Analysis of trends in maternal mortality in the Sverdlovsk region for the period 2010-2020

The aim of the study – to identify and analyze trends in maternal mortality in the Sverdlovsk region for 2010-2020.Цель исследования – выявить и проанализировать тенденции материнской смертности в Свердловской области за 2010-2020 годы

Ultrasonic anatomy of the pelvic floor in women after childbirth and nulliparous women

The purpose of the study is to determine the effect of pregnancy and childbirth on the formation of muscles of the pelvic floor.Цель исследования – определить влияние беременности и родов на формирование недостаточности мышц тазового дна

Psychological support for carriers of mutations in genes associated with hereditary breast cancer

Relevance. Informing patients about the carriage of a pathogenic mutation may result in a psychologically traumatizing situation, characterized by acute stress reactions, post-traumatic stress disorder symptoms, or anxiety-depressive disorder. This highlights the importance of psychological counseling.Objective. To investigate the effectiveness of psychological support in a patient with mutations in genes associated with hereditary breast cancer.Materials and methods. Description of patient's medical history and results of instrumental psychological diagnosis after identifying a pathogenic mutation in the CHEK2 gene, which increases a risk of developing breast cancer to 20–40 % via genetic testing.Results. The nature of emotional response in this case is determined by personal history — identification of ideas about one's possible disease with mother's one. The conducted psychological consultations mitigated acute stress reactions and minimized the perception of received genetic information as a psychologically traumatic event. Furthermore, significant positive shifts were observed in the formation of adaptive stresscoping strategies, awareness of one's own mental resources, and reinforcement of adherence to the dynamic observation plan.Conclusion: Patients in situations involving the identification of mutations in genes associated with hereditary breast cancer require a personalized approach. Development of criteria for psychological support should be aimed at improving patients' quality of life not only in the immediate aftermath of information disclosure but also in the long term

Hematogenous transmission of cytomegalovirus (review)

The article presents a review of the literature on the issue of transmission of cytomegalovirus infection by hematogenous mean. The way of infection during pregnancy and its negative impact on fetal development and pregnancy outcome were analyzedВ статье представлен обзор литературы по вопросу передачи вируса цитомегаловирусной инфекции гематогенным путем. Проанализирован путь инфицирования в период беременности и оказание негативного влияния на развитие плода и исход беременност