Vdovychenko S. Prophylaxis of obstetric and perinatal pathology when using the family focused technologies during pregnancy and labors.

Dissertation work is devoted to depression of frequency obstetric that perinatal pathology on the basis of use of the family focused technologies during pregnancy and labors. For the first time in Ukraine medico-social aspects of partner labors taking into account results of questioning not only women and their husbands, but also doctors the obstetrician-gynecologists with various experience of a professional work are studied. Positive influence of the family focused technologies on functional condition of vegetative nervous system that the psychological status of women is shown during pregnancy that promotes normalization of functional condition of fetoplacental complex, and more expressed in 32-36 weeks of pregnancy. The interrelation between clinical, functional, psychological, ekhografical, dopplerometrical, endocrinologic, biochemical and microbiological changes when using the family focused technologies and the standard conducting pregnancy and labors is established. The received results allowed to dilate available data on pathogenesis of placental dysfunction, a fetus arrest of development that hypogalactias. The received results allowed to prove scientifically need of improvement of the treatment-and-prophylactic actions referred on depression of frequency of obstetric and perinatal pathology, and also on level of use of "aggressive" methods of conducting pregnancy and labors on the basis of use of the family focused technologies. Comparative aspects of clinical-anamnestic data, medico-social aspects, the clinical course of pregnancy, labors, the puerperal period, a condition of newborns are established when using the standard tactics of maintaining and at family focused technologies during pregnancy and labors. Criteria of including and an exception of use of the family focused technologies at women and their husbands taking into account the genesial anamnesis, and also existence of accompanying genital and extragenital pathology are presented. Comparative aspects of influence of tactics of conducting pregnancy and labors on the psychoemotional status of women, functional features of fetoplacental complex from lactemia becoming are presented. The algorithm of the treatment-and-prophylactic actions referred on depression of frequency is developed and introduced obstetric and perinatal complications on the basis of use of the family focused technologies during pregnancy and labors, since stage of female consultation and finishing an obstetric hospital.