Sergeyko I.V.
“Derais, Ltd.”, SM-Clinic, Moscow

Contacts: Irina Sergeyko, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Among one of the important economic challenges of the modern society, health protection and promotion in the context of negative trends in social and economic development and dangerous environmental pollution is one of the most complex and urgent issues. Objective indicator of medical, social, economic and environmental problems is health status of pregnant women and children of early ages who comprise a high risk group for pathology development due to pregnancy associated changes in responsiveness of women and physiological peculiarities of children: delay in the immune and interferon systems’ development, immaturity of antioxidant system, insufficient tissue immunity.

The study purpose. To analyze reproductive system, gestation and postnatal period in women of fertile age residing in a large industrial city.

Results. The study sample mainly included natives of the city or region – 96.8% and natives of other regions – 3.2%. The overwhelming majority of them were Russian – 89.5%. Analysis of maternal health showed that 26.7% were healthy, while 73.3% had different somatic disorders. Pregnancy complications were registered in 42% cases. Mothers with extragenital pathology constituted a substantial share as well. A high share of newborns with low body weight and macrosomes was also identified.

Conclusions. The conducted clinical and epidemiological study of health of pregnant women in Tula showed that negative trends in prevalence of pregnancy, delivery and postnatal complications and reproductive function continue to increase. Spontaneous abortions and somatic disorders are on the rise as well.

Scope of application. The acquired data can be used by Tula Government to develop regional programs aimed at preventing reproductive disorders in women.

Keywords: reproductive function; program; pregnancy complications; postnatal period.

References

1. Avksent'eva M.V. Prinyatie upravlencheskikh resheniy v zdravookhra¬nenii na osnove kliniko-ekonomicheskogo analiza [Managerial decisions in healthcare on the base of clinical and economical analysis]. Ekonomika zdravookhraneniya 2003. (2):44-48. (In Russian)
2. Akopyan A.S., Dergisova R.G., Shilenko Yu.V. Upravlenie ekonomikoy mediko-proizvodstvennogo kompleksà [Economic management of medical and production complex]. Ekonomika zdravookhraneniya 2002. (7):9-13. (In Russian)
3. Vasil'ev V.E. Puti sovershenstvovaniya mediko-sotsial'noy pomoshchi zhenshchinam i detyam pri ugroze nevynashivaniya [Ways to improve health and social care to women and babies with the threat of miscarriage]. Cand. Med. Sci. [thesis] St. Petersburg; 1994. 17 p. (In Russian)
4. Denisov V.I. Kachestvo zhizni: sushchnost', otsenka, strategiya formirovaniya [Life quality: essence, assessment, and the strategy of formation]. Moscow: ID «VNII tekhnicheskoy estetiki»; 2000. 124 p. (In Russain)
5. Mikhalyuk N.S. Dinamika sotsial'nykh i biologicheskikh faktorov, vozdeystvuyushchikh na detey [Dynamics of social and biological factors affecting children]. Zdravookhranenie Rossiyskoy Federatsii 2004; (6): 44-45.(In Russian)
6. Savel'eva G.M., Sichinava L.G., Shalina R.M., Klimenko P.A., Panina OB., Trofimova O.A. Uluchshenie perinatal'nykh iskhodov – odna iz osnovnykh problem sovremennogo akusherstva [Improvement of perinatal outcomes is one of the basic problems of contemporary obstetric care]. Rossiyskiy vestnik akushera-ginekologa 2008; (6): 56-60. (In Russian)
7. Tatarova N.A, Linde V.A., Grishanina O.I. Immunologicheskie aspekty endometriozov (obzor literatury) [Immunological aspects of endometriosis. Literature review]. Problemy reproduktsii 2008; (4): 74-77.(In Russian)
8. Trunchenko N.V., Kiseleva T.V. Iskhody beremennosti i rodov dlya materey i ploda u patsientok s malymi anomaliyami razvitiya serdtsa [Outcomes of pregnancy and childbirth for mothers and fetus in patients with minor heart anomalies]. Sovremennye naukoemkie tekhnologii 2009; (10): 60-71. (In Russian)
9. Fadeeva T.S. Primenenie magniya v klinike nevynashivaniya beremennosti u zhenshchin nedifferentsirovannoy displazii soedinitel'noy tkani [Use of magnesium at miscarriage in women with undifferentiated connective tissue dysplasia]. Vestnik novykh meditsinskikh tekhnologiy 2009; (8): 68-70. (In Russian)

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