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I.V. Sergeyko
“Derais, Ltd.”, SM-Clinic, Moscow
Abstract. Background. Reproductive health includes
harmony and balance of sexual, physical, and phsychosexual development
as well as somatic and mental health. Reproductive disorders affect
health of future generation. Nowadays, the problem of reproductive
health of young women is comprehensive and urgent and much dependable
upon insufficient knowledge and culture of family planning. This is a
consequence of the destroyed system of female health education. The
situation calls for urgent governmental measures aimed at improving
female reproductive health.
The aim of the study was to develop evidence-based
recommendations on improving female reproductive health based on complex
social and hygienic study of women of reproductive age.
Objectives of the study included the following ones: a) to
evaluate obstetric and gynecological characteristics of female
reproductive health; b) to study medical and social peculiarities of
women of fertile age; c) to determine main factors affecting
reproductive health of the cohort and to identify correlation
dependence.
Methods and data. According to the study aim and
objectives the authors used the following methods: sociological –
questioning to study medical and social characteristics of women;
statistical – to collect, process and analyze the obtained information
and identify major regularities; correlation analysis.
Results. The analysis showed that the share of pregnant
women suffering from morning sickness in the midpregnancy increased by
14.3% in 2000-2010; the number of abortions per 100 live and still
births reduced by 64.2%; prevalence of diseases in pregnancy increased
by 96.4%; and the share of easy deliveries increased by 34.4%.
The main factors affecting reproductive health in the cohort are the
following: financial situation, age, number of cigarettes per day,
housing conditions, previous surgical interventions, age at time of
disease detection at women’s clinic.
Practical implication. The study data substantiate the
need to employ all major recourses to stimulate fertility including
apart from financial incentives: improved reproductive health of women
of fertile age, and reduced rates of somatic and gynecological
morbidity.
Keywords: pregnancy; disease detection; female reproductive health; fertile age; improvement of reproductive health.
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