Health Status of Infants Delivered Using Cesarean Section and Instrumental Methods

Until now, the question about differences in the nature of the features of structure of morbidity and its structure among children under one year who were born naturally and surgically remains debatable. The authors analyzed the health status of infants who were born in the city by Cesarean section or by using instrumental methods. The portion of operative delivery in 2008–2012 averaged 21.4 %, the frequency of the use of instrumental methods of obstetric aid — 4.9 %. Forceps gradually replaced the carrying of vacuum extraction as less traumatic method. There has been marked the association between mode of delivery and used instrumental methods and the structure of infant morbidity. The growth of congenital malformations and a consistently high level of morbidity due to intranatal pathology open further prospects for improving prenatal monitoring and tactics of obstetric aid

Status of child population health — the future of the country (part 1)

The article of the team of scientists of pediatricians and organizers of pediatric health care of Ukraine is devoted to the study of the main trends in the health status of children over last 22 years. The results of the analysis of the incidence and prevalence of diseases among Ukrainian child population, infant mortality rates over the past two decades demonstrates that they remain significantly higher than the average European indicators against the background of a progressive decrease in the number of child population at 3,16 million people. The prevalence of childhood diseases in Ukraine over past 22 years has grown by 41 %, the incidence of childhood diseases arose by 36 %. The article considers the ways of solving a number of new social and medico-ecological problems that negatively affect child health

Child health status — the future of the country (part 2)

The article deals with the problems of increasing the incidence and prevalence of childhood diseases during 1994–2016 against the background of a global reduction in the staffing of children’s specialists by 1.7 times, with an extremely inadequate supply of the regions of the South-East, Donetsk and Luhansk regions. All of this has a negative impact on the proper medical care of the child population, including the detection of childhood diseases. The authors substantiate the need to restore the personnel and material-technical potential of the pediatric service, the development of modern diagnostic and treatment technologies, the preservation of immunization and the prevention of disability of common childhood diseases that is an important component of the national health care and safety system of the country as a whole