1. Curs Introductiv - Sănătatea Reproducerii; Amplitudinea Globală a Problemei

cursintrod

SNTATEA REPRODUCERIIAMPLITUDINEA GLOBAL A PROBLEMEI SNTATEA REPRODUCERIIPE GLOB SE NREGISTREAZ ANUAL:

180200 de milioane de sarcini75 de milioane de sarcini nedorite 50 de milioane de avorturi induse20 de milioane de avorturi nesigure 536.000 de decese materne (aprox.1 deces pe minut)La 1 deces matern = 30 de cazuri de morbiditate matern sever3 milioane de decese neonatale (n prima sptmn de via)3 milioane de nscui mori

n fiecare minut...Ritmul deceselor materne380 femei devin gravide190 femei au o sarcin neplanificat sau nedorit110 femei au o complicaie legat de sarcin40 femei au un avort nesigur1 femeie decedeaz datorit unei complicaii legate de sarcin3Mortalitatea maternn lume

Source: WHO, UNICEF, and UNFPA, Maternal Mortality in 2000: Estimates Developed by WHO, UNICEF, and UNFPA, 2003.529,000: 99% n ri n curs de dezvoltareMortalitatea maternpe regiuni

Source: UNICEF, Maternal Mortality in 2000: Estimates Developed by WHO, UNICEF, and UNFPA, 2003.

Mortalitatea matern pe regiuni99% aparine rilor srace n 2005 din 536000 de mori materne 265000 au fost n Africa sub-saharian iar 187000 n Asia de sud-est, nsumnd 87% din totalRiscul este deced prin complicaii legate de sarcin este de 1:76, comparativ cu 1:8000 de nateri n rile dezvoltate, respectiv de 1:7 n Nigerla mortalitate se mai adaug 10 milioane de femei care vor supravieui cu complicaii, unele cu repercursiuni definitive

MAJORITATEA ACESTOR MORI AR PUTEA FI PREVENITE DEOARECE CAUZELE LOR SUNT CUNOSCUTE SUNT CUNOSCUTE I MSURILE CARE TREBUIE URMATE !!! (prezena la natere a unei persoane competente, posibilitatea rezolvrii urgenelor sau n caz contrar transferului , disponibilitatea de snge)

Romniainta RomanieiReducerea la jumtate, ntre 2001 i 2015, a ratei mortalitii materneRezultate2001: 34 decese materne 2005: 17 decese materne (10 decese prin risc obstetrical i 7 decese prin avort)n 2007: 15 decese materne i o mortalitate infantil de 12,1/1000Mortalitatea maternEuropa, 2004

Mortalitatea matern (avort)Europa, 2004

Mortalitatea matern prin avort n Romnia

Note: Total exceeds 100 percent due to rounding.Source: World Health Organization, Reduction of Maternal Mortality: A Joint WHO/UNFPA/UNICEF/World Bank Statement, Geneva, 1999.Cauzele mortalitii materne12Nearly three-quarters of maternal deaths are due to direct complications of pregnancy and childbirth, such as severe bleeding, infection, unsafe abortion, hypertensive disorders (eclampsia), and obstructed labor.Women also die of indirect causes aggravated by pregnancy, such as malaria, diabetes, hepatitis, and anemia.De ce mor femeile gravide?Trei ntrzierintrziere n decizia de a solicita ajutorNenelegerea complicaiilorStatutul social inferior al femeiiBariere socio-culturale n decizia de a solicita ajutorAcceptarea decesului maternntrziere n ajungerea la ajutorDificulti geograficeOrganizare deficitarntrziere n primirea ajutoruluiDeficiene de medicamente, echipamente, personalPersonal slab instruitDeficiene de finanare13Multiple factors affect WHY a woman dies during pregnancy.The three delays model:Delay in decision to see care: lack of information about problems/warning signs, social factorsDelay in reaching care: having transportation, road conditionsDelay in receiving care: lack of equipment or personnel at facility, lack of funding, poor attitude of personnelContinuum-ul ngrijirii gravideiFAMILIE I COMUNITATEASISTEN MEDICAL PRIMARASISTEN MEDICAL DE SPECIALITATE1415% din totalul sarcinilor dezvolt o complicaiePresupunere greit: Majoritatea complicaiilor obstetricale care amenin viaa pot fi prevzute sau prevenite.15Certain interventions can help prevent problems: active management of third stage of labor and clean delivery. Should be routine, however, pre-eclampsia and uterine atony cannot be prevented.Mortalitatea maternMarea Britanie, 18401960

