Features of modern obstetrics

The paper shows the changes that have determined the features of modern obstetrics. A sharp decline in birth rates and the elements of depopulation in the country have created new conditions for reforming healthcare and modern obstetrics. Each pregnancy and each child have acquired a special value. In the country, prenatal diagnosis has been introduced and neonatology has evolved. The obstetric strategy has become more active; surgical delivery has increased significantly. Caesarean sections are performed 8-10 times more often. The intensive care and rehabilitation of premature and sick newborns are being actively improved. Maternal and infant mortalities have decreased by 8-10 and 5-6 times, respectively. However, there have been new problems: an increase in the number of bleedings due to placenta previa and placenta increta in pregnant women who have undergone a caesarean section. Antibiotics have become less effective; the number of postpartum infectious diseases has increased. More and more babies are being born premature. The role of extragenital diseases in obstetric pathology has increased; this is especially clearly manifested during the coronavirus pandemic. Treatment for infertility has been improved; assisted reproductive technologies, including in vitro fertilization, are being actively developed. In recent years, much has been done to improve and develop the foundation of obstetrics; 93 perinatal centers are functioning, all obstetric facilities have been provided with modern diagnostic and medical equipment. Conclusion: Modern obstetrics has a perinatal direction. Obstetricians are actively involved in solving the demographic problems facing the country. Modern obstetric strategies can reduce maternal and infant morbidity and mortality.

modern obstetrics, maternal and infant mortality, perinatal centers