Surgical management of placenta accreta spectrum in the Russian Federation (a pilot multicenter study)
- Authors: Sukhikh G.T.1, Shmakov R.G.2,3, Kurtser M.A.2,3, Barinov S.V.4, Chuprynin V.D.1, Mikheeva A.A.5, Amiraslanov E.Y.1, Grigoryan A.M.6, Konoplev B.A.3, Kutakova Y.Y.3, Karapetyan T.E.1, Vasilchenko O.N.1, Zabelina T.M.1, Serova O.F.7, Pyregov A.V.7, Kulikov I.A.8, Belousova T.N.8, Plakhotina E.N.8, Penzhoyan G.A.9, Makukhina T.B.9, Andreeva M.D.10, Shapovalova O.A.11, Kamenskikh G.V.11, Lobach S.V.11, Pozdnyakova T.I.12, Saveljeva I.V.4, Bukharova E.A.4, Nosova N.V.4, Tskhay V.B.13, Raspopin Y.S.13,14, Garber Y.G.15, Wecker I.R.16, Jurlova O.N.16, Nechaeva M.V.17, Belokoneva T.S.17, Protopopova N.V.18, Dudakova V.N.18, Novichkov D.A.19, Khvorostukhina N.F.19, Vladimirova N.Y.20, Fedorova K.V.20, Rinchindorzhieva M.P.21, Tudupova B.B.22, Panova T.V.23, Guseva O.I.24, Manuilenko O.V.25, Brum O.Y.26, Dorfman O.V.26, Verovskaya T.A.27, Babaeva L.K.27, Rymashevsky A.N.28, Khvalina T.V.29, Dmitrieva S.L.30,31, Gorev S.N.30, Malyshkina A.I.32,33, Pesikin O.N.32, Zubenko V.B.34, Lobach N.V.35, Briukhacheva T.V.36, Karavaeva A.A.36, Bezhenar V.F.37, Arakelyan B.V.37, Ralnikova A.Y.37, Kurleeva T.Y.38, Vologodskaya E.V.38, Dikareva L.V.39, Malysheva I.P.40, Idam-Syuryun A.M.41, Shakurova E.Y.42, Semenov Y.A.43, Sherstobitov A.V.43, Fortygin A.I.43, Ziuzin E.S.43, Kashlevskaya N.L.44, Shamina M.S.44, Gustovarova T.A.45, Khavansky V.A.46, Shchegolkov M.E.47, Kulakova S.A.48, Klishina V.V.49
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Affiliations:
- Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
- N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
- HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
- Omsk State Medical University, Ministry of Health of Russia
- Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
- Lapino Clinical Hospital
- Moscow Regional Perinatal Center
- Vidnovsky Perinatal Center
- Kuban State Medical University
- Kuban State Medical University, Ministry of Health of Russia
- Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory
- Kabardino-Balkarian Republican Perinatal Center, Ministry of Health of Kabardino-Balkarian Republic
- Prof. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia
- Krasnoyarsk Regional Clinical Centre for Maternal and Child Health
- Krasnoyarsk Regional Clinical Center for Maternal and Child Health
- Orenburg Regional Clinical Hospital No. 2
- Samara Regional Clinical Hospital named after V.D. Seredavin
- Irkutsk State Medical Academy of Postgraduate Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
- Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russia
- Perinatal Center named after Professor G.S. Postol, Ministry of Health of the Khabarovsk Territory
- ГАУЗ «Республиканский перинатальный центр» Минздрава Республики Бурятия
- Republican Perinatal Center, Ministry of Health of the Republic of Buryatia
- Regional Perinatal Center of City Clinical Hospital No. 40
- Privolzhsky Research Medical University, Ministry of Health of Russia
- City Clinical Hospital No. 40
- Transbaikal Regional Perinatal Center, Ministry of Health of Transbaikal region
- Volgograd Regional Clinical Perinatal Center No. 2
- Rostov State Medical University, Ministry of Health of Russia
- Rostov Regional Perinatal Center
- Kirov Regional Clinical Perinatal Center
- Kirov State Medical University, Ministry of Health of Russia
- Ivanovo Research Institute of Motherhood and Childhood named after V.N. Gorodkov, Ministry of Health of Russia
