Preconception care as a real way to improve the perinatal outcomes

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The article discusses the important problem of preconception period. The stages of the procedure, the importance of observing the intergenetic interval, the vaccination at the stage of pregnancy planning are described in detail. The need for nutritional support both at the stage of the preconception period and during pregnancy is particularly emphasized. The importance of an adequate content of vitamins and microelements before pregnancy is shown for the real prevention of fetal malformations, reduction of gestational complications, improvement of perinatal outcomes and postnatal fetal development. The role of Metafolin (a part of COC) is shown, taking into account the peculiarities of the biological transformation of folates. In this article the part on the role of COCs in the prevention and treatment of a number of gynecological diseases is also important. The article provides references to regulatory documents on interventions period.

Keywords:

preconception period

contraception

pregnancy

combined oral contraceptives (COC)

folate

neural tube defect (NTD)

Authors:

Dobrokhotova Iu.É.

Kafedra akusherstva i ginekologii Moskovskogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Dzhokhadze L.S.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

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