mbuntiri n nutriie, sanitaieProtocoale, antibiotice, rezerve de snge, chirurgie ngrijire prenatalSource: Maine, 1999.16Other interventions can make a difference, but not as substantial as skilled attendants. For example, in this graph, the implementation of antenatal care did not reduce maternal mortality in the UK. Improvements came only with skilled attendants who could provide surgical intervention if needed, and who had access to and could use appropriate antibiotics and blood products.Nevertheless, antenatal care remains an important intervention in maternal care because it provides an opportunity to detect problems and be prepared to handle them. gravidele nu mor din cauza unor boli pe care nu le putem trata.Ele mor pentru c societatea nc nu a decis c vieile lor merit s fie salvate.

SNTATEA REPRODUCERII- cancerul de col uterinn Europa, aproximativ 33.500 de femei sunt diagnosticate i 15.000 de femei mor anual din cauza cancerului de col uterin, cte 40 n fiecare zi. (aprox.500.000 n ntreaga lume) Romnia este pe primul loc n Europa n ceea ce privete mortalitatea prin cancer de col uterin. SNTATEA REPRODUCERII- cancerul de col uterinCancerul de col reprezint a doua cauz de mortalitate prin cancer la femeile din Romnia, dup cancerul de sn i prima cauz de mortalitate la femeile ntre 25 44 de aniRomnia are una dintre cele mai nalte rate de inciden din Europa, 20-30 cazuri noi la 100.000 femei, situaie similar cu cea din ri subdezvoltate din Africa, Asia i America de Sud. Rata mortalitii prin cancer de col uterin n Romnia se afl ntr-o continu cretere, de la 15,68 cazuri la 100.000 de femei n 1982, la 31,5 cazuri la 100.000 de femei n 2000. Conform Organizaiei Mondiale a Sntii, rata mortalitii datorat cancerului de col uterin n Romnia este de 2-3 ori mai mare dect n majoritatea rilor Europei Centrale i de Est i de 6,3 ori mai mare dect media rilor UE.SNTATEA REPRODUCERII- cancerul de ovarSe estimeaz pentru anul 2005 c n SUA au aprut 22.220 noi cazuri de cancer ovarian, respectiv s-au nregistrat 16.210 decese datorate cancerului ovarian, fcnd din acesta principala cauz de deces prin cancer genital la femei. Cancerul ovarian nsumeaz 4% din totalul diagnosticurilor de cancer i 5% din totalul deceselor prin cancer. Riscul de a dobndi pe parcusul vieii un cancer ovarian este de 1,7% i aproximativ 1 din 60 de femei mor de aceast boal Chart800003.84.25.155.245.586.26.977.448.199.8310.0212.1213.3416.4416.7717.9918.3423.4323.5224.0528.5930.1636.6337.3138.9845.2857.0612.565.71

Maternal deaths per 100,000 live birthsMortalitatea matern

Sheet1CountryValueIceland0Ireland4Austria5Finland5Italy5Spain5Denmark7Switzerland7Portugal8Sweden8Czech Republic9Germany9Serbia and Montenegro9Belgium10Croatia10Greece10Norway10Poland10Slovakia10Hungary11United Kingdom11Israel13The former Yugoslav Republic of Macedonia13Netherlands16France17Slovenia17Lithuania19Uzbekistan24Luxembourg28Bosnia and Herzegovina31Turkmenistan31Bulgaria32Georgia32Belarus36Republic of Moldova36Estonia38Ukraine38Cyprus47Albania55Armenia55Romania58Latvia61Russian Federation65Turkey70Azerbaijan94Tajikistan100Kyrgyzstan110Kazakhstan210