- Ivanovo State Medical Academy, Ministry of Health of Russia
- Deputy Chief Physician for obstetric and gynecological care, Stavropol Krai Clinical Perinatal Center
- Stavropol Krai Clinical Perinatal Center
- First Republican Clinical Hospital
- Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia
- Primorsky Regional Perinatal Center
- Astrakhan State Medical University, Ministry of Health of Russia
- Regional Perinatal Center, Aleksanrdo-Mariinskaya Regional Clinical Hospital
- Perinatal Center of Republic of Tyva
- Republic Perinatal Center
- Deputy Chief Physician of Obstetrics, Regional Perinatal Center
- Penza Regional Clinical Hospital named after N.N. Burdenko
- Smolensk State Medical University, Ministry of Health of Russia
- Mordovian Republican Central Clinical Hospital
- Lipetsk Regional Perinatal Center
- Belgorod Regional Clinical Hospital of St. Joasaph
- Novgorod Regional Clinical Perinatal Center named after V.Yu. Mishekurin
- Issue: No 1 (2024)
- Pages: 50-66
- Section: Original Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/627914
- DOI: https://doi.org/10.18565/aig.2023.306
- ID: 627914
Cite item
Abstract
Objective: This study aimed to analyze the surgical approaches and effectiveness of various methods for managing and preventing bleeding in patients with placenta accreta spectrum disorders in the Russian Federation (RF).
Materials and methods: This retrospective multicenter study analyzed clinical and anamnestic data as well as surgical delivery outcomes of 2297 patients with placenta accreta spectrum who were treated in tertiary-level hospitals over the past 6 years. Data were collected from 33 regions of the Russian Federation, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia and the Mother and Child Group of Companies.
Results: From 2017 to 2023, 2297 patients with placenta accreta spectrum were operated on by multidisciplinary teams of doctors in 33 regions of the Russian Federation. The mean gestational age at delivery was 35.3 (3.3) weeks. Organ-removing surgery was performed in 342 (14.9%) patients, including one surgical delivery at 18 weeks of gestation due to missed miscarriage. Abdominal access techniques included lower midline laparotomy (LML), which was performed in 1954 (85.1%) patients, and transverse suprapubic incision (TSI), which was performed in 343 (14.9%) patients. A fundal uterine incision was used in 1327 (57.7%) patients. Lower uterine segment incision and corporal cesarean sections were performed in 685 (29.9 %) and 284 (12.4%) patients, respectively. The methods used to prevent and stop bleeding included complex compression hemostasis in 1196 (52.1%) patients, temporary balloon occlusion of the common iliac arteries in 280 (12.2%) patients, and other methods in 589 (25.6%) patients.
Conclusion: This pilot multicenter study analyzed the surgical approaches for managing placenta accreta spectrum in various regions of the Russian Federation. The study found that three main methods were used to reduce blood flow in the uterine blood supply system: complex compression hemostasis, ballooning of vessels (internal or common iliac arteries, and aorta), and other methods (ligation of vessels, installation of a vaginal module, and application of compression sutures). Further multicenter prospective studies are necessary to evaluate the factors influencing the development of early and long-term complications and feasibility of subsequent reproductive function.
