DOI: 10.21045/2071-5021-2017-58-6-7
Artyukhov I.P., Kapitonov V.F., Shurova O.A., Pavlov A.V.
Krasnoyarsk State Medical University named after Professor V.F.
Vojno-Yasenetsky, Ministry of Healthcare of the Russian Federation,
Krasnoyarsk
Contacts: Kapitonov Vladimir, e-mail:
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Information about authors:
Artyukhov I.P., http://orcid.org/0000-0002-5939-6017
Kapitonov V.F., http://orcid.org/0000-0001-9212-3910
Shurova O.A., http://orcid.org/0000-0002-6511-8451
Pavlov A.V., http://orcid.org/0000-0002-6170-6504
Acknowledgments. The study had no sponsorship.
Conflicts of interests. The authors declare no conflict of interest.
Abstract
Significance. Impact of family planning, especially,
the birth of a firstborn, on the status of reproductive health of
pregnant women and neonates remains underexplored.
Purpose: to study relationship between family planning, rates of family making and reproductive health of pregnant women.
Materials and methods. Primary data were collected
through a survey of parturient women in Krasnoyarsk. Data were
complemented by information from medical documentation (medical record
of the pregnant woman and the puerpera - Form No. 111/y). Morbidity in
pregnant women was analyzed on the basis of International Classification
of Diseases, Tenth Revision (ICD-10). The received information was
analyzed using absolute and relative values, correlation coefficients.
Significance of differences in the relative indicators was assessed by
the criterion t.
Results. Considering the purpose of the study,
which implies division of the respondents into age groups and parity of
births, we interviewed 1236 women in Krasnoyarsk, whose pregnancy ended
in childbirth. For the analysis, the respondents were divided into six
age groups: 15-19 years; 20-24 years; 25-29 years; 30-34 years; 35-39
years; and 40 years and over. The analysis showed that, in general,
uncomplicated pregnancy was reported by 317 (25.6%) women; prevalence of
diseases and pathological conditions prior to or during pregnancy added
up to 1563.1 ± 26.7‰, increasing with age.
Differences in the duration of pathogenetic and intergenetic intervals by age groups were identified.
Discussion. Analysis of the health status of
women with a ten-year pathogenetic interval or over showed that
uncomplicated pregnancy was registered in only 12.5% of cases, while
there was not a single case of uncomplicated pregnancy registered in
women with a 20 year interval or over. Prevalence of diseases and
pathological conditions prior to or during pregnancy was 1.4 and 1.9
times higher than the whole sampling (2179.3‰ and 2963.9‰ vs 1563.1 ±
26.7‰ respectively; p < 0.01).
Conclusion. Thus, the study identified the following:
age-specific total fertility rates changed; there are two models of
family making: the accelerated model and the delayed one; duration of
the protogenetic interval has a significant impact on the course of
pregnancy and prevalence of diseases and pathological conditions prior
to or during pregnancy.
Keywords: family planning; protogenetic and intergenetic intervals; health of pregnant women.
References:
-
Boeva A.V., Leshchenko Ya.A. Kharakteristika brachno-semeynykh i
reproduktivnykh orientatsiy naseleniya [Characteristics of family -
marriage and reproductive orientations of the population]. Byulleten' Vostochno-Sibirskogo nauchnogo tsentra SO RAMN 2011; (3): 70–75. (In Russian).
- Galina T.V., Mitkovskaya E.V., Oparin I.S. Abort kak metod
regulirovaniya rozhdaemosti [Abortion as a method of birthrate control].
Obshchestvennoe zdorov'e i zdravookhranenie 2012; (2): 7-9. (In Russian).
- Davidyan O.V., Davidyan K.V. Planirovanie sem'i i okhrana
reproduktivnogo zdorov'ya [Family planning and reproductive health
protection]. Molodoy uchenyy 2011; (1): 256-257. (In Russian).