Sheet1000000000000000000000000000000000000000000000000

ValuearaMortalitatea matern

Sheet2Countries1210 Maternal deaths per 100000 live births1211 Maternal deaths, abortion per 100000 live birthsAlbania6.97...Andorra0.00...Armenia37.31...Austria3.80...Azerbaijan......Belarus17.9916.86Belgium......Bosnia and Herzegovina......Bulgaria10.021.43Croatia7.442.48Cyprus......Czech Republic8.19...Denmark......Estonia28.59...Finland12.12...France......Georgia45.28...Germany5.240.28Greece......Hungary4.20...Iceland0.00...Ireland0.00...Israel6.20...Italy......Kazakhstan36.63...Kyrgyzstan57.065.09Latvia9.83...Lithuania16.44...Luxembourg18.34...Malta0.00...Monaco......Netherlands5.15...Norway......Poland......Portugal......Republic of Moldova23.522.61Romania24.0512.02Russian Federation23.435.39San Marino......Serbia and Montenegro......Slovakia5.58...Slovenia......Spain......Sweden......Switzerland......Tajikistan38.98...TFYR Macedonia......Turkey......Turkmenistan16.77...Ukraine13.341.87United Kingdom......Uzbekistan30.16...European Region12.56...EU5.71...EU members before May 2004......EU members since May20046.66...CIS27.213.71CARK......Eur-A......Eur-B+C48.48...CountriesMaternal deaths per 100,000 live birthsMaternal deaths, abortion per 100,000 live birthsAndorra0.00...Iceland0.00...Ireland0.00...Malta0.00...Austria3.80...Hungary4.20...Netherlands5.15...Germany5.240.28Slovakia5.58...Israel6.20...Albania6.97...Croatia7.442.48Czech Republic8.19...Latvia9.83...Bulgaria10.021.43Finland12.12...Ukraine13.341.87Lithuania16.44...Turkmenistan16.77...Belarus17.9916.86Luxembourg18.34...Russian Federation23.435.39Republic of Moldova23.522.61Romania24.0512.02Estonia28.59...Uzbekistan30.16...Kazakhstan36.63...Armenia37.31...Tajikistan38.98...Georgia45.28...Kyrgyzstan57.065.09European Region12.56...EU5.71...CountriesMaternal deaths per 100,000 live birthsMaternal deaths, abortion per 100,000 live birthsBelarus17.9916.86Romania24.0512.02Russian Federation23.435.39Kyrgyzstan57.065.09Republic of Moldova23.522.61Croatia7.442.48Ukraine13.341.87Bulgaria10.021.43Germany5.240.28

Sheet20000000000000000000000000000000000


Sheet300000000000000000000000000000000000000000000000000000000000000000000

Maternal deaths per 100,000 live birthsMaternal deaths, abortion per 100,000 live births ... ... ... ... ... ... ... 0,28 ... ... ... 2,48 ... ... 1,43 ... 1,87 ... ... 16,86 ... 5,39 2,61 12,02 ... ... ... ... ... ... 5,09 ... ...Mortalitatea matern

Chart7000000003.804.205.1505.240.285.5806.206.9707.442.488.1909.83010.021.4312.12013.341.8716.44016.77017.9916.8618.34023.435.3923.522.6124.0512.0228.59030.16036.63037.31038.98045.28057.065.0912.5605.710