Full Text
About the authors
Gennady T. Sukhikh
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: g_sukhikh@oparina4.ru
ORCID iD: 0000-0002-7712-1260
Academician of the Russian Academy of Sciences, MD, PhD, Professor, Director
Russian Federation, 117997, Moscow, Oparin str., 4Roman G. Shmakov
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Email: r.shmakov@mcclinics.ru
ORCID iD: 0000-0002-2206-1002
MD, PhD, Professor, Professor of the Russian Academy of Sciences, Deputy General Director of the Mother and Child Group of Companies, Chief non-staff obstetrics specialist of the Ministry of Health of Russia
Russian Federation, 117997, Moscow, Ostrovityanov str., 1; 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111Mark A. Kurtser
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Email: m.kurtser@mcclinics.ru
ORCID iD: 0000-0003-0175-1968
Academician of the Russian Academy of Sciences, MD, PhD, Professor, Head of the Department of Obstetrics and Gynaecology (named after Academician G.M. Savelieva), Pediatric Faculty
Russian Federation, 117997, Moscow, Ostrovityanov str., 1; 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111Sergey V. Barinov
Omsk State Medical University, Ministry of Health of Russia
Email: barinov_omsk@mail.ru
ORCID iD: 0000-0002-0357-7097
MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology №2
Russian Federation, 644099, Omsk, Lenin str., 12Vladimir D. Chuprynin
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: v_chuprynin@oparina4.ru
ORCID iD: 0000-0002-2997-9019
PhD, Head of the Surgical Department
Russian Federation, 117997, Moscow, Oparin str., 4Alexandra A. Mikheeva
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Author for correspondence.
Email: shuratora@mail.ru
ORCID iD: 0000-0002-8159-6373
PhD, doctor of the 2nd Department of Obstetrics
Russian Federation, 117997, Moscow, Oparin str., 4Elrad Yu. Amiraslanov
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: eldis@mail.ru
ORCID iD: 0000-0001-5601-1241
PhD, Head of the Department of Obstetrics
Russian Federation, 117997, Moscow, Oparin str., 4Ashot M. Grigoryan
Lapino Clinical Hospital
Email: gashot@inbox.ru
ORCID iD: 0000-0001-9226-0130
PhD, Head of the Interventional Cardiology Department
Russian Federation, 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111Boris A. Konoplev
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Email: b.konoplev@mcclinics.ru
ORCID iD: 0000-0001-6347-4375
Obstetrician-Gynecologist, General Manager
Russian Federation, 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111Yulia Yu. Kutakova
HAVEN (Lapino Clinical Hospital) of the Mother and Child Group of Companies
Email: y.kutakova@mcclinics.ru
PhD, Medical Manager of the Mother and Child Group of Companies for organizational, scientific and educational work
Russian Federation, 143030, Moscow region, Odintsovo district, 1st Uspenskoe highway, 111Tamara E. Karapetyan
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: tomamed02@mail.ru
ORCID iD: 0000-0003-0025-3182
MD, PhD, doctor of the Obstetric Department
Russian Federation, 117997, Moscow, Oparin str., 4Oksana N. Vasilchenko
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: o_vasilchtnko@oparina4.ru
ORCID iD: 0000-0002-5348-8017
PhD, doctor of the 2nd Maternity Department
Russian Federation, 117997, Moscow, Oparin str., 4Tatyana M. Zabelina
Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: romashova-1993@bk.ru
ORCID iD: 0009-0005-0344-2669
PhD, doctor at Maternity Department, Perinatal Center of City Clinical Hospital No. 31 named after Academician G.M. Savelyeva
