Antenatal care of fetus

Antenatal care fetal - complex hygienic and treatment-and-prophylactic measures aimed at creating optimal conditions for the development of the fetus. Periods implantation (vaccinations ovum) and placentation (formation of the placenta) are critical: various harmful influence at this time (especially on 7-9 weeks of pregnancy) cause the most expressed violation of embryogenesis. For proper development of the fetus after the period placentation primary importance is the utero-placental blood flow, certain changes which cause hypoxia of a fetus, which may lead to violation of its development and the emergence of defects. Therefore, it is necessary to carry out the whole complex of preventive measures, to ensure the normal course of pregnancy. The improvement of working conditions, the numerous benefits provided to pregnant women, the growth in the number of antenatal clinics and other institutions of health care, carrying out of treatment-and-prophylactic work on the protection of women's health,- all this promotes antenatal care of the fetus.
Priorities workers antenatal clinics and feldsher-midwife stations are: taking women are at the early stages of pregnancy, a thorough examination and systematic observation throughout the duration of pregnancy; the identification of the early stages of pregnancy pathology and General diseases, timely hospitalization at deviations in the course of pregnancy. Particularly noteworthy are pregnant with threatened miscarriage, with the phenomena of infantilism, aggravated obstetric anamnesis (miscarriages, premature birth, birth dead fruit and other), with cardiovascular, endocrine diseases, diseases of the blood and others, as well as pregnant, recently underwent an infectious disease. When signs of deviation in the normal course of pregnancy or the deteriorating health of the woman hospitalization is indicated.
Given the high sensitivity of the embryo and fetus to the effects of ionizing radiation, x-rays and x-rays in pregnant should be used only for special reasons, and it is necessary to reduce the duration and intensity of exposure.
Prescription drugs and hormones, especially during the first three months of pregnancy should be restricted to a strict reading, the selection of the most harmless and tested in practice means, their use in usual therapeutic doses and not for a long time. One of the most frequent causes of intrauterine death are toxicosis of pregnancy (see), so the warning them is important in the antenatal protection of the fetus. Full of protein and fortified food pregnant, and also the function of vitamin E oil (inside 1 teaspoon 2 times a day), and B12 (100 mcg 1-2 days intramuscularly), folic acid (inside of 0.02 g 2-3 times daily) and contribute to increased weight, intrauterine fetal and its functional maturity. Important is the timely identification of pregnant women with rhesus negative blood, recurrent study their blood for antibodies. With increase of antibodies in the blood of pregnant should be hospitalized in the Department of pathology of pregnancy.
Medical staff antenatal clinics, medical stations should explain to women the importance of hygienic rules of the regime of work and rest, nutrition during pregnancy for proper development of the fetus.


Antenatal care of fruit - a set of hygienic and treatment-and-prophylactic measures to create optimal conditions for the development of the fetus and the prevention of congenital diseases, congenital malformations and perinatal mortality. Antenatal care of the fetus is of great importance for human health throughout his life, because in the prenatal period of ontogenesis form basic physiological functions of the body.
Antenatal protection of the fetus promote the growth of welfare and culture of the people in the USSR and other socialist countries, improvement of working conditions of women, the numerous benefits provided to pregnant women, as well as a large preventive and curative work at antenatal clinics and other health facilities. Of great importance is also the health of the parents. Heavy common diseases, intoxication, action of ionizing radiation and other pathogenic agents can cause® male and female sex cells change, leading to fetal anomalies and increased perinatal morbidity and mortality.
Main activities A. O. p. aimed at preserving the health of the pregnant woman and the maintenance of physiological pregnancy, which often violated diseases (particularly severe and long-lasting) and the impact of a number of damaging environmental factors. Particularly important warning toxicosis of pregnancy (see), acute and chronic infections, diseases of the nervous, endocrine, cardiovascular and other systems. You need a comprehensive examination of pregnant [definition of RH facilities (see Rhesus factor) and blood (see), a study on toxoplasmosis (see), and others] in early detection of diseases and their treatment.
Pregnant women suffering from anaemia, heart disease, hypertension, diabetes, often there is a premature termination of pregnancy, lagging behind the development of the fetus, children are born with signs of malnutrition and functional immaturity; perinatal mortality of children born to infected mothers, increased (C. I. Bodyagina, E. A. Azla, E. P. Romanov, the HP Persianinov and others).
Especially adverse effects on the fetus have infectious diseases pregnant. Viruses, bacteria and protozoa often pass from the mother to the fetus, causing congenital abnormalities, diseases of the fetus and antenatal his death. The damaging effect of pathogenic bacteria and viruses is especially common with the disease of women in early pregnancy, when committed processes organogenesis and placentation. In the early periods of fetal life, the germ highly sensitive not only to infection, but also to hypoxia, cooling and overheating, ionizing radiation, toxic substances and other harmful environmental factors. Particularly sharp increases the sensitivity of the embryo to various influences in the period of organogenesis, and according to some authors (, P. Svetlov, G. F. Korsakov) - and in preimplantation stage of development (the so-called critical periods of development). The damaging effect of adverse environmental factors in early pregnancy is manifested in arrested development and destruction of the embryo, the slowdown in growth or in causing malformations of the nervous, cardiovascular, reproductive, digestive, musculoskeletal system and other
Abnormal development and congenital disease can occur under the influence of damaging factors of the environment and congenitally, and hereditary characteristics are formed in previous generations under the influence of environmental conditions.
Transmitted congenitally adverse signs are implemented not always, but only if the respective breaches of the conditions of the environment in which the fetus develops. Therefore, and possible prevention of hereditary diseases and congenital malformations of the fetus.
As extend the life of the fetus stability of the fetus to the effect of adverse factors of environment increases. It is connected with the development of the most important organs and functional systems of the fetus, determining the reaction of adaptation to changing environmental conditions. However, the adaptive mechanisms of the fetus, even Mature, imperfect, and its resistance to the action of pathogenic agents significantly lower than that of a child and an adult. Therefore, the health of women should be implemented in the entire pregnancy.