PREVALENCE AND INFLUENCE OF MA-TERNAL PATHOLOGY ON STILLBIRTH ACCORDING TO ARCHIVAL MATERIAL OF PROJECTURE OF KHARKIV CITY PERINATAL CENTER FOR A FIVE- YEAR PERIOD

Numerous studies have established that many diseases that have arisen in different periods of ontogenesis are result of violations occurring in intrauterine period. Maternal factors (somatic diseases, pathological conditions during pregnancy, pathological birth) lead to increase in frequency of occurrence of newborns with extremely low body weight, affect degree of pathologies development in postnatal life, and adaptation of newborn to extra uterine existence. Many authors note that with all attention of doctors around the world to the problem of miscarriage and nursing of preterm, the losses among full-term children increased significantly. The global under-five mortality rate in 2015 was 43 per 1000 live births, while the neonatal mortality rate was 19 per 1000 live births – representing declines of 44% and 37% respectively compared to the rates in 2000. Nonetheless, every day in 2016, 15 000 children died before reaching their fifth birthday. Children face the highest risk of dying in their first month of life, with 2.6 million newborns dying in 2016 – the majority of these deaths occurring in the first week of life. Prematurity, intrapartum-related events such as birth asphyxia and birth trauma, and neonatal sepsis accounted for almost three quarters of all neonatal deaths. Among children aged 1– 59 months, acute respiratory infections, diarrhea and malaria were the leading causes of death in 2016. Among the causes of neonatal mortality in recent years, intrauterine infection of fetus takes the leading place, causing from 11% to 45% of deaths. With more young children now surviving, improving the survival of older children (aged 5 – 14 years) is an increasing area of focus. About 1 million such children died in 2016, mainly from preventable causes. Far too many women still suffer and die from serious health issues during pregnancy and childbirth. In 2015, an estimated 303 000 women worldwide died due to maternal causes. 303 000 women died due to complications of pregnancy or childbirth in 2015. Almost all of these deaths occurred in low- and middle-income countries (99%). Reducing maternal mortality crucially depends upon ensuring that women have access to quality care before, during and after childbirth. Diagnosis and prevention of the mother's diseases are impossible without knowledge of the structure of the mother- fetus relationship.