Russian Federation, 117997, Moscow, Oparin str., 4Olga F. Serova
Moscow Regional Perinatal Center
Email: olga-serova@yandex.ru
ORCID iD: 0000-0002-4088-4619
MD, PhD, Professor, Head Physician, Chief non-staff specialist in obstetric services of the Ministry of Health of the Moscow Region
Russian Federation, 143900, Moscow region, Balashikha, Shosse Entuziastov, 12Alexey V. Pyregov
Moscow Regional Perinatal Center
Email: pyregov@mail.ru
ORCID iD: 0000-0001-8382-9671
MD, PhD, Professor, Deputy Head Physician, Chief non-staff specialist in anaestesiology-reanimatology of the Ministry of Health of the Moscow Region
Russian Federation, 143900, Moscow region, Balashikha, Shosse Entuziastov, 12Ilyas A. Kulikov
Vidnovsky Perinatal Center
Email: aesculap@inbox.ru
ORCID iD: 0000-0002-2460-1623
PhD, Head of the Department of Pregnancy Pathology
Russian Federation, 42700, Moscow Region, Zavodskaya str., 17Tamara N. Belousova
Vidnovsky Perinatal Center
Email: beltamara1@mail.ru
ORCID iD: 0000-0003-3804-7691
PhD, Head Physician
Russian Federation, 142700, Moscow Region, Zavodskaya str., 17Elena N. Plakhotina
Vidnovsky Perinatal Center
Email: enp2004@inbox.ru
ORCID iD: 0000-0002-6793-2318
MD, PhD, Head of the Department of Anesthesiology and Intensive Care
Russian Federation, 142700, Moscow Region, Zavodskaya str., 17Grigory A. Penzhoyan
Kuban State Medical University
Email: pga05@mail.ru
ORCID iD: 0000-0002-8600-0532
Head of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Training and Professional Retraining of Specialists, MD, Professor
Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2Tatiana B. Makukhina
Kuban State Medical University
Email: soltatiana@mail.ru
ORCID iD: 0000-0003-0536-4500
PhD, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Training and Professional Retraining of Specialists
Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2Margarita D. Andreeva
Kuban State Medical University, Ministry of Health of Russia
Email: andreeva_md@mail.ru
ORCID iD: 0000-0002-6524-3965
Chief non-staff specialist in obstetrics at the Ministry of Health of the Krasnodar Territory, Professor of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Advanced Training and Professional Retraining of Specialists, MD
Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2Olga A. Shapovalova
Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory
Email: shapovalova_25@mail.ru
Deputy Chief Physician in Obstetrics and Gynecology, PhD
Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2Gayane V. Kamenskikh
Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory
Email: gaene@mail.ru
obstetrician-gynecologist at the Obstetric Observational Department, PhD
Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2Svetlana V. Lobach
Regional Clinical Hospital No. 2, Ministry of Health of the Krasnodar Territory
Email: lobach_sv@mail.ru
Head of the Department of Obstetric Pathology of Pregnant Women No.1, Obstetrician-gynecologist of the highest category
Russian Federation, 350012, Krasnodar, Krasnykh Partizan str., 6/2Tamara I. Pozdnyakova
Kabardino-Balkarian Republican Perinatal Center, Ministry of Health of Kabardino-Balkarian Republic
Email: perinatal.nalchik@mail.ru
PhD, Deputy Chief Medical Officer
Russian Federation, 360032, KBR, Nalchik, Shogenova str., 34Irina V. Saveljeva
Omsk State Medical University, Ministry of Health of Russia
Email: saveljeva_iv_omsk@mail.ru
ORCID iD: 0000-0001-9342-7342
MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology № 1
Russian Federation, 644099, Omsk, Lenin str., 12Elena A. Bukharova
Omsk State Medical University, Ministry of Health of Russia
