Trends of the medical and social characteristics of pregnant women: an experience of regional monitoring for the healthy generation formation

Shmatova, Yulia E. Shmatova; Разварина, Ирина

doi:10.17116/profmed20232602114

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…Количество же разводов колеблется на одном уровне в пределах 4,7-4,0 на 1000 населения (исключение: пандемийный 2020 г. с минимальной за последние 30 лет отметкой 3,9). Согласно опросам населения Вологодской области 12 , регулярно проводимыми ВолНЦ РАН, за последние 22 года доля замужних жительниц региона снизилась на 10 %, а одиноких, напротив, увеличилась на 65 % [35]. Доля же незамужних матерей-участниц когортного мониторинга здоровья детского населения в период 1998-2020 гг., напротив, сократилась в 3,7 раза.…”

Section: материалы и методыunclassified

Inter-cohort analysis of parental risk factors for development of infants

Shmatova¹,

Razvarina²,

Gordievskaya³

2023

Health Risk Analysis

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Children develop rapidly in the first year of life and this period should create a solid ground for their health in future. Diseases of the nervous system, mental and behavioral disorders occupy leading places among causes of childhood disability. Given that, the aim of this study was to search for parental risk factors endangering physical and neuropsychic development of infants. Infants living in Vologda region were selected as a research object. Our informational basis was represented by sample data of the prospective monitoring over children’s health (894 children from five different cohorts born in 1998, 2001, 2004, 2014 and 2020); statistical and sociological data on prevalence of risk factors in Russia and in the region. The information was provided by healthcare workers (obstetrician-gynecologist, neonatologist, and pediatrician) and children’s mothers. The applied methodology included inter- and intra-cohort sociological analysis; calculation of relative risk (RR) to assess a correlation between developmental delay and parental factors. Child development was assessed by a pediatrician using abnormal psychology and adaptation approaches. We analyzed Russian and foreign studies that focused on the same research subject. We calculated relative risks of various social-demographic, socioeconomic, biomedical and environmental factors for the development of children who participated in the cohort monitoring. This allowed us to identify those with prognostic value including young age of parents (RR = 1.40); a single-parent family (RR = 1.46), bad relationships between spouses (RR = 1.36); low purchasing ability of a family (RR = 1.59), poor living conditions (RR = 1.66); a future mother being exposed to chemicals and toxic substances (RR = 1.31), gas pollution (RR = 2.02), hand high temperatures (RR = 1.56) at her workplace one year prior to childbirth; a smoking mother (RR = 1.56); a father having a sexually transmitted disease (RR = 3.23); abnormal pregnancy. The identified risk factors for child development occur prior to childbirth and are manageable. Awareness about them makes it possible to neutralize their negative influence when a pregnancy is being planned. Our analysis of statistical and sociological data has revealed a descending trend for prevalence of practically all the analyzed risk factors. Still, some factors cause certain concern including high prevalence of smoking among women, future mothers included; prevalence of anemia in pregnant women; unresolved financial issues and poor living conditions of a considerable share of families who are expecting a child; effects produced on women by harmful working conditions. The results of this study can be used for developing programs aimed at protecting child’s health at any level, from an individual to the national one.

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Section: материалы и методыunclassified

Inter-cohort analysis of parental risk factors for development of infants

Shmatova¹,

Razvarina²,

Gordievskaya³

2023

Health Risk Analysis

View full text Add to dashboard Cite

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Assessment of Health-Relevant Quality of Life in the Context of the Medical and Social Profile of Women With Complicated Pregnancies

Rebrova

2024

Sociology of Medicine

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In modern Russia, there is a decline in the birth rate, a decline in women's reproductive health, and a high rate of complicated pregnancy and childbirth. The causes of unfavorable course and outcome of pregnancy are multifactorial. The contribution of medical factors to the course of the gestational process and the condition of the newborn is often not determinant in the course and outcome of pregnancy. One of the factors influencing the course of pregnancy is health-relevant quality of life. The aim of the study was to analyze the influence of certain characteristics of the medical and social profile on the health-relevant quality of life of pregnant women with complicated pregnancy. Materials and Methods. 153 pregnant women with complicated pregnancy were included in the study. Cohort one-stage sociological study of quality of life was realized by questionnaire survey method. The study of health-relevant quality of life of pregnant women with complicated pregnancy was conducted using the WHOQOL-100 questionnaire (WHO QOL-100). Results. When assessing the quality of life of pregnant women, there is a decrease in the average values of quality of life indicators in the spheres and subspheres of the questionnaire, determined by the somatic condition of respondents. A statistically significant dependence of the decrease in the mean values of the quality of life indicators of respondents in the age group of 30-39 years compared to respondents aged 20-29 years has been established. The evidence of the influence of the level of education on the quality of life of women with pathologic course of pregnancy is presented. In a comparative analysis of the quality of life of respondents whose professional activity is not associated with physical exertion and respondents who perform physical labor of varying degrees of severity, the greatest decrease in the average quality of life indicators is noted in the group of respondents engaged in heavy physical labor. There are higher quality of life indicators of respondents who are officially married. Conclusions. The conducted study provides evidence of somatic and social determinacy of health-relevant quality of life in pregnant women with complicated pregnancy. The established limitations of the quality of life allow objectifying personalized medical and social assistance to pregnant women, aimed at improving their quality of life and pregnancy outcome.

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Trends of the medical and social characteristics of pregnant women: an experience of regional monitoring for the healthy generation formation

Cited by 2 publications

References 24 publications

Inter-cohort analysis of parental risk factors for development of infants

Inter-cohort analysis of parental risk factors for development of infants

Assessment of Health-Relevant Quality of Life in the Context of the Medical and Social Profile of Women With Complicated Pregnancies

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