The role of perinatal protection of a fetus in preservation of the health of the nation
https://doi.org/10.15690/pf.v20i3.2587
Abstract
This review examines the international role of perinatal protection of a fetus in preservation of the health of the nation. Historical perspectives, present-day developments, and future priorities of perinatal medical science are given. The etiology of decompensated placental insufficiency and intrauterine growth restriction is considered. The authors also considered the epidemiology of premature delivery and perinatal outcomes, the problem of development, diagnosis and obstetric management in critical fetal condition is covered in detail. The current review of literature was conducted in order to advance the theoretical knowledge of specialists on modern complex issues of perinatal medicine. The considered practical aspects will contribute to the improvement of interdisciplinary interaction between clinicians of various specialties in the field of perinatal protection of a fetus and, through this, to the preservation of the health of the nation and the multiplication of future generations.
Keywords
About the Authors
Oleg V. ZavyalovRussian Federation
MD.
4 Kolomensky proezd, building 2, Moscow, 115446
Tel.: +7 (499) 782-30-45
Disclosure of interest:
Not declared
Irina V. Ignatko
Russian Federation
MD, PhD, Professor, Corresponding Member of RAS.
Moscow
Disclosure of interest:
Not declared
Aleksander N. Strizhakov
Russian Federation
MD, PhD, Professor, Academician of RAS.
Moscow
eLibrary Author ID: 494594
Disclosure of interest:
Not declared
Igor N. Pasechnik
Russian Federation
MD, PhD, Professor.
Moscow
Disclosure of interest:
Not declared
Madina A. Kardanova
Russian Federation
MD, PhD.
Moscow
Disclosure of interest:
Not declared
References
1. Savelyeva GM. Intranatal care of the fetus. Controversial and unsolved issues. Gynecology, Obstetrics and Perinatology. 2004;3(4):7-11. (In Russ).
2. Baibarina EN, Degtyarev DN. Transition to new rules for baby's birth registration in accordance with the criteria recommended by the world health organization: historical, medico-economic, and organizational aspects. Rossiyskiy Vestnik Perinatologii i Pediatrii = Russian Bulletin of Perinatology and Pediatrics. 2011;56(6):6-9. (In Russ).
3. Baybarina YN, Sorokina ZK. Outcomes of 22-27 weeks of pregnancy in health care institutions of Russian Federation. Voprosy sovremennoi pediatrii — Current Pediatrics. 2011;10(1):17-20. (In Russ).
4. Zav'yalov OV, Ignatko IV, Pasechnik IN, Babaev BD. Pervoe desyatiletie otechestvennoi “perinatal'noi revolyutsii”: istoricheskaya rol' i kliniko-epidemiologicheskie aspekty zabolevaemosti glubokonedonoshennykh novorozhdennykh. Pediatriya Sankt-Peterburga: opyt, innovatsii, dostizheniya. Zdorov'e i obraz zhizni uchashchikhsya v sovremennykh usloviyakh: vzglyad vracha i pedagoga: Collection of materials of the XIV All-Russian Forum and the XIV All-Russian Scientific and Practical Conference. St. Petersburg; 2022. pp. 99-104. (In Russ).
5. Strizhakov AN, Davydov AI, Ignatko IV, et al. High-technological methods of examining the mother and the fetus: healthcare of a future generation. Gynecology, Obstetrics and Perinatology. 2012;11(4):6-12. (In Russ).
6. Ignatko IV, Rodionova AM, Kardanova MA, et al. Neonatal near miss — “almost dead” newborns: criteria of evaluation and value in perinatal audit. Gynecology, Obstetrics and Perinatology. 2017;16(2):40-48. (In Russ). doi: https://doi.org/10.20953/1726-1678-2017-2-40-48
7. Ignatko IV, Kardanova MA, Miryushchenko MM, Baibulatova Shch. Sh. Patogenez, diagnostika, perinatal'nye iskhody pri kriticheskom sostoyanii ploda. V.F. Snegirev Archives of Obstetrics and Gynecology. 2015;2(4):43-44. (In Russ).
8. Strizhakov AN, Belousova VS, Timokhina EV, et al. Perinatal outcomes in premature birth. Gynecology, Obstetrics and Perinatology. 2016;15(4):7-12. (In Russ). doi: https://doi.org/10.20953/1726-1678-2016-4-7-12
9. Volodin NN, Belyaeva IA, Namazova-Baranova LS, et al. Challenges of the present and prospects for introducing the achievements of fundamental sciences into practical neonatology. Pediatria. Journal n.a. G.N. Speransky. 2020;99(1):8-17. (In Russ). doi: https://doi.org/10.24110/0031-403Х-2020-99-1-8-17
10. Volodin NN, Keshishyan ES, Pankratieva LL, et al. Strategies of domestic neonatology: challenges of the present and look into the future. Pediatria. Journal n.a. G.N. Speransky. 2022;101(1):8-20. (In Russ). doi: https://doi.org/10.24110/0031-403X-2022-101-1-8-20
11. Neonatology at a Glance. Lissauer T, Fanaroff AA, Miall L, Fanaroff J, eds. Transl. from English. Ryumina II, ed. Moscow: GEOTAR-Media; 2019. 304 p. (In Russ).
12. Strizhakov AN, Popova NG, Ignatko IV, et al. Predicting injuries of the central nervous system of the foetus in preterm birth. Gynecology, Obstetrics and Perinatology. 2016; 15(2): 31-42. (In Russ). doi: https://doi.org/10.20953/1726-1678-2016-2-31-42
13. Zavyalov O, Pasechnik I, Ignatko I, et al. Intraventricular hemorrhages in children with extremely low body weight: a comprehensive perinatal assessment in a comparative analysis of respiratory therapy tactics in the early neonatal period. Vrach = The Doctor. 2021;32(3):48-55. (In Russ). doi: https://doi.org/10.29296/25877305-2021-03-09
14. Belousova VS, Strizhakov AN, Svitich OA, et al. Premature birth: causes, pathogenesis, and management. Obstetrics and Gynecology. 2020;(2):82-87. (In Russ). doi: https://doi.org/10.18565/aig.2020.2.82-87
15. Shabalov NP, Shmidt AA, Gaivoronskikh DI. Perinatologiya: Textbook for medical students. St. Petersburg: SpetsLit; 2020. 206 p. (In Russ).
16. Yakubova DI, Ignatko IV, Megrabyan AD, et al. Predictability and characteristics of pregnancy course in different phenotypes of fetal growth restriction. Gynecology, Obstetrics and Perinatology. 2022;21(6):35-42. (In Russ). doi: https://doi.org/10.20953/1726-1678-2022-6-35-42
17. Zavyalov O, Pasechnik I, Ignatko I, et al. Pathogenesis of neonatal respiratory distress syndrome from the standpoint of the features of the embryogenesis of the respiratory system. Vrach = The Doctor. 2022;33(1):17-25. (In Russ). doi: https://doi.org/10.29296/25877305-2022-01-03
18. Zavyalov O, Pasechnik I, Ignatko I, et al. Antenatal prevention of fetal respiratory distress syndrome and surfactant therapy in premature infants: evaluating the course of prenatal steroids in determining respiratory support tactics. Vrach = The Doctor. 2022;33(2):12-20. (In Russ). doi: https://doi.org/10.29296/25877305-2022-02-02
Review
For citations:
Zavyalov O.V., Ignatko I.V., Strizhakov A.N., Pasechnik I.N., Kardanova M.A. The role of perinatal protection of a fetus in preservation of the health of the nation. Pediatric pharmacology. 2023;20(3):274-281. (In Russ.) https://doi.org/10.15690/pf.v20i3.2587