Email: buxarova88@mail.ru
ORCID iD: 0000-0002-6093-3721
PhD, Teaching Assistant at the Department of Obstetrics and Gynecology No. 1
Russian Federation, 644099, Omsk, Lenin str., 12Natalya V. Nosova
Omsk State Medical University, Ministry of Health of Russia
Email: natalya-nosova-85@mail.ru
ORCID iD: 0000-0002-2362-5367
Teaching Assistant at the Department of Obstetrics and Gynecology No. 1
Russian Federation, 644099, Omsk, Lenin str., 12Vitaly B. Tskhay
Prof. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia
Email: tchai@yandex.ru
ORCID iD: 0000-0003-2228-3884
MD, PhD, Professor, Head of the Department of Perinatology, Obstetrics and Gynecology
Russian Federation, 660022, Krasnoyarsk, Partizan Zheleznyak str. 1Yuriy S. Raspopin
Prof. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia; Krasnoyarsk Regional Clinical Centre for Maternal and Child Health
Email: oar24@mail.ru
ORCID iD: 0000-0001-5550-1628
PhD, Teaching Assistant at the Department of Anesthesiology and Intensive Care of Institute of Postgraduate Education, Head of the Department of Anesthesiology and Resuscitation No. 2
Russian Federation, 660022, Krasnoyarsk, Partizan Zheleznyak str., 1; 660074, Krasnoyarsk, st. Akademika Kirenskogo, 2AYuliyа G. Garber
Krasnoyarsk Regional Clinical Center for Maternal and Child Health
Email: kkkc@pericentr.ru
Deputy Chief Physician for obstetric and gynecological care
Russian Federation, 660074, Krasnoyarsk, Academician Kirensky str., 2AIgor R. Wecker
Orenburg Regional Clinical Hospital No. 2
Email: ivekker@rambler.ru
PhD, Deputy Chief Physician for obstetric and gynecological care
Russian Federation, 460000, Orenburg, Nevelskaya str., 24Olga N. Jurlova
Orenburg Regional Clinical Hospital No. 2
Email: anis1979@mail.ru
Obstetrician-Gynecologist, Head of the Department of Pregnancy Pathology
Russian Federation, 460000, Orenburg, Nevelskaya str., 24Marina V. Nechaeva
Samara Regional Clinical Hospital named after V.D. Seredavin
Email: marinanechaeva2010@mail.ru
ORCID iD: 0000-0001-6468-8199
PhD, Head of the Reception Department of the obstetric building
Russian Federation, 443095, Samara, Tashkentskaya str., 159Tatyana S. Belokoneva
Samara Regional Clinical Hospital named after V.D. Seredavin
Email: belokonevats@mail.ru
ORCID iD: 0000-0001-5923-9129
PhD, Head of the Department of Antenatal Fetal Protection and Ultrasound Diagnostics of the obstetric building
Russian Federation, 443095, Samara, Tashkentskaya str., 159Nataliya V. Protopopova
Irkutsk State Medical Academy of Postgraduate Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Email: doc_protopopova@mail.ru
ORCID iD: 0000-0002-1740-228X
MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology
Russian Federation, 664049, Irkutsk, Yubileyny Ave., 100Victoria N. Dudakova
Irkutsk State Medical Academy of Postgraduate Education – a branch of the Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Email: vidun@mail.ru
ORCID iD: 0000-0003-2916-5688
MD, PhD, Associate Professor of the Department of Obstetrics and Gynecology
Russian Federation, 664049, Irkutsk, Yubileyny Ave., 100Denis A. Novichkov
Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russia
Email: dnovichkov@mail.ru
ORCID iD: 0000-0001-6945-835X
PhD, Associate Professor of the Department of Obstetrics and Gynecology of the Pediatric Faculty, Chief non-staff obstetrician-gynecologist of the Ministry of Health of Saratov Region
Russian Federation, 410012, Saratov, B. Kazachya str., 112Natalia F. Khvorostukhina
Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russia
Email: Khvorostukhina-NF@yandex.ru
