Клинический разбор в общей медицине (Sep 2023)
Optimizing the provision of micronutrient support for pregnant women and nursing mothers to reduce gestational complications and perinatal mordability (literature review)
Abstract
Relevance. Preconception preparation is carried out by only 4% of women who come to see a gynecologist at the stage of pregnancy planning. Accordingly, there is no need to talk seriously about the system of prenatal preparation. Therefore, all the negative consequences of insufficient and malnutrition in women can have an adverse effect on the course of the gestational period and contribute to the formation of fetopathies and other complications in the fetus/newborn. Purpose. To raise awareness among obstetricians-gynecologists, reproductive specialists, pediatricians and other specialists about the medical and social significance of using micronutrient support at the stage of preconception preparation, during pregnancy and lactation. Materials and methods. To write this review, a search was carried out for domestic and foreign publications in Russian and international search systems (PubMed, eLibrary, etc.) over the past 30 years. The review included articles from the peer-reviewed literature. Results. The review presents data on the advisability of using micronutrient support drugs during pregnancy and lactation. Conclusions. The importance of awareness of outpatient obstetrician-gynecologists in the need for preconception preparation using the Preg-nakea Plus vitamin-mineral complex is emphasized.
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