Sheet1CountryValueIceland0Ireland4Austria5Finland5Italy5Spain5Denmark7Switzerland7Portugal8Sweden8Czech Republic9Germany9Serbia and Montenegro9Belgium10Croatia10Greece10Norway10Poland10Slovakia10Hungary11United Kingdom11Israel13The former Yugoslav Republic of Macedonia13Netherlands16France17Slovenia17Lithuania19Uzbekistan24Luxembourg28Bosnia and Herzegovina31Turkmenistan31Bulgaria32Georgia32Belarus36Republic of Moldova36Estonia38Ukraine38Cyprus47Albania55Armenia55Romania58Latvia61Russian Federation65Turkey70Azerbaijan94Tajikistan100Kyrgyzstan110Kazakhstan210

Sheet1

ValuearaMortalitatea matern

Sheet2Countries1210 Maternal deaths per 100000 live births1211 Maternal deaths, abortion per 100000 live birthsAlbania6.97...Andorra0.00...Armenia37.31...Austria3.80...Azerbaijan......Belarus17.9916.86Belgium......Bosnia and Herzegovina......Bulgaria10.021.43Croatia7.442.48Cyprus......Czech Republic8.19...Denmark......Estonia28.59...Finland12.12...France......Georgia45.28...Germany5.240.28Greece......Hungary4.20...Iceland0.00...Ireland0.00...Israel6.20...Italy......Kazakhstan36.63...Kyrgyzstan57.065.09Latvia9.83...Lithuania16.44...Luxembourg18.34...Malta0.00...Monaco......Netherlands5.15...Norway......Poland......Portugal......Republic of Moldova23.522.61Romania24.0512.02Russian Federation23.435.39San Marino......Serbia and Montenegro......Slovakia5.58...Slovenia......Spain......Sweden......Switzerland......Tajikistan38.98...TFYR Macedonia......Turkey......Turkmenistan16.77...Ukraine13.341.87United Kingdom......Uzbekistan30.16...European Region12.56...EU5.71...EU members before May 2004......EU members since May20046.66...CIS27.213.71CARK......Eur-A......Eur-B+C48.48...CountriesMaternal deaths per 100,000 live birthsMaternal deaths, abortion per 100,000 live birthsAndorra0.00...Iceland0.00...Ireland0.00...Malta0.00...Austria3.80...Hungary4.20...Netherlands5.15...Germany5.240.28Slovakia5.58...Israel6.20...Albania6.97...Croatia7.442.48Czech Republic8.19...Latvia9.83...Bulgaria10.021.43Finland12.12...Ukraine13.341.87Lithuania16.44...Turkmenistan16.77...Belarus17.9916.86Luxembourg18.34...Russian Federation23.435.39Republic of Moldova23.522.61Romania24.0512.02Estonia28.59...Uzbekistan30.16...Kazakhstan36.63...Armenia37.31...Tajikistan38.98...Georgia45.28...Kyrgyzstan57.065.09European Region12.56...EU5.71...CountriesMaternal deaths per 100,000 live birthsMaternal deaths, abortion per 100,000 live birthsBelarus17.9916.86Romania24.0512.02Russian Federation23.435.39Kyrgyzstan57.065.09Republic of Moldova23.522.61Croatia7.442.48Ukraine13.341.87Bulgaria10.021.43Germany5.240.28

Sheet2


Sheet3


Chart1198914.831481990163.59581991139.98411992111.413813.991.6934199481.2238199576.0725199668.0922199747.821199835.521829.534.1519200033.7716200134.0517200232.299200329.711338.223.2412200519.257

Modern contraceptive prevalence rateAbortion on request rateMaternal mortality rate due to abortion