ORCID iD: 0000-0002-5864-3397
MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty
Russian Federation, 410012, Saratov, B. Kazachya str., 112Natalia Yu. Vladimirova
Perinatal Center named after Professor G.S. Postol, Ministry of Health of the Khabarovsk Territory
Email: zam.pc@mail.ru
ORCID iD: 0009-0004-1776-7168
MD, PhD, Deputy Chief Physician for Obstetrics and Gynecology
Russian Federation, 680000, Khabarovsk, Istomina str., 85Ksenia V. Fedorova
Perinatal Center named after Professor G.S. Postol, Ministry of Health of the Khabarovsk Territory
Email: zam.pc@mail.ru
Physician at the Maternity Department
Russian Federation, 680000, Khabarovsk, Istomina str., 85Marina P. Rinchindorzhieva
ГАУЗ «Республиканский перинатальный центр» Минздрава Республики Бурятия
Email: marirmp@mail.ru
ORCID iD: 0000-0003-1153-6057
PhD, Head of Department, Republican Perinatal Center, Ministry of Health of the Republic of Buryatia
Russian Federation, 670031, Russia, Buryatia, Ulan-Ude, Pirogova str., 15bBairma B. Tudupova
Republican Perinatal Center, Ministry of Health of the Republic of Buryatia
Email: udupova.76@mail.ru
ORCID iD: 0009-0000-6444-2471
PhD, Head of the Pregnancy Pathology Department
Russian Federation, 670031, Russia, Buryatia, Ulan-Ude, Pirogova str., 15bTatiana V. Panova
Regional Perinatal Center of City Clinical Hospital No. 40
Email: tatvpanova@yandex.ru
PhD, Obstetrician-Gynecologist, Head
Russian Federation, 603083, Nizhny Novgorod, Smirnov Hero str., 71/5Olga I. Guseva
Privolzhsky Research Medical University, Ministry of Health of Russia
Email: alisa52@yandex.ru
ORCID iD: 0009-0002-1241-7076
MD, PhD, Professor of the Department of Obstetrics and Gynecology
Russian Federation, 603005, Nizhny Novgorod, Minin and Pozharsky sqr., 10/1Olga V. Manuilenko
City Clinical Hospital No. 40
Email: o-v-man@mail.ru
PhD, Chief Physician
Russian Federation, 603083, Nizhny Novgorod, Smirnov Hero str., 71/5Olga Yu. Brum
Transbaikal Regional Perinatal Center, Ministry of Health of Transbaikal region
Email: ymnenkaya@yandex.ru
Deputy Chief Physician for Obstetrics and Gynecological Care, Chief non-staff specialist in obstetrics and gynecology of the
Russian Federation, 672038, Chita, Transbaikal region, Kokhansky str., 16Oksana V. Dorfman
Transbaikal Regional Perinatal Center, Ministry of Health of Transbaikal region
Email: Oksana-dorfman@yandex.ru
Head of the Maternity Department
Russian Federation, 672038, Chita, Transbaikal region, Kokhansky str., 16Tatiana A. Verovskaya
Volgograd Regional Clinical Perinatal Center No. 2
Email: vokpc2@volganet.ru
Chief non-staff obstetrician-gynecologist at the Health Committee of the Volgograd region, Chief Physician
Russian Federation, 400008, Volgograd, Marshal Vasilevsky str., 70Lalita K. Babaeva
Volgograd Regional Clinical Perinatal Center No. 2
Email: vokpc2@volganet.ru
Obstetrician-gynecologist
Russian Federation, 400008, Volgograd, Marshal Vasilevsky str., 70Alexander N. Rymashevsky
Rostov State Medical University, Ministry of Health of Russia
Email: rymashevskyan@mail.ru
ORCID iD: 0000-0003-3349-6914
MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology No. 1
Russian Federation, 344022, Rostov-on-Don, Suvorov str., 119,Tatyana V. Khvalina
Rostov Regional Perinatal Center
Email: super-x-n2012@yandex.ru
Head of the Department of Pathology of Pregnancy
Russian Federation, 344068, Rostov-on-Don, Bodray str., 90Svetlana L. Dmitrieva
Kirov Regional Clinical Perinatal Center; Kirov State Medical University, Ministry of Health of Russia
Email: swdmitr09@yandex.ru
ORCID iD: 0000-0002-2505-0202
