Ayubova T.K.
All-Russian Research Institute of Railway Hygiene, Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow

Contacts: Tatyana K. Ayubova, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract.

Significance. Maternal and perinatal mortality is one of the main indicators characterizing the state of the obstetric service. Maternal and perinatal mortality most fully determines the level of social and economic well-being of the society, as well as reproductive and demographic process of renewal and maintenance of the labor force. An important challenge that health officials face is identification of risk factors for maternal and perinatal pathology, and their elimination. Therefore, prevention and treatment of diseases in pregnant women with the age risk factor is particularly relevant.

The purpose of the study was to substantiate introduction to the health care practice of a new system of pregnant health improvement in health resorts on the basis of the heath analysis of pregnant with the age risk factor.

Results. The study included 760 pregnant aged 15-45 years. Incomplete pregnancy, anemia (from 10.0 – 60.0%, gestational toxicosis up to 29.0 – 76.0%), poor uterine construction strength, damaged canalis parturientis are common complications in young primiparas. Maternal and perinatal mortality is also high in this group of pregnant women.

Uncomplicated pregnancy was registered in only 49.3% of cases. Timely maternity training of pregnant women with the age risk factor, balanced diet and proper day regimen can result in a significant decrease in the number of anaemia, preterm delivery, gestational toxicosis and small-for-date newborns.

To assess efficiency of the suggested perinatal care delivery at a health resort all pregnant women were divided into the following two groups: index group (pregnant women that received perinatal care and treatment at a health resort – 410) and control group (women that received their prenatal care at a Women’s consultation clinic and were treated at the Pregnancy pathology ward - 350).

Primipregnancy and first delivery in women over 35 years added up to 22% of all parturient women. This age is also characterized by psychoemotional tension. During the third trimester of pregnancy activation of these systems with dominated hormone levels and increased function of the adrenal cortex were registered.

Prenatal care delivery at a health resort combined with medical and social and psychological rehabilitation resulted in the decreased number of complications in the third trimester of pregnancy in 36.4% of women (gestational toxicosis, preterm delivery, etc.), pregnancy prolongation was registered in 95.35% of women over 35 years. In 94.4% of young women the number of complications in labor decreased; the number of operative delivery dropped 1.4 fold.

Conclusion. The suggested organization of the obstetric services in a health resort helped to ensure in-depth examination of pregnant women and implement treatment and preventive measures aimed at decreasing maternal and perinatal pathologies.

Keywords: pregnant; sanatorium therapy; risk factor; health resort

References

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