About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣3 2011 (19) arrow Novel organization schemes in maternity care: population-based pre-gestation training
Novel organization schemes in maternity care: population-based pre-gestation training Print
Friday, 30 September 2011

Summary. This study summarized 2001-9 periodĺs certain experiences of Samara Region in primary-stage-prevention of pre-natal pathologic developments in the fetus. Some organizational and technological constituents of operation of units for disease prevention in municipal medical establishments in this Region were selected for the analysis of the situation with pre-gestation training. Evaluation of efficiency of operation of such units was performed along a unique measure, that was the rate of healthy born offspring. Two groups were created: the group of parturient women who had received pre-gestational training and the control group of non-receivers.

Parameter and none-parameter statistical techniques were implemented for statistical analysis.

Pre-gestational training for future expectant mothers/parturient women including peri-conception disease-development-prevention measures has been introduced in healthcare services as quite a novel facility derived from units for disease prevention within gynecological clinic. This innovation has become true with arranging coordination of physicians of different specialties within the general algorithm of consultation service. Logistics for patients supply, as well standardized protocol of pre-gestation training of future expectant mothers/parturient women were also necessary elaborations.

All-embracing verification of operation of establishments of primary medical sanitary care, listening to projects-in-question at medical boards of medical establishments, as well as at governing boards for public health (from Municipal to Regional level), adoption of relevant resolutions implying dynamic control for them were all necessary for the creation and continuous improvement of these new medical services (i.e. consultation and pre-gestational training of future expectant mothers/parturient women).

This study demonstrated that pre-gestational training decreased the risks of developing in-born malformation and other deviations in health condition of future newborns.

Decreased rate of newborns with folate-dependent inborn malformations, with nerve tube defects, an-encephalia, encephalocele, spinal cord hernias, as well as with prominent iodine deficiency was noted in birth outcomes with parturient women who had received pre-gestation training. 62.7% of parturient women producing healthy offspring had received pre-gestation training, while among those producing diseased offspring it was only 12.3% (χ2=12.4; ­=0.026).

Cost-efficiency estimates demonstrated that pre-gestation training saved 7,000 rubles per each pregnant woman.

Key words. Pre-gestation training, units for disease-prevention, inborn malformations, morbidity in newborns.

References

  1. Baranov A.A. Smertnost detskogo naseleniya Rossii [Mortality in children population in Russia]. M.: Litterra; 2007. 328 p.
  2. Volodin N.N. Perinatologiya. Istoricheskiye vekhi, perspektivy razvitiya [Peri-natal science. Historic landmarks, prospects of development]. Voprosy prakticheskoy pediatrii 2006;1(3):5-24.
  3. Dedov I.I., Melnichenko G.A., Troshina Ye.A. Defitsit yoda - ugroza zdorovyu i razvitiyu detey Rossii. Puti resheniya problemy (Natsionalnyy doklad) [Iodine deficit as a menace to health state and health formation in children of Russia (National Report)]. M.: OAO NTC; 2006. P. 1-32.
  4. Dovbysh V.N., Emelyanov V.K. Gosudarstvennyy doklad o sostoyanii okruzhayushchey prirodnoy sredy Samarskoy oblasti v 2004 godu [State report on environmental ambience in Samara Region in 2004]. 2005. ╣ 15. P. 12-44.
  5. Zhuchenko L.A., Letunovskaya A.B., Demiedova N.S. Chastota i dinamika vrozhdennykh porokov razvitiya u detey v Moskovskoy oblasti, po dannym registra vrozhdennykh porokov razvitiya za period 200-2005 gg. [Incidence of in-born malformations in children and their changes with time in Moscow Region in the registry of in-born malformations in 2000-2005]. Rossiyskiy vestnik perinatologii i pediatrii 2008;53(2):30-38.
  6. Kodentsova V.M., Vrzhesinskaya O.A. Vitaminy v pitanii beremennykh [Vitamins in nutrition of pregnant women]. Ginekologiya 2002;4(4):11-8.
  7. Lineva O.I., Zurkan S.V., Spiridonova N.V. Faktory riska razvitiya ekopatologii reproduktivnoy sistemy, mery profilaktiki [Risk factors for developing of ecopathology of reproductive system]. Proceedings of International Congress. Volgograd; 2004. P. 34-35.
  8. Miterev Yu.G., Voronin L.N. Lechenie i profilaktika zhelezodefitsitnykh anemiy [Prevention and treatment of iron-deficiency anemia]. Klinicheskaya meditsina 1989;(8):109-114.
  9. Novikov P.V. Perikontseptsionnaya profilaktika vrozhdennykh i nasledstvennykh zabolevaniy u detey [Periconceptional prophylaxis for in-born and hereditary diseases in children]. Vestnik pediatricheskoy farmakologii i nutritsiologii 2008;5(4):8-15.
  10. Pasman N.M., Dudareva A.V., Dyomina S.G., Semyonova N.V., Bukhanovskaya Yi.R. Opyt primeneniya polivitaminnogo kompleksa "Elevit Pronatal" v predgravidarnoy podgo tovke i vo vremya beremennosti s tselyu profilaktiki gestatsionnykh oslozhneniy pri giperandrogennykh sostoyaniyakh [Our experience of administering multivitamin supplementation ôElevit Pronatalö during pre-gestation preparation and during pregnancy for the prevention of gestation complications in hyper-androgenic subjects]. Ginekologiya 2005;7(1):2-5
  11. Ranniye sroki beremennosti. Uchebnik [Early stages of pregnancy. Textbook]. V. E. Radzinskiy, A. A. Orazmuradov editors. M.: MIA; 2005. 448 p.
  12. Shekhtman M.M. Zhelezodefitsitnaya anemiya i beremennost [Iron-deficiency anemia and pregnancy]. Ginekologiya 2000;2(6):164-173.
  13. Shilin D.Ye. Profilaktika defitsita yoda u beremennykh, ploda, novorozhdennogo [Prevention of iron-deficiency anemia in a pregnant woman, a fetus, a newborn]. Ginekologiya 2000;2(6):173-176.
  14. Shikh Ye. V. Ratsionalnaya vitaminoterapiya beremennykh [Reasonable vitamin-therapy in pregnant women]. Russkiy meditsinskiy zhurnal 2006;14(1):18-24.
  15. Czeizel A. Periconceptional folic acid containing multivitamin supplementation. Europ. J. of Obstet&Gynecol. and Reprod. Biology 1998;78:151-161.
  16. Oakley G.P.Jr. Balancing benefits and harms in public health prevention programmers by government. BMJ, 2004;329(7456):41-43.

Views: 13981

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Thursday, 13 October 2011 )
< Prev   Next >
home contact search contact search