PhD, Deputy Chief Physician for obstetric and gynecological care, obstetrician-gynecologist, Associate Professor of the Department of Obstetrics and Gynecology
Russian Federation, 610048, Kirov, Moskovskaya str., 163; KirovSergey N. Gorev
Kirov Regional Clinical Perinatal Center
Email: gorew.sergei2018@yandex.ru
Head of the Delivery Department
Russian Federation, 610048, Kirov, Moskovskaya str., 163Anna I. Malyshkina
Ivanovo Research Institute of Motherhood and Childhood named after V.N. Gorodkov, Ministry of Health of Russia; Ivanovo State Medical Academy, Ministry of Health of Russia
Email: ivniimid@inbox.ru
ORCID iD: 0000-0002-1145-0563
MD, PhD, Professor, Director, Head of the Department of Obstetrics and Gynecology, Medical Genetics, Chief non-staff specialist in obstetrics, gynecology and reproductive health of women of the Ministry of Health of Russia in the Central Federal District of Russia
Russian Federation, 153045, Ivanovo, Pobedy str., 20; 153012, Ivanovo, Sheremetevsky Ave., 8Oleg N. Pesikin
Ivanovo Research Institute of Motherhood and Childhood named after V.N. Gorodkov, Ministry of Health of Russia
Email: pesikin@inbox.ru
ORCID iD: 0000-0002-3666-5309
PhD, Deputy Director for Medical Work, Head of the Department of Medical and Social Research, Monitoring and Curation
Russian Federation, 153045, Ivanovo, Pobedy str., 20Vladislav B. Zubenko
Deputy Chief Physician for obstetric and gynecological care, Stavropol Krai Clinical Perinatal Center
Email: zubenkomd@gmail.com
Deputy Chief Physician for obstetric and gynecological care
Russian Federation, 355041, Stavropol Krai, Stavropol, Lomonosov str., 44Natalia V. Lobach
Stavropol Krai Clinical Perinatal Center
Email: Natasha-lobach@yandex.ru
Head of the Obstetric Department of Pregnancy Pathology
Russian Federation, 355041, Stavropol Krai, Stavropol, Lomonosov str., 44Tatyana V. Briukhacheva
First Republican Clinical Hospital
Email: fildepersovaya1@yandex.ru
Physician at the Obstetric Department of Pregnancy Pathology, Perinatal Center
Russian Federation, 426039, Izhevsk, V. Highway str., 57Alyona A. Karavaeva
First Republican Clinical Hospital
Email: alenka-kara88@mail.ru
Physician at the Obstetric Department of Pregnancy Pathology, Perinatal Center
Russian Federation, 426039, Izhevsk, V. Highway str., 57Vitaly F. Bezhenar
Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929
MD, PhD, Professor, Head of the Department of Obstetrics, Gynecology and Neonatology/Reproductology, Head of the Clinic of Obstetrics and Gynecology
Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6-8Byuzand V. Arakelyan
Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia
Email: byuzand@mail.ru
ORCID iD: 0000-0002-2868-7997
MD, PhD, Professor of the Department of Obstetrics, Gynecology and Neonatology, Deputy Head of the Clinic of Obstetrics and Gynecology
Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6-8Anna Yu. Ralnikova
Pavlov First St. Petersburg State Medical University, Ministry of Health of Russia
Email: anna.ralnikova1510@gmail.com
ORCID iD: 0000-0003-1875-4567
Obstetrician-Gynecologist at the Obstetric Department of Pregnancy Pathology at the Clinic of Obstetrics and Gynecology
Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6-8Tatyanа Yu. Kurleeva
Primorsky Regional Perinatal Center
Email: ktu-pc@perinatalvl.ru
PhD, Chief Physician
Russian Federation, 690011, Vladivostok, Mozhayskaya str., 1BElizaveta V. Vologodskaya
Primorsky Regional Perinatal Center
Email: vologodskaya@perinatalvl.ru
Head of the Obstetric Department of Pregnancy Pathology
Russian Federation, 690011, Vladivostok, Mozhayskaya str., 1BLyudmila V. Dikareva
