On the work of the antenatal clinic in the conditions of the obstetric-therapeutic-pediatric complex

In recent years, an increase in stillbirth and early neonatal mortality has been recorded in the city of Ivanovo. In order to identify the reserves and ways to improve the work of medical institutions for the prevention of perinatal pathology, a detailed analysis of each case of perinatal mortality in maternity hospitals in Ivanov was carried out. The study by an expert method made it possible to find out the reasons and conditions for the formation of perinatal pathology, to trace the organization of medical care at all stages of women's health protection. As a result of this analysis, violations were revealed not only in the work of individual medical institutions, but also in the process of mutual information exchange. Diagnostic and tactical errors of doctors of various medical institutions in the implementation of measures to protect the health of women and newborns were especially evident when transferring information from antenatal clinics to maternity hospitals, from general network polyclinics to antenatal clinics, from an ambulance station to maternity hospitals, etc. Elimination These organizational deficiencies could be one of the significant reserves for increasing the effectiveness of health care for women, fetuses and newborns. The search for forms and methods of work that would ensure close interaction of various medical institutions in the improvement of women and children led to the idea of ​​a functional integration of treatment and prevention institutions for obstetrics, children's and adult networks and to the creation on this basis of an experimental obstetric-therapeutic-pediatric complex (ATPC).