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The Analysis of Actual Approaches in Evaluating Efficiency of Medical Care of Female Patients with Habitual Miscarriage
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01.07.2018 |
Vartanian E.
Gridnev O.
Belostotsky A.
Pesennikova E.
Gadaborshev M.
Kuchitz S.
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Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny |
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Ссылка
The prevalence of habitual miscarriage varies depending on territories of the Russian Federation and other countries. The rate of premature delivery in the Moscow Zelenograd administrative okrug in 2013-2015 in average made up to 4.5%-4.7%. The percentage of habitual miscarriage made up to 3.6% that is a rather low indicator as compared with other Moscow okrugs and national average indices. The article considers three-level model of evaluation of medical, economic and social efficiency of obstetric gynecologic care support of population at the out-patient stage.
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Ways to standardise of fetometry in Russia: Intergrowth-21<sup>st</sup> project and its implementation
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01.01.2018 |
Kholin A.
Gus A.
Khodzhaeva Z.
Baev O.
Ryumina I.
Villar J.
Kennedy S.
Papageorghiou A.
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Akusherstvo i Ginekologiya (Russian Federation) |
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© 2018, Bionika Media Ltd. All rights reserved. The implementation of the INTERGROWTH-21st fetal growth and newborn size for gestation age standards into clinical practice in Russia were discussed and debated. The INTERGROWTH-21st Project was implemented in more than eight countries from 2009 to 2018. All study protocols and primary findings are available online (intergrowth21. org). Briefly, eight diverse urban populations living in demarcated geographical areas were selected where: environments were free from major known pollutants; altitude was less than 1600 m; most women accessed antenatal and delivery care in institutions; mean birth weight was greater than 3100 g; rates of low birth weight (< 2500 g) were less than 10%, and perinatal mortality was less than 20 per 1000 births. The INTERGROWTH-21st study comes as a high-quality response to the common dilemma of lack of standardization in fetal growth assessment. Its use should be encouraged among Russian specialists in maternal-fetal medicine, obstetricians and radiologists.
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