Date1960197019801985198919901991199219931994199519961997199819992000200120022003200420052006PopulaiePopulationPopulaie (mii)Population (thousands)18,40320,25322,20122,72523,15223,20623,18522,78822,75522,73022,68022,60722,54522,50222,45822,43522,40821,79421,73321,67321,6230-14 ani0-14 years23.6023.0022.4021.8021.1020.5019.9019.4019.1018.7018.3017.8017.3016.7016.2015.6015-49 ani15-49 years48.8049.2049.2049.9050.5051.1051.7052.1052.3052.3052.3052.4052.1052.2052.4052.4050-64 ani50-64 years17.3017.0017.2016.9016.7016.4016.2015.9015.8016.0016.1016.2016.5016.8016.9017.2065 ani i peste65 years and older10.3010.8011.2011.4011.7012.0012.2012.6012.8013.0013.3013.6014.1014.3014.5014.80Nscui viiLive birthsNscui viiLive births314,746275,275260,393249,994246,736236,640231,348236,891237,297234,600234,521220,368210,529212,459216,261221,020Decese generaleDeathsDecese generaleDeaths247,086251,760263,855263,323266,101271,672286,158279,315269,166265,194255,820259,603269,666266,575258,890262,101Spor natural (indicatori la 1000 locuitori)Natural increase (indicators per 1000 inhabitants)NatalitateBirth rate16.013.611.911.411.010.910.410.210.510.510.410.59.89.79.81010.2Mortalitate generalGeneral mortality rate10.710.610.911.611.611.712.012.712.412.011.811.411.612.412.311.912.1Spor naturalNatural increase5.33.01.0-0.2-0.6-0.8-1.6-2.5-1.9-1.5-1.4-0.9-1.8-2.70-2.5-1.9-1.9Fertilitate (indicatori la 1000 femei de 15-49 ani)Fertility (indicators per 1000 women 15-49 years)FertilitateFertility81.274.865.166.356.248.746.644.343.341.139.940.640.640.240.340.437.337.938.839.4Numr de decese materneNumber of maternal deathsTotalTotal62626318315713314911395989698777547655237Prin avortAbortion related54518111410086945951504344383720282616Prin risc obstetricalObstetrical risk8182695747555444485354393827372621% prin avort% abortion related8769626465635254514545494943435043% prin risc obstetrical% obstetrical risk1331383635374846495555515157575057100100100100100100100100100100100100100100100100100Mortalitate matern (indicatori la 1000 nscui vii)Maternal mortality (indicators per 1000 livebirths)TotalTotal1.161.331.371.700.830.660.600.530.600.480.410.410.400.420.330.340.220.30.240.17Prin avortAbortion related1.480.580.410.380.340.380.250.220.210.180.190.160.170.090.130.120.07Prin risc obstetricalObstetrical risk0.220.260.250.220.190.220.230.190.200.220.230.170.170.130.170.120.1% prin avort8770626364635254514545485041435041% prin risc obstetrical1331383736374846495555525059575059Prevalena contracepiei (femei de vrst reproductiv 15-44 ani)Contraceptive prevalence (WRA 15-44 years)TotalTotal40.548.258.1Metode tradiionaleTraditional methods30.524.724.2Metode moderneModern methods10.023.333.9Prevalena contracepiei (femei de vrst reproductiv 15-44 ani n uniune)Contraceptive prevalence (women in union 15-44 years)TotalTotal57.363.870.3Metode tradiionaleTraditional methods43.434.332.2Metode moderneModern methods13.929.538.2Numr de avorturiAbortionsTotalTotal1,500,000292,409413,093302,838193,084992,265866,934691,863585,761530,191502,840456,221347,126271,496.00259,888.00257,865.00254,855.00247,610.00224,807.00191,038.00163,359.00La cerereOn request82,479913,973789,096620,629516,481426,111437,362394,424278,197207,117.00198,645.00196,322.00198,086.00187,852.00166,672.00135,161.00111,951.00Avort incompletIncomplete109,81977,11176,97670,84768,77167,69765,11461,51468,53364,155.0061,036.0061,325.0056,569.0059,611.0058,014.0055,776.0051,367.00Avort provocatIllegaly induced7861,181862387509383364283396224.00207.00218.00200.00147.00121.00101.0041.00Provocat (Bucureti)Illegaly induced (Bucharest)480192846761415839.0030.0025.0010.007.003.00Avorturi (indicatori la 1000 femei de 15-49 ani)Abortions (indicators per 1000 women 15-49 years)TotalTotal34.71177.60153.79124.20103.9993.1987.4678.7659.6546.5644.6844.3643.8142.5740.0732.8428.08La cerereOn request14.83163.59139.98111.4191.6981.2276.0768.0947.8035.5234.1533.7734.0532.2929.7123.2419.25Avort incompletIncomplete19.7413.8013.6612.7212.2111.9011.3310.6211.7811.0010.4910.559.7210.25Avort provocatllegaly induced0.140.210.150.070.090.070.060.050.070.040.040.040.030.03Avorturi ( indicatori la 100 de nscui vii)Abortions (indicators per 100 