[2000 - 2020年俄罗斯联邦围产期服务运行的规范与组织支持分析综述]

[The analytical review of normative and organizational support of functioning of perinatal service in The Russian Federation in 2000-2020].

作者信息

Sharapova O V, Mingazova E N, Nesterov A S, Gerasimova L I, Petrova I A, Shigabutdinova T N

机构信息

The State Budget Institution of Health Care "The V. V. Vinogradov Municipal Clinical Hospital of the Moscow Health Care Department", 117292, Moscow, Russia.

The Federal State Budget Scientific Institution "The N. A. Semashko National Research Institute of Public Health" of the Minobrnauka of Russia, 105064, Moscow, Russia,

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2021 Jul;29(4):885-891. doi: 10.32687/0869-866X-2021-29-4-885-891.

DOI:10.32687/0869-866X-2021-29-4-885-891

PMID:34486853

Abstract

The formation of code of normative legal documents ensuring activities of perinatal service is one of the most important, basic organizational technologies that determine activities of obstetrics and childhood services, contributing to increasing of natality, decreasing of maternal and infant morbidity, and maternal and childhood health care in general. The article presents analysis of formation of normative legal base that regulates functioning of perinatal service in the Russian Federation in 2000-2020. Actually, there is no objective prerequisites for fundamental alterations in the three-level system of medical care of women during pregnancy, labor, postpartum period and newborns. However, the regulatory adjustment of the system, improvement and refinement of models of profile patients' routing, development of medical care of pregnant women, parturient women and puerpera will proceed.

摘要

确保围产期服务活动的规范性法律文件法典的形成，是决定产科和儿童服务活动的最重要、最基本的组织技术之一，有助于提高出生率、降低母婴发病率以及总体上改善母婴保健。本文对2000年至2020年俄罗斯联邦规范围产期服务运作的规范性法律基础的形成进行了分析。实际上，在孕期、分娩期、产后期妇女以及新生儿的三级医疗保健体系中，不存在进行根本性变革的客观前提条件。然而，该体系的规范性调整、专科患者转诊模式的改进和完善、孕妇、产妇和产褥期妇女医疗保健的发展仍将继续。