm according to a single agreed plan, including related services, continuous training of all personnel. levels of emergency interventions to ensure preparedness for assistance. Active support of vital functions in the conditions of the intensive care unit, as well as analysis of the reasons for their development, possible preventive measures are the most important component in reducing maternal mortality and disability in women of fertile age.