Induction of labor as a criterion for the staging of medical care for pregnant women

Background: iduction of labor (IL) is a technology of early delivery for diseases and complications in pregnant women. At the same time, the frequency of IR in obstetric hospitals at various levels has not been sufficiently studied. Аims: analyze the frequency of IL using the example of the Sverdlovsk region (SR) and of Yekaterinburg in 2014–2022. Materials and methods: a cross-sectional simultaneous study of the frequency of IL in medical organizations of the Sverdlovsk region and the Yekaterinburg in 2014-2022 was conducted. The Federal Statistical Observation Form No. 32 «Information on medical care for pregnant women, women in labor and women in labor» was analyzed. The frequency of IL was calculated as the ratio of the number of IL to the total number of births and expressed in ppm (‰). The effectiveness of IL was determined using the coefficient of IL. Results: the number of births in the SR decreased 1.6 times, in Yekaterinburg — 1.4 times in 2014-2022. The frequency of IL in the region was 102.3%, in the city — 177.0% in 2022. The average growth rate of the IL index was 4.3% and 4.9%, respectively, in 2015–2022. IL has not been used in obstetric hospitals of the 1st group since 2018. In obstetric hospitals of groups 2 and 3, the frequency of IL has increased in the Sverdlovsk region since 2016 (p0.001), in the city — in 2017 (p0.001) compared with 2014. The average growth rate of IR in obstetric hospitals of the 3 group in the Sverdlovsk region was 21%, in Yekaterinburg — 37% and was characterized by a pronounced growth trend in 2015–2022. Conclusions: induction of labor was used only in obstetric hospitals of the 2 and 3 groups. An indicator of the frequency of induced labor is recommended for monitoring the stage of medical care for pregnant women.