OBJECTIVE

Analysis of cases of maternal death in women after infertility treatment using in vitro fertilization was accomplished.

MATERIAL AND METHODS

A retrospective analysis of 80 cases of maternal death after treatment of patients with infertility using in vitro fertilization identified during the period 2008—2022. The medical and social parameters of deceased women were analyzed, as well as the organization and quality of medical care. Analytical and statistical research methods were used.

RESULTS

The average age of the patients was 35.8±5.7 years (from 25 to 56 years). 81.25% of women lived in the city, 51.25% had higher education, 67.5% were employed, 73.75% were officially married, and 83.75% had no bad habits. 41.25% of women had their first pregnancy, 37.5% had a history of abortions, 18.75% had childbirth, and 13.75% had ectopic pregnancies. Somatic diseases were noted in 92.5% of women, complicated pregnancy — in 96.25%, complications of childbirth — in 90.9%. 55 (68.75%) women died in the postpartum period, 17 (21.25%) died after abortions, and 8 (10.0%) died during pregnancy. The main cause of death was extragenital diseases (60.0%), septic complications after childbirth and abortion (13.75%) and preeclampsia (7.5%). 63.75% of deaths occurred in level III medical organizations, 33.75% in level II, 1.25% in level I, and 1.25% outside the hospital. Defects in the provision of medical care at the outpatient department were noted in 41.0% of those observed during pregnancy, at the inpatient department — in 38.0% of those who died in the hospital. The proportion of preventable and conditionally preventable deaths was 40%.

CONCLUSION

Women who become pregnant after using extracorporeal insemination are at high risk of developing unfavorable maternal outcomes.