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

Results of a cooperative multicenter research have shown that extended studies into scientifically based and regionalized diagnostic screening programmes aimed at sequential follow-up of the gestational phases and early detection of complications is a means to reduce perinatal morbidity and mortality. These programmes should be based on the population characteristics of the fetal and neonatal growth as well as on the incidence and pattern of perinatal disease with consideration of the region-specific birth rates. An adequate range of diagnostic tests provides comprehensive information on intrauterine growth disturbances and allows for finding the criteria for pregnancy prolongation, a complex of intensive therapy steps, and modes of elective delivery together with indications for it.