Abstract
The article presents an assessment of the quality of emergency obstetric care in Almaty based on an analysis of trends in perinatal losses and the incidence of severe obstetric complications over the past five years. The findings demonstrate that the reduction in critical maternal conditions is largely determined by the quality of preconception counseling and antenatal surveillance, timely identification of extragenital diseases, and the prevention of pregnancy when absolute contraindications are present at the level of primary health care. Compliance with a unified, multidisciplinary, and consensus-based clinical algorithm is essential for improving the effectiveness of emergency care. A significant contribution to better maternal outcomes is made by systematic training of healthcare providers in emergency response skills, including the use of simulation-based technologies, which enhances staff readiness to act promptly in critical situations. Ensuring the stability of vital functions in intensive care settings, conducting a thorough analysis of risk factors, and implementing targeted preventive interventions are considered key strategies for reducing maternal mortality and preventing severe complications among women of reproductive age.