livebirths)AvorturiAbortions52.25315.26314.93265.70234.31214.88212.49197.20146.53114.41110.78109.95115.34117.61105.8188.3473.58Mortalitate infantil (indicatori la 1000 nscui vii)Infant mortality (indicators per 1000 livebirths)Mortalitate infantilInfant mortality49.429.325.626.926.922.723.323.323.921.222.322.020.5018.6018.6018.4017.3016.7016.8015.00Mortalitate neonatal precoce (0-6 zile)Early neonatal mortality5.25.866.16.26.36.16.46.505.706.206.105.705.906.906.10Mortalitate neonatal (0-27 zile)Neonatal mortality8.99.19.59.49.39.58.89.39.408.609.209.208.408.809.608.50Mortalitate postneonatal (28-364 zile)Postneonatal mortality1813.613.813.914.611.813.512.711.1010.009.509.208.907.907.306.50Mortinatalitate (indicatori la 1000 nscui vii i mori)Mortinatality (indicators per 1000 livebirths and stillbirths)Mortinatalitate76.96.56.36.56.26.16.26.306.205.905.806.206.006.005.70Nscui moriStillbirthsNscui moriStillbirths2,2311,9101,7001,5821,6231,4721,4281,4831,514.001,459.001,393.001,282.001,319.001,290.001,314.001,262.00Mortalitatea primei copilrii (decese 1-4 ani) (indicatori la 1000 locuitori de 1-4 ani)Under 5 mortality (indicators per 1000 inhabitants between 1-4 years)Decese 1-4 aniUnder 5 mortality1.91.51.41.51.31.21.21.11.101.000.900.800.800.700.700.67Cauze decese generale (indicatori la 100,000 locuitori)Causes of deaths (indicators per 100,000 inhabitants)Boli cardio-vasculareCardiovascular diseases627658.2707.8712.3709.9736.1785.9761.5738.60737.00701.80710.60771.30762.10734.80753.80TumoriTumours142.1144.7153158.9162.2165.5170.3173.6174.60176.70184.00190.80199.10200.96202.95207.67Boli aparat respiratorRespiratory diseases97.391.39479.780.675.886.277.670.8074.4066.1062.9070.6064.7063.1161.74TuberculozaTuberculosis6.97.38.610.210.511.311.411.810.509.609.5010.7010.8010.309.608.25Aparat digestivDigestive diseases50.351.857.962.565.668.271.775.571.7065.5064.0070.6074.3071.5069.7668.04AccidentAccidents76.572.874.373.876.178.678.776.872.2064.4064.2063.7066.9065.0062.1160.31Hepatita viralaViral hepatitis0.810.590.430.350.360.360.320.250.250.170.200.260.230.300.260.31HIV/SIDAHIV/AIDS1.170.910.951.31.722.012.272.72.742.162.172.201.681.211.161.07Cauze decese 0-1 an (la suta din decese 0-1 an)Causes of deaths 0-1 year (per 100 deaths 0-1 year)Boli aparat respiratorRespiratory diseases39.338.236.338.136.435.637.234.432.2033.6030.7029.6031.3029.0028.3028.20PerinatalePerinatal causes19.425.125.724.925.628.92626.431.5031.9033.2032.6028.9033.4039.1037.80Anomalii congenitaleBirth defects14.916.116.916.816.417.718.222.420.6018.0019.0021.1023.6023.9020.5023.70AlteleOther26.420.621.120.221.617.818.616.815.7016.5017.1016.7016.2013.7012.1011.30Cauze decese 1-4 aniCauses of deaths 1-4 yearsAccidenteAccidents33.242.134.933.037.339.435.733.431.6034.6035.0038.0031.9031.2035.6033.60Boli aparat respiratorRespiratory diseases32.127.822.524.224.423.427.428.629.9026.7026.9024.1024.2021.7025.0021.80Anomalii congenitaleBirth defects11.08.78.39.37.09.911.58.811.7010.9012.6012.8014.9016.5011.9015.40AlteleOther23.721.434.333.531.327.325.429.226.8027.8025.5025.1029.0030.6027.5029.90Nscui vii dup asistena la natereDelivery assisted live birthsNumr absolutTotal number244,357234,494229,019234,552234,888232,309232,253218,127208,686210,745213,411216,811ProcentPercentage99.0499.0998.9999.0198.9899.0299.0398.9899.1299.1998.6898.10Densitatea populaiei (/locuitori/km2)Population density (inhabitants/km2)90.7Numrul populaiei srace (mii persoane)Number of poor population (thousands)6929.874568044.56849.66470.55453.14078.2Rata srciei (%)Poverty rate (%)TotalTotal30.833.235.930.628.925.118.8n mediul urbanIn urban areas20.622.225.918.817.613.811.6n mediul ruralIn rural areas43.046.347.844.742.438.027.3Rata srciei extreme (%)Extreme poverty rate (%)11.312.513.811.410.98.65.9Incidena sifilis (cazuri noi/100.000 locuitori)Incidence for syphilis (new cases/100,000 inhabitants)TotalTotal31.810.119.823.235.032.234.234.536.945.25658.344.6Incidena prin tuberculoz (cazuri noi/100.000 locuitori)Incidence for TB (new cases/100,000 inhabitants)TotalTotal137.754.558.364.69598.698.3101.2104.1105.5115.4121.9116.2Incidena prin gonoree (cazuri noi/100.000 locuitori)Incidence for ghonorea (new cases/100,000 inhabitants)TotalTotal131.491.135.733.524.719.817.917.317.621.920.217.511.6

