Vol 49, No 3 (2000)

The article carries out generalization and analysis of data, which make it possible to form basic principles of general ecological reproductology. Parameters оf female reproductive system are taken as an integral criterion of evaluating the influence of environmental unfavorable factors, both constant and changeable, periodical, and at the same time as a criterion of estimating its recreational capacities. On the basis of evaluation of reproductive health and therefore health of future generations, using ecological maps we may strive more successfully for adequate financing of public health taking account of level of well-being, stability or degradation of environment in a given region and ecological tendencies and prognosis of people’s health in a given district, city, region and country.

The article describes the influence of ecological factors upon reproductive system of women working at wood-shaving plate complex and women residing in settlements situated in industrial zone. Unfavorable ecological situation is brought about by influence of formaldehyde and wood powder. The article points at high level оf gynecological and extra genital morbidity among residents оf ecologically unfavorable regions. The main pathology was inflammatory processes of womb and uterine appendages, the frequency of which came to 91,85% as to workers of the complex and 73,8 % as to residents of the settlement. With the purpose of sanitation and prophylaxis magneto-infrared-laser therapy was applied. 94 patients with chronic salpingooophoritis passed therapy course with apparatus “Milta”. 82 % of patients were cured, 18% demonstrated considerable improvement of the state.

The authors investigated the influence of integrated factors of Chemobol accident upon endocrinal system of 37 women who took part in liquidation of its consequences in remote period of observation. 4-6 years later after work in 30 km zone most women got hypermenstrual syndrome, on the background of which underfurther observation hyperplastic processes of organs which serve as targets of reproductive system (womb, ovaries, mammary glands) appeared. Less of liquidators demonstrated hypomenstrual syndrome, hyperprolactinemia. As for the group о f patients о f perimenopausal age, premature development оf climacteric syndrome and relatively premature menopause was observed.

During the last period there appeared a considerable amount of scientific researches, elaborations and sanitary regulations as to female labour and protection of workers’ reproductive health. On the basis of studying the state of reproductive health of two groups of women engaged at aviacosmic industry (483patients) the system of evaluating the degree of chemical compounds toxicity was suggested depending on content of harmful substances in the air of working zone (chiefly organic solvents).

The present report represents comparative analysis of gynecological morbidity as to girls under school age residing in districts with diverse level of atmosphere pollution.

The research deals with working conditions of employees of petrochemical plants (PCP) and factory of rubber technical pro ducts (RTP). The analysis was based on medical documents of maternal hospitals and women’s dispensaries. 2350 women employed at petrochemical industry were examined. The results of the study testify to the necessity of total liberation of women from labour activity for the period of gestation.

The aim of the research is to study hormonal status of primaparae of different age during the period of gestation. Content of estriol, progesterone, and placental lactogen (PL) was studied in dynamics of gestation. Diverse levels of these hormones are ascribed to fetoplacental insufficiency and abnormalities of placental hormonal function that brings about the necessity of timely proper therapy.

Painful menses - dysmenorrhea is the most frequent complaint of gynecological patients of the most able-bodied age. The causes of painful menses are diverse but they often come to existence in pubertal period. Sometimes dysmenorrhea leads to disablement and loss of social status of young patients. Modem diagnostics and revealing of dysmenorrhea etiology makes it possible to choose adequate therapy and to keep up basic functions of female organism.

In the article the results of clinical application of progestogel in premenstrual syndrome treatment are given. The efficiency of its application is proved and the prospectives for its use are described.

The aim of the present conception “Reproductive health as a problem of labour medicine” is protection of reproductive health of workers, revealing risk factors, which cause abnormalities in reproductive health, its estimating, controlling risk factors by means of specific measures of prophylaxis to decrease values of obstetric- gynecological pathology оf workers and abnormalities of health оf their descendants.

The article proves that gynecological diseases fall under the category of most often organic causes of chronic pelvic pains along with such states as hurt of abdomen muscles and backbone morbus, syndrome of large intestine irritation and infection of urinary tracts. At the same time a number of researches convincingly shows that intensity and localization of pains as to commissural disease and endometriosis doesn’t correlate with gravity and localization of pathologic process. Besides that, the review generalizes various psychological and social factors, which are to be taken into consideration in evaluating of chronic pelvic pains (ChPP) genesis. A number о f principles are elaborated regarding to the role of psychiatrical help in complex examination and treatment of patients with ChPP, including psychotherapeutic methods and treatment with antidepressants.

The article describes two cases of correlation of intrauterine and tubal pregnancies.

Some aspects of the problem of cesarean section were treated on the basis of the article of prof. V.V. Abramchenko “Ways of decreasing of abdominal delivery”. The author votes for matter-of-fact attitude to definition of indications and contraindications to operative delivery and points out to possibility of increasing the rate of delivery per vias naturales.

"Life levels all men: death reveals the eminent". 

George Bernard Shaw 

II Russian forum “Mother and child” took place in Moscow within the walls of Presidium of Russian Academy of sciences on the 18-^th - 22-^ndof September. Its work started with seminar “Modem technologies in protection of maternity and childhood”. In the course of the forum leading Russian scientists delivered the following lectures: “Microbiological and immunological aspects of intrauterine infections” by E.K. Ailamazyan, “Antiphospholipid syndrome and its significance in obstetrical practice” by A.D. Makartzia, “Perinatology: ways of decreasing perinatal morbidity and mortality” by G.M. Saveljeva. Report of member of RAMS V.N. Serov consistently developed the ideas set forth in this lecture. He paid attention to the role of perinatal centers, the number of which is obviously insufficient. Development of set of perinatal centers must contribute to the decreasing of perinatal loss and maternal mortality. In the scientific part of the forum the attention of its participants was drawn to the reports of member of RAMS A.N. Strizhakov and corresponding member of RAMS V.I. Krasnopolsky, dedicated to the problem of cesarean section. Within the limits of the forum a number of symposiums was held on the problems of carrying out regional programs in the sphere of maternity and childhood protection, actual issues of neonatology, clinical genetics, hormones and hormone-dependent organs, problems of cervix uteri pathology. Taking things all around, the forum made valuable contribution to science and practice and there is every reason to believe that forum “Mother and child” will become traditional.