Resource Provision of the Obstetric Service of St. Petersburg with Beds and Medical Personnel

Abstract

Introduction. In the context of a declining birth rate, maintaining and improving the level of women's reproductive health is the main task in the activities of the obstetric service, the normal functioning of which is impossible without satisfactory resource provision. Purpose. To conduct a comparative assessment of the resource provision of the obstetric service of St. Petersburg with obstetric beds and medical personnel with indicators in the Russian Federation and the Northwestern Federal District in dynamics for 2017–2021. Material and methods. Using the information obtained from statistical collections Federal State Budgetary Institution «Central Research Institute for the Organization and Informatization of Healthcare» of the Ministry of Health of Russia, a comparative assessment of the indicators of the provision of the obstetric service of the metropolis with obstetric beds and medical personnel in dynamics over five years was carried out. Statistical analysis of the obtained data was carried out using StatSoft STATISTICA 10.0. Results. In 2017–2021 the obstetric service of the metropolis had a lower, compared with Russia and the Northwestern Federal District, availability of obstetric beds, more than half of which were beds for pregnant women and women in childbirth. In the dynamics of the provision of St. Petersburg with obstetric beds in general, beds for pregnant women and women in childbirth, and beds for the pathology of pregnancy, a trend of annual reduction in beds, common with the Russian Federation and the federal district, was observed. However, the rates for all obstetric beds have declined less significantly than the national and county averages. Provision of women of childbearing age in St. Petersburg with obstetrician-gynecologists exceeded the average figures for Russia and the Northwestern Federal District. With the annual negative dynamics of the decrease in the provision of the obstetric service in the Russian Federation and the federal district with medical personnel, in the metropolis the increase in obstetrician-gynecologists for five years was 1.6 %, and the provision with midwives decreased less significantly. The contribution of the metropolis to the obstetric bed fund and medical personnel of the obstetric service of the federal district was more than a third and increased almost every year.