- Danishevskiy K.D. Reproduktivnoe zdorov'e: global'nye tseli
razvitiya i ekonomicheskiy potentsial Rossii [Reproductive health:
global development goals and economic potential of Russia]. Ekonomika zdravookhraneniya 2010; (9-10): 17-26. (In Russian).
- Dikke G.B. Sovremennye strategii reproduktivnogo vybora – mirovoy i
otechestvennyy opyt [Modern strategies for reproductive behavior choice
– international and domestic experience]. Akusherstvo i ginekologiya 2015; (3): 5-10. (In Russian).
- Kapitonov V.F., Zagovor R.N., Kapitonov F.V. Reproduktivnoe
povedenie sel'skikh semey – reaktsiya naseleniya na
sotsial'no-ekonomicheskie preobrazovaniya v sel'skom khozyaystve
[Reproductive behavior of rural families as the population’s response to
socio-economic transformation in agriculture]. V mire nauchnykh otkrytiy 2011; (4): 338-345. (In Russian).
- Maksimova T.M., Belov V.B., Lushkina N.P., Nikitina S.Yu., Redina
M.A. Problema abortov i puti sovershenstvovaniya analiza reproduktivnogo
povedeniya zhenshchin [The problem of abortion and ways to improve the
research of women’s reproductive behavior]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2012; (4): 13-17. (In Russian).
- Malyshkina A.I., Kuligina M.V., Vasil'eva T.P. Profilaktika
narusheniy reproduktivnoy funktsii molodoy sem'i [Prevention of
reproductive function disorders in a young family]. Akusherstvo i ginekologiya 2013; (3): 94-97. (In Russian).
- Osipova N.A., Zazerskaya I.E. Problemy planirovaniya sem'i posle rodov [Problems of family planning after childbirth]. Ginekologiya 2013; (5): 70-75. (In Russian).
- Polunina N.V. Sostoyanie zdorov'ya detey v sovremennoy Rossii i
puti ego uluchsheniya [The health status of children in modern Russia
and ways of its improvement]. Vestnik Roszdravnadzora 2013; (5): 17-24. (In Russian).
- Rimashevskaya N.M. Riski bednosti v sovremennoy Rossii. [Risks of poverty in modern Russia]. Narodonaselenie 2010; (2): 4-9. (In Russian).
- Saidova R.A., Vorob'eva E.V., Monastyrnaya O.A. Znachenie otsenki
reproduktivnoy sistemy v lechenii besplodiya u zhenshchin pozdnego
reproduktivnogo vozrasta [The importance of reproductive system
examination for treatment of the infertility in women of late
reproductive age]. Ginekologiya 2012; (2): 69-74. (In Russian).
- Starodubov V.I., Suhanova L.P. Reproduktivnye problemy demograficheskogo razvitiya Rossii [Reproductive
problems of demographic development of Russia]. Moscow: ID «Menedzher
zdravookhraneniya»; 2012. 320p. (In Russian).
- Sukhikh G.T., Shuvalova M.P., Frolova O.G., Ratushnyak S.S.,
Grebennik T.K., Ryabinkina, et al. Gosudarstvennaya politika v oblasti
okhrany zdorov'ya materi i rebenka – dolgosrochnye perspektivy razvitiya
[The state policy in maternity and child health protection as a
long-term development targets]. Akusherstvo i ginekologiya 2013; (5): 4-9. (In Russian).
- Ushakova G.A., Nikolaeva L.B. Reproduktivnoe zdorov'e i
reproduktivnoe povedenie zhenshchin [Reproductive health and
reproductive behavior of women]. Zdravookhranenie Rossiyskoy Federatsii 2010; (4): 14-17. (In Russian).
- Yadov V.A. Sotsiologicheskoe issledovanie: metodologiya, programma,
metody [Sociological research: methodology, program, methods]. Samara:
Ural. kn. izd-vo; 1995. 331p. (In Russian)
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