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Samarinà E.A.
Federal Research Institute for Health Organization and Informatics, Moscow
Contacts: Elena A. Samarina, e-mail:
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Abstract.
The purpose of the study was to estimate value of setting up an
office for prenatal diagnostics for early detection of fetal congenital
defects. To accomplish this purpose the author analyzed statistical
reports of the Maternity hospital #32 (subdivision of the Women’s clinic
#7 in Moscow). Statistical analysis was based on data for 2010-2013.
Results. Analysis of data on implemented activities aimed at
prenatal diagnostics of developmental disorders showed that setting up
an office for prenatal diagnostics resulted in improved indicators of
the service, however the full potential is yet to be explored. In
particular:
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quality control over training of ultrasound diagnostics specialists on prenatal screening is not specified;
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there should be a district non-staff specialist to supervise performance of the office at the District level;
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it is necessary to organize genetic consultations at the same place
where the office for prenatal diagnostics is based to timely decide on
further pregnancy management in case of detected defects;
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organization of prenatal diagnostics in the District needs further
development on the base of experience of other regions and introduction
of new organizational forms of work.
Key words: prenatal diagnostics; prevention; congenital defects.
References
-
Guseva E.V., Aleksandrova G.A., Son I.M., Leonov S.A., Ogryzko E.V.,
Sukhanova L.P., et al. Osnovnye pokazateli zdorov'ya materi i rebenka,
deyatel'nost' sluzhby okhrany detstva i rodovspomozheniya v Rossiyskoy
Federatsii [The key indicators of maternal and child health; activity of
child protection service and obstetric care in the Russian Federation].
Moscow: RIO TsNIIOIZ; 2012. 196 p. (In Russian).
-
Zakorkina N.A., Leonov S.A., Sukhanova L.P., Banyushevich I.A.
Mediko-sotsial'nye problemy formirovaniya reproduktivnogo potentsiala
naseleniya Rossiyskoy Federatsii za period 2001-2012 gg [Health and
social problems in formation of reproductive potential of the Russian
Federation population for 2001-2012]. Moscow, Omsk: Izd-vo OmGPU; 2012.
210 p. (In Russian).
-
Kuznetsova T.V., Vakharlovskiy V.G., Baranov V.S. Prenatal'naya
diagnostika v akusherstve: sovremennoe sostoyanie, metody, perspektivy.
Metodicheskoe posobie [Prenatal diagnosis in midwifery: current state,
methods, and future. Manual]. St. Petersburg: Izdatel'stvo N-L; 2002; 60
p. (In Russian).
-
O sovershenstvovanii organizatsii prenatal'noy diagnostiki vrozhdennoy i
nasledstvennoy patologii [On improving the organization of prenatal
diagnosis in congenital and hereditary pathology]. Prikaz Departamenta
zdravookhraneniya goroda Moskvy ot 04.04.2005 goda ¹144. [Online] [cited
2015 Apr 04]. Available from: http://www.lawmix.ru/moscow-prof/94453 (In Russian).
-
O sovershenstvovanii prenatal'noy diagnostiki v profilaktike
nasledstvennykh i vrozhdennykh zabolevaniy u detey [On improving
prenatal diagnosis in prevention of hereditary and congenital diseases
in children]. Prikaz Ministerstva zdravookhraneniya RF ot 28.12.2000 g.
¹457. [Online] [cited 2015 Apr 04]. Available from: http://bono-esse.ru/blizzard/Socpom/P457MZSR.html (In Russian).
-
Prenatal'naya diagnostika nasledstvennykh i vrozhdennykh bolezney. 2-e
izd. [Prenatal diagnosis of hereditary and congenital diseases. 2-nd
ed.]. E.K. Aylamazyan, V.S. Baranov, editors. Moscow: MED Press-inform;
2007. 416 p. (In Russian).
-
Poryadok okazaniya meditsinskoy pomoshchi po profilyu «akusherstvo i
ginekologiya» (za isklyucheniem ispol'zovaniya vspomogatel'nykh
reproduktivnykh tekhnologiy) [The procedure for providing medical care
on the profile of “Obstetrics and gynecology” (except for implementation
of auxiliary reproductive technologies)]. Prikaz Ministerstva
Zdravookhraneniya Rossiyskoy Federatsii ot 01.11.2012 goda ¹572n.
[Online] [cited 2015 Apr 04]. Available from: http://www.rg.ru/pril/77/23/24/27960_pril.pdf (In Russian).
-
Starodubov V.I., Sukhanova L.P. Reproduktivnye problemy v
demograficheskom razvitii Rossii [Reproductive problems in demographic
development of Russia]. Moscow: ID «Menedzher zdravookhraneniya»; 2012.
320 p. (In Russian).
-
Chitty L.S.,Hunt G.H.,Moore J. Effectiveness of routine ultrasonography
in detecting fetal structural abnormalities in low risk population. BMJ 1998; 303 (6811): 1165-1169.
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