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Induction of labor as a criterion for the staging of medical care for pregnant women
- Authors: Sevostyanova O.Y.1, Zilber N.A.1, Chumarnaya T.V.2, Belomestnov S.R.1, Ksenofontov A.M.1, Ankudinov N.O.3, Vagushchenko U.A.1
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Affiliations:
- Ural State Medical University
- Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Sciences
- Yekaterinburg Clinical Perinatal Center
- Issue: Vol 80, No 3 (2025)
- Pages: 173-179
- Section: OBSTETRICS AND GYNAECOLOGY: CURRENT ISSUES
- Published: 10.10.2025
- URL: https://vestnikramn.spr-journal.ru/jour/article/view/18078
- DOI: https://doi.org/10.15690/vramn18078
- ID: 18078
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Abstract
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 (p<0.001), in the city — in 2017 (p<0.001) 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.
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About the authors
Olga Yu. Sevostyanova
Ural State Medical University
Email: olsyava@gmail.com
ORCID iD: 0000-0002-0828-0479
SPIN-code: 2892-3637
MD, PhD, Associate Professor
Russian Federation, YekaterinburgNatalya A. Zilber
Ural State Medical University
Email: n-zill@yandex.ru
ORCID iD: 0009-0008-8304-3511
SPIN-code: 1559-9768
MD, PhD, Associate Professor
Russian Federation, YekaterinburgTatiana V. Chumarnaya
Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Sciences
Email: chumarnaya@gmail.com
ORCID iD: 0000-0002-7965-2364
SPIN-code: 7978-8955
PhD in Biology
Russian Federation, YekaterinburgSergey R. Belomestnov
Ural State Medical University
Email: beldoctor@mail.ru
ORCID iD: 0000-0002-4031-4907
SPIN-code: 3372-3935
MD, PhD
Russian Federation, YekaterinburgAlexey M. Ksenofontov
Ural State Medical University
Email: mail@ekpc-info.ru
ORCID iD: 0009-0009-3432-9334
PhD student
Russian Federation, YekaterinburgNikolai O. Ankudinov
Yekaterinburg Clinical Perinatal Center
Author for correspondence.
Email: 79221588789@ya.ru
ORCID iD: 0000-0002-9935-4372
SPIN-code: 5622-4685
MD
Russian Federation, YekaterinburgUlyana A. Vagushchenko
Ural State Medical University
Email: uljanavagushhenko@rambler.ru
ORCID iD: 0000-0002-0428-6187
SPIN-code: 8172-5942
MD, assistant
Russian Federation, YekaterinburgReferences
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