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

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:

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