SUMMARY
Objective. To assess the frequency and nosological causes of initial visits by women of reproductive age to obstetricians and gynecologists, using the Guba–Khachmaz economic region as an example. Materials and methods. The study was based on a database of initial visits to obstetricians and gynecologists in the Guba–Khachmaz economic region in 2024. The visits were classified into four age groups (15–19, 20–29, 30–39, and 40–49 years) and according to the patients’ district of residence. The reasons for consultation were grouped according to the three-character ICD-10 categories and their corresponding disease classes. Statistical analysis of the collected data was performed using methods appropriate for qualitative variables. The total number of visits per 1,000 women of reproductive age, as well as the frequency of causes of consultation according to individual three-character ICD-10 categories, was calculated. Results. The frequency of initial visits among women of reproductive age was relatively high in Guba district and relatively low in Siyazan district. Comparison of the administrative districts according to this indicator demonstrated statistically significant differences between Guba and all other districts (P<0.05), whereas the comparison between Shabran and Siyazan did not reveal a statistically significant difference. The age-related pattern of initial visits was similar and statistically significant. The rate was low among women aged 15–19 years, which may be attributed to the lower demand for reproductive health services in this age group. In the subsequent age groups, the frequency of visits increased markedly in parallel with the increasing need for such services. Conclusion. The frequency of visits to obstetricians and gynecologists among women of reproductive age in the Guba–Khachmaz region ranges from 346.8±5.2 to 391.8±2.7‰ and differs significantly between the administrative districts of the region, being relatively higher in Guba and lower in Siyazan. The frequency of initial visits to obstetricians and gynecologists increases with age, and the accuracy of the regression model describing this trend approaches 100% (R²=1.0). The most common reasons for initial visits include conditions related to pregnancy, childbirth and the puerperium (O00–O99), supervision and monitoring of normal pregnancy, and non-inflammatory and inflammatory diseases of the female genital tract. Among visits related to pregnancy, childbirth and the puerperium, the largest proportion is attributable to complications of the puerperium, maternal disorders predominantly related to pregnancy, issues related to delivery, conditions affecting the fetus and the amniotic cavity, and complications encountered during delivery.
Keywords: reproductive age, visits to an obstetrician-gynecologist, region

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