The optimization of prenatal diagnostic of inherent malformations in population of the Primorsky Krai

Abstract

The article presents the results of study of condition of medical genetic care in the Primorsky krai according the materials of the Regional clinical center of specialized forms of medical care. The cyto-genetic investigations of population of the Primorsky Krai revealed a regional specificity: chromosomal pathology was detected only in 1-2% of children with isolated defects and in less than 5% of children with multiple intrauterine malformations. The alteration of causes of malformations testifies that now fetus is more affected by terratogenic factors than before. Nowadays, in the Primorsky Krai the developed and functioning system of two-level prenatal diagnostic permits to detect with high degree of reliability malformations and certain inherited diseases. At the same time, system functions not enough effectively. Nowadays, no less than 50% of malformations and inherited diseases were diagnosed untimely for further elimination ofstarting of surgical correction. To increase effectiveness of functioning responsibility of obstetricians-gynecologists of medical institutions and qualification ofphysicians of ultrasound diagnostic implementing ultrasonography offetus offirst level are to be enhanced. Besides, stable state financing of implementation of serum screening ofpregnant women for pathology offetus. It is proposed to complete actual structure with modern system of informatization ofprocess of management of development of territorial register of anomalies. In order to increase quality under maintenance of accessibility of this type of specialized care ofpopulation of the Krai it is proposed to decrease number of inter-district rooms ofprenatal diagnostic keeping on only one in the main economic zones of the Primorsky Krai. The everywhere implementation of will permit to decrease no less than twice birth of children with congenital pathology of development and inherited diseases.