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Main arrow Archive of previous Issues arrow ╣3 2015 (43) arrow WAYS TO REDUCE FETAL CONGENITAL DEFECTS IN THE CENTRAL ADMINISTRATIVE DISTRICT OF MOSCOW
WAYS TO REDUCE FETAL CONGENITAL DEFECTS IN THE CENTRAL ADMINISTRATIVE DISTRICT OF MOSCOW Print
Thursday, 09 July 2015

SamarinÓ E.A.
Federal Research Institute for Health Organization and Informatics, Moscow

Contacts: Elena A. Samarina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

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 Womenĺs 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:

  • quality control over training of ultrasound diagnostics specialists on prenatal screening is not specified;
  • there should be a district non-staff specialist to supervise performance of the office at the District level;
  • 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;
  • 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

  1. 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).
  2. 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).
  3. 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).
  4. 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 ╣144. [Online] [cited 2015 Apr 04]. Available from: http://www.lawmix.ru/moscow-prof/94453 (In Russian).
  5. 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. ╣457. [Online] [cited 2015 Apr 04]. Available from: http://bono-esse.ru/blizzard/Socpom/P457MZSR.html (In Russian).
  6. 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).
  7. Poryadok okazaniya meditsinskoy pomoshchi po profilyu źakusherstvo i ginekologiya╗ (za isklyucheniem ispol'zovaniya vspomogatel'nykh reproduktivnykh tekhnologiy) [The procedure for providing medical care on the profile of ôObstetrics and gynecologyö (except for implementation of auxiliary reproductive technologies)]. Prikaz Ministerstva Zdravookhraneniya Rossiyskoy Federatsii ot 01.11.2012 goda ╣572n. [Online] [cited 2015 Apr 04]. Available from: http://www.rg.ru/pril/77/23/24/27960_pril.pdf (In Russian).
  8. Starodubov V.I., Sukhanova L.P. Reproduktivnye problemy v demograficheskom razvitii Rossii [Reproductive problems in demographic development of Russia]. Moscow: ID źMenedzher zdravookhraneniya╗; 2012. 320 p. (In Russian).
  9. 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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