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Reducing maternal mortality in St Petersburg

P Stephenson1, B Chalmers, V F Kirichenko

  • 1Nyhavn 40, Copenhagen, Denmark.

World Health Forum
|January 1, 1997
PubMed
Summary

St Petersburg reduced maternal deaths by promoting family planning and modern contraception. These public health initiatives led to lower abortion rates and increased contraceptive use.

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Area of Science:

  • Public Health
  • Reproductive Health
  • Urban Health Initiatives

Background:

  • St Petersburg joined the Europe's Healthy Cities Project in 1991.
  • High maternal mortality ratio (approx. 70/100,000 live births) was a primary concern.
  • Unsafe, illegal abortions were a major cause of maternal deaths.

Purpose of the Study:

  • To reduce the maternal mortality ratio in St Petersburg.
  • To decrease deaths resulting from unsafe abortions.
  • To improve access to and utilization of family planning services.

Main Methods:

  • Promoted the use of modern contraceptive methods.
  • Disseminated information to enhance family planning service utilization.
  • Established outreach services for teenagers.
Keywords:
Abortion RateAbortion, IllegalAbortion, InducedAbortion, SepticContraceptionContraceptive UsageCritiqueDemographic FactorsDeveloped CountriesDiseasesEastern EuropeEuropeFamily PlanningFertility Control, PostconceptionHealthMaternal MortalityMortalityPopulationPopulation DynamicsPregnancy ComplicationsReproductive Health--womenRussia

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  • Provided education and training for healthcare providers.

    • Main Results:

    • Significant decline in the maternal mortality ratio.
    • Reduction in the overall abortion rate.
    • Observed increase in the use of contraceptives.

    Conclusions:

    • The implemented strategies were effective in reducing maternal mortality and abortion rates.
    • Community-wide commitment and external support were crucial for success.
    • The initiative demonstrates a successful model for urban reproductive health improvement.