S.F. Torubarov
Maternity hospital #17, Healthcare Department, Moscow

Summary. Background. Reproductive health incorporates harmony and balance of sexual, physical, psycho-sexual development and physical and mental health. In Russia the number of women able to give birth decreases by 20% every five years.

Nowadays, due to high rates of extragenital and gynaecologic morbidity and early reproductive losses almost every pregnant woman requires special attention and should receive a comprehensive examination often with participation of specialists from related consultative and diagnostic centers to reduce incidence of complicated pregnancies and maternal and perinatal deaths.

The mentioned above inevitably results in complications like premature birth and related reproductive losses.

Premature birth accounts for almost half of all neonatal deaths in the world. According to the expert report of the World Health Organization, annually about 15 million babies are born prematurely (every one out of 10 newborns), and 12.5 million (84%) - at 32-37 weeks of gestation. Furthermore, over one million die shortly after birth; the majority of children suffer from physical, neurological, and cognitive disorders.

Analysis of reproductive health of women, children and adolescents shows a highly increased gynaecological morbidity in childhood and adolescence. From 2001 to 2007 the number of menstrual disorders in adolescent girls increased by 3.5 times; in adults - by 2.0 times; the number of acute inflammatory diseases in adolescent girls increased by 5.4 times and by 1.3 times in adults. In this context analysis and prediction of the modern female reproductive health is an important issue.

The aim of the study was to project reproductive potential of women based on their medical and social profile and health status, as well as to identify any statistical relationships between age, gynecological morbidity and reproductive potential of women receiving specialized care within the network of the Federal Medical-Biological Agency of Russia.

Results. Analysis and reproductive health predictions were based on the comprehensive study of medical and social profile of women who receive care within the Federal Medical-Biological Agency network in Russia.

The identified statistical relationships will help to develop comprehensive measures to prevent gynaecological morbidity and increase reproductive potential of women.

Keywords: extragenital pathology; reproductive losses; prediction; reproductive potential.

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