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[Rational tactics in the management of pregnancy and labor to prevent perinatal morbidity and mortality]

Vestnik Akademii Meditsinskikh Nauk SSSR
|January 1, 1990
PubMed

Insights

Implementing scientifically based diagnostic screening programs can lower perinatal mortality and morbidity. These programs track fetal growth and detect complications early for better pregnancy outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Public Health

Background:

  • Perinatal morbidity and mortality remain significant global health challenges.
  • Effective screening and diagnostic strategies are crucial for improving pregnancy outcomes.
  • Regional variations in population characteristics and disease patterns necessitate tailored approaches.

Purpose of the Study:

  • To evaluate the impact of extended, scientifically based diagnostic screening programs on perinatal health.
  • To determine the role of sequential gestational phase monitoring and early complication detection.
  • To establish criteria for pregnancy management, including prolongation, intensive therapy, and delivery timing.

Main Methods:

  • Cooperative multicenter research involving extended diagnostic screening programs.
  • Sequential follow-up of gestational phases and early detection of potential complications.
  • Analysis based on population characteristics, fetal/neonatal growth, and regional perinatal disease incidence.

Main Results:

  • Extended diagnostic screening programs significantly reduce perinatal morbidity and mortality.
  • Population-specific and region-specific data are essential for program design and effectiveness.
  • Comprehensive diagnostic testing provides critical information for managing intrauterine growth disturbances.

Conclusions:

  • Scientifically based, regionalized diagnostic screening programs are effective in reducing adverse perinatal outcomes.
  • Tailoring programs to local population characteristics and disease patterns enhances their efficacy.
  • Diagnostic tools aid in determining criteria for pregnancy prolongation, intensive care, and optimal delivery timing.

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