Objective: to assess the main indicators of perinatal service development in the Fergana region for 2010-2024 and to identify ways of its improvement. Material and methods: a clinical and statistical analysis of the annual reports of the Fergana regional (2009-2024) and two interdistrict perinatal centers (2022-2024) was conducted. Results.  The number of births at the Medical Regional Center increased by 2,082 from 2010 (5,504) to 2024 (7,586), with the proportion of premature births rising to 22.1%. Pathological births accounted for 64.8% in 2024. The cesarean section rate reached 41.8%. The maternal mortality rate decreased from 100.44 to 13.84, a 7.26-fold decrease. Over the past two years, the Medical Regional Center has succeeded in preventing maternal mortality. The perinatal mortality rate at the regional center remains high—43.7%. Conclusions: The high perinatal mortality rate in the regional center indicates a need to improve the quality of neonatal care (organizational aspects, medical equipment, drug provision, and medical staff training). Interdistrict perinatal centers require further development of their material and technical base, organizational, treatment, diagnostic, and preventive work, strengthening of human resources with young specialists, improvement of surgical techniques, and implementation of modern technologies of perinatal care.

Regional and inter-district perinatal centers, perinatal care, indicators

Asadova G.A., Djabbarova Yu.K. Current medical and organizational state of the perinatal service in Uzbekistan. Pediatriya. 2022;1:2–4. (In Russ.)

Babazhanova Sh., Djabbarova Yu.K., Lyubchich N.I. Main causes and structure of maternal mortality according to confidential inquiry data in the Republic of Uzbekistan. Medical Journal of Uzbekistan. 2018;6:64–66. (In Russ.)

Babazhanova Sh.D., Lyubchich N.I., Djabbarova Yu.K. Method of confidential analysis of critical situations in obstetric practice: Methodological guidelines. Tashkent; 2019. 42 p. (In Russ.)

Badaeva A.A. Trends in cesarean section rates in the Tula region from 2000 to 2010: a multicenter retrospective study. Bulletin of New Medical Technologies. 2014;1. Available from: http://www.medtsu.tula.ru/VNMT/Bulletin/E2014-1/4991.pdf (accessed 11 Dec 2014). (In Russ.)

Djabbarova Yu.K., Urinbaeva N.A., Iskanderova Sh.T., Umurzakov S.M., Djabbarova L.A. Major achievements of perinatal care in the Republic of Uzbekistan. Eurasian Bulletin of Pediatrics. 2024;3(21):4–12. (In Russ.)

Lyubchich A.S. Achievements and prospects of the perinatal service in the Republic of Uzbekistan. Journal of Theoretical and Clinical Medicine. Proceedings of the 1st International Scientific and Practical Conference “Actual Problems of Perinatal Medicine”; 9–10 Oct 2019; Tashkent. 2019;(5):11–13. (In Russ.)

Order of the Ministry of Health of the Republic of Uzbekistan No. 378 of 2010 “On the organization of perinatal centers and measures to further improve obstetric care institutions”. (In Russ.)

Order of the Ministry of Health of the Republic of Uzbekistan No. 151 of 28 June 2021 “On the targeted development of the perinatal medical service in the Republic of Uzbekistan”. (In Russ.)

Improving medical care and women’s health to save mothers’ lives. Report of the confidential inquiry into maternal deaths for 2018–2020. Tashkent; 2022. 156 p.

Umarova N.M., Ayupova F.M., Nigmatova G.M. Features of reconstructive surgery for uterine suture failure after cesarean section. Tibbiatda Yangi Kun. 2021;3(35/1): 170–173. (In Russ.)

Shabalov N.P. Neonatology: textbook. 3rd ed., revised and expanded. Moscow: MEDpress-inform; 2004. 2 vols. (In Russ.)

12. Babazhanova Sh.D., Lyubchich A.S., Djabbarova Yu.K. Organ-preserving technologies and their effectiveness in patients with placenta accreta //Obstet Gynecol Int J. 2020;11(5):287‒289. DOI: 10.15406/ogij.2020.11.00525 (Google Scholar).

Umurzakov S. M.,Djabbarova Y.K., Urinbaeva N.A., Sydikov A. A. Assessment Of The Effectiveness Of Using Innovative Methods In Perinatal Care. // Journal of Educational & Scientific Medicine, 2025. Vol.1 , Issue 5 , рр.715-720

Wang C.P., Tan W.C., Kanagalingam D. [et al. Why we do caesars: a comparison of the trends in caesarean section delivery over a decade] // Ann Acad Med Singapore. 2013. Vol. 42. №8. P. 408–412.

WHO Statement on Caesarean Section Rates. Geneva: World Health Organization; 2015 (WHO/RHR/15.02).