SOVREMENNAYA PEDIATRIYA.2017.3(83):45-52; doi 10.15574/SP.2017.83.45

Gojda N. G., Protsiuk O. V.
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Object: to investigate the general practitioner possibilities on diagnosis and prevention of inborn and congenital pathology.

Material and Methods. The electronic registers of birth defects, spontaneous abortions, infertile marriages and healthy newborns were created at the State Institution «O.M. Marzeev Institute for Public Health, NAMSU» in the frame of the genetic monitoring programme. There were analyzed 4334 cases of children with birth defects among 147318 cases of born alive, stillborn and aborted fetuses due to birth defect in Zhytomyrska Oblast during the period 2000–2010. We studied cases of birth defects, spontaneous abortions, infertility and healthy children birth in Ivano-Frankivska (3511 cases), Chernivetska (2806 cases), Kyivska (6008 cases) Oblast during 1999–2003 period and Zaporizka Oblast (3514 cases) during 2005–2009 period. The risk of medicine usage and their spectrum was calculated according to the Kyivska Oblast registers (1910 cases).

Conclusions. General practitioner is able to provide birth defects primary prophylaxis in patients' families according to their qualification description. The system of inborn pathology prophylaxis, including the improved elements of prophylaxis, were suggested. The scheme of improved system realization was offered.

Key words: birth defects, general practitioner, congenital pathology prophylaxis.

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