Astrakhan State Medical University, Ministry of Health of Russia
Email: dikarevalv@mail.ru
ORCID iD: 0000-0001-9179-1669
MD, PhD, Professor, Head of the Department Obstetrics and Gynecology of Pediatric Faculty with Postgraduate Education Course
Russian Federation, 414000, Astrakhan, Bakinskaya str., 121Irina P. Malysheva
Regional Perinatal Center, Aleksanrdo-Mariinskaya Regional Clinical Hospital
Email: irina.malysheva@ro.ru
ORCID iD: 0009-0002-1878-8644
Deputy Head of Obstetrics and Gynecology
Russian Federation, 414056, Astrakhan, Tatishcheva str., 2Azimaa M. Idam-Syuryun
Perinatal Center of Republic of Tyva
Email: azimaa2012@yandex.ru
Deputy Chief Physician for Obstetric and Gynecological Care
Russian Federation, 667011, Tyva Republic, Kyzyl, Oyuna Kursedi str., 159AElena Yu. Shakurova
Republic Perinatal Center
Email: shakurova@rpc.karelia.ru
PhD, Deputy Chief Physician
Russian Federation, 185002, Petrozavodsk, Syktyvkar str., 9Yurii A. Semenov
Deputy Chief Physician of Obstetrics, Regional Perinatal Center
Email: u-sirius@mail.ru
PhD, Chief Physician
Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12Aleksei V. Sherstobitov
Deputy Chief Physician of Obstetrics, Regional Perinatal Center
Email: Arno1980@yandex.ru
Chief non-staff specialist - obstetrician-gynecologist at the Ministry of Health of Chelyabinsk Region
Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12Aleksei Ia. Fortygin
Deputy Chief Physician of Obstetrics, Regional Perinatal Center
Email: Le.fort@mail.ru
Deputy Chief Physician for Gynecology and Obstetrics
Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12Evgenii S. Ziuzin
Deputy Chief Physician of Obstetrics, Regional Perinatal Center
Email: ipselux@gmail.com
Head of the Surgery Department
Russian Federation, 454000, Chelyabinsk, Vorovskogo str., 70-12Natalya L. Kashlevskaya
Penza Regional Clinical Hospital named after N.N. Burdenko
Email: natela807@mail.ru
Chief non-staff specialist of the Penza region in obstetrics and gynecology, Deputy Chief Physician for obstetric and gynecological care
Russian Federation, 440026, Penza, Lermontov str., 28Margarita S. Shamina
Penza Regional Clinical Hospital named after N.N. Burdenko
Email: mar-cergevna@yandex.ru
Obstetrician-Gynecologist at the Department of Pregnancy Pathology, Perinatal Center
Russian Federation, 440026, Penza, Lermontov str., 28Tatyana A. Gustovarova
Smolensk State Medical University, Ministry of Health of Russia
Email: tanya.prof@yandex.ru
MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology FDPO
Russian Federation, 214019, Smolensk, Krupskoj str., 28Valeriy A. Khavansky
Mordovian Republican Central Clinical Hospital
Email: hva1964@mail.ru
Obstetrician-Gynecologist, Head of the Maternity Department
Russian Federation, 430013, Saransk, Pobedy str., 14/5, building 1Mikhail E. Shchegolkov
Lipetsk Regional Perinatal Center
Email: lopc@zdrav48.ru
Chief Physician
Russian Federation, 398050, Lipetsk, Zegelya str., 6Svetlana A. Kulakova
Belgorod Regional Clinical Hospital of St. Joasaph
Email: shuratora@mail.ru
PhD, Obstetrician-Gynecologist, Head of the Labor Department, Perinatal Center
Russian Federation, 308007, Belgorod, Nekrasova str., 8/9Viktoria V. Klishina
Novgorod Regional Clinical Perinatal Center named after V.Yu. Mishekurin
Email: 853vvk@gmail.com
Deputy Chief Physician, Obstetrician-Gynecologist, Chief non-staff specialist in obstetrics and gynecology of the Ministry of Health of Novgorod Region
Russian Federation, 173001, Veliky Novgorod, Tihviskaya str., 9/11References
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