&CRomania statistical data&C&D

Grafice

Grafice23206231852278822755227302268022607225452250222458224352240821794217332167321623

YearPopulation (thousands)

Sheet113.610.6311.910.9111.411.6-0.21111.6-0.610.911.7-0.810.412-1.610.212.7-2.510.512.4-1.910.512-1.510.411.8-1.410.511.4-0.99.811.6-1.89.712.4-2.79.812.3-2.51011.9-1.910.212.1-1.9

Birth rateGeneral mortality rateNatural increaseYearPopulation (thousands)

1.71.480.220.830.580.260.660.410.250.60.380.220.530.340.190.60.380.220.480.250.230.410.220.190.410.210.20.40.180.220.420.190.230.330.160.170.340.170.170.220.090.130.30.130.170.240.120.120.170.070.1

TotalAbortion relatedObstetrical riskYearPopulation (thousands)

19891990199119921993199419951996199719981999200020012002200320042005Modern contraceptive prevalence rate13.929.538.2Total abortion rate3.42.20.8Maternal mortality rate due to abortion148584138343825222118191617913127Maternal mortality rate170.0083.0066.0060.0053.0060.0048.0041.0041.0040.0042.0033.0034.0022.0030.0024.0017.00Abortion on request rate14.83163.59139.98111.4191.6981.2276.0768.0947.8035.5234.1533.7734.0532.2929.7123.2419.25Maternal mortality rate due to abortion1485841383438252221181916179131271.700.830.660.600.530.600.480.410.410.400.420.330.340.220.30.240.17

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1. Curs Introductiv - Sănătatea Reproducerii; Amplitudinea Globală a Problemei

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