26-06-2013
1
RUDN` Professor Galina Dikke, MD, DM RAPD Expert Group
Member
Moscow, Russia First global conference on contraception,
reproductive and sexual health
Copenhagen, Denmark, 22-25 May 2013
28 32 29
24
24
Spontaneous*
*In Russia, abortion statistics presented with spontaneous
abortions
North-West Federal District 26,5/4,9
Volga Federal District 28,3/3,9
Southern Federal District 23,4/7,8
North-Caucasian Federal District 16,5/4,4
The Central Federal District 19,7/3,4
The Far Eastern Federal District 37,5/5,8
The Siberian Federal District 35,7/7,3
The Ural Federal District 36,3/5,0
* criminal and unsafe,% of the total number of abortions
2011 To determine the factors influencing limitation of the
medical method for termination of unwanted pregnancy and to improve
the quality of care in relation to induced abortions in Russia
69,2%
6,2%
24,6%
Medical abortion is allowed in Russia since 2000. In Russia in
2011, its share among the methods of abortion was 6.2%
6,2%
69,2%
24,6% 1,5% 30,3%
68,2%
26-06-2013
2
Demographic policy aimed at increase of the birth rate by
absence of promotion\ restrictions for use of its methods of
control (both, termination of unwanted pregnancy and
contraception)
74,3 %
37%
RF
Мoscow
The total number of users for the modern methods of
contraception for 1000 women of fertile age
12,1%
11,8%
0,89%
3,03%
239 (RF)
39 (Moscow)
2007-2011 -19,4%
The total number of users of modern methods of contraception 239
(RF) for 1 000
1991-1995 -32,6%
Safe abortion: Recommendations for policies and practices. WHO
European Regional Office. 2nd ed. Geneva, 2012
The Cochrane Collaboration http://www.cochrane.org
The denial that the abortion can be safe nonetheless what method
is used
59% of Russia's population is classified as "poor“
33% - have an average low income (a special group of people
called "working poor") АБОРТ
Almost everywhere, MA is performed commercially (except several
RF territories)
69% 6%
26-06-2013
3
... In accordance with the instructions on the medical use of
drugs
Mifepristone is used up to 42 days of
amenorrhea ...
The restriction on the term of pregnancy (up to 6 weeks) The
lack of focus on the needs of women
Needs Proposal
Activities Demand
Patient Goal Doctor
What measures should be undertaken to reduce complications and
maternal deaths due to abortions?
What needs to done to bring the legislation into conformity
with the norms of the practice of health facilities?
Step on the throat ...of own beliefs!
Yakutiya
Tyumen
Kemerovo
Buryatiya
Orenburg
Ekaterinburg
Structure of the termination of pregnancy methods in women's
clinic number 22, St. Petersburg in 2012
Number of complica/ons: 10 1%
(2003)
0.9% (2011)
%
High dependence on decision-makers point of view in the Russian
regions
The only possible way to implement MA is a day stay in the
hospital due of the particular drug provision at the health
facilities
Lack of motivation among Ob\Gyn doctors
