ORGANIZATION OF PRENATAL DIAGNOSIS IN THE CITY OF PERM

Aim. A significant place in the structure of perinatal and infantile morbidity and mortality is occupied by congenital malformations. Thus, prevention of hereditary and congenital pathologies in Russia has not only medical, but important social significance. Materials and methods. At present, a complex screening of the first trimester of pregnancy is organized for patients of the city of Perm in the regimen of one-day clinic “The Center of Family Planning and Prenatal Diagnosis” on the basis of Perm State Academy of Medicine. Results. The work of the Center (3 months, April-June 2013) was analyzed and showed the following: 1. 3753 patients were registered at the antenatal clinics including 3391 (90,4%) - before 14 weeks of pregnancy (early attendance). 2. 2539 consultations were conducted before prenatal diagnosis that makes 67,7% of the registered patients and 75% of those registered before 14 weeks of pregnancy. 3. 2702 patients underwent US investigation that makes 78% of patients consulted at the Center. The share of US in the total number of patients registered at the antenatal clinics of Perm is 58%. Taking into account US results, pathological states were diagnosed in 22 patients (0,8% of all US performed), dead pregnancy - 11, anembryony - 9, twins with embryo reduction - 2. Conclusion. Centralization of prenatal diagnosis and investigations carried out in the regimen of one-day clinic at Perm Center permitted to improve preventive measures concerning congenital malformations at early terms of pregnancy.

Congenital malformations, prenatal diagnosis, first trimester of pregnancy