APPLICATION OF THE ICD-PM CLASSIFICATION TO SYSTEMATIZE CASES OF STILLBIRTHS IN UZBEKISTAN

Abstract

The article presents the results of a study conducted to investigate stillbirths in Uzbekistan and assess the possibilities of implementing the ICD-PM system in clinical practice. A retrospective cohort study analyzed 285 cases of stillbirth that occurred in 24 maternity institutions in Uzbekistan from 2018 to 2022.
The study revealed that in the structure of stillbirths according to the ICD-PM, the following main categories were identified: "A3: Intrauterine hypoxia" (24.2%), "A6: Fetal death due to unspecified cause in the antenatal period" (25.4%), "A2: Infectious diseases" (15.1%), and "Disorders related to fetal growth" (category A5 + I6) – 14.0%. Among maternal conditions, the most common categories were "M5: Processes without complications on the part of the mother" (26.3%) and "M4: Medical and surgical complications in the mother" (24.9%).
The results of the study confirm that implementing the ICD- PM system in Uzbekistan is an informative and effective measure. It will create a sustainable basis for comparative analysis of perinatal mortality rates at national and international levels, thus broadening the potential for devising effective strategies to reduce perinatal mortality.