Desired Children, Healthy Children

In Russia, a model of narrowed population reproduction has developed. In 2002, 1.7 times fewer children were born in the Moscow region than 10 years ago, and the mortality rate exceeded the birth rate by 2.3 times. The reason for the decline in fertility is reproductive health, that is, the poor physical, mental and social condition of women of childbearing age, and not just illness.

Now there is a process of accumulation and transmission of diseases from mother to child. A large social risk group has formed - these are children and adolescents who begin early sexual activity, drink alcohol, drugs, and engage in underground prostitution. By the beginning of their childbearing years, every teenager has at least one chronic disease. The nature of the epidemic is taking on sexually transmitted diseases: syphilis, AIDS. Against this background, the number of complications of pregnancy and childbirth and the incidence of newborns are growing.

By order of the Government of the Russian Federation (June 28, 2001, N 855), a national action plan was approved to improve the situation of women in the Russian Federation and increase their role in society, which provides for the elimination of discrimination against women, equality of men and women, the development of a system of social services for women, the strengthening of family relationships. Medical, social, and labor benefits have been developed for pregnant women, as well as citizens with children.

In the Moscow region, an additional lump sum payment has been established for families at the birth of their second, third and subsequent children - in the amount of 1,000 rubles for each. In the Noginsk district, since 1999, newborns have been allocated a one-time municipal allowance in the amount of 200 rubles by decree of the head of the district V. Laptev for crediting to a personal account in the Bogorodsk municipal bank.

Over the past ten years, the number of children who died in the first year of life has been decreasing in the Noginsk region. This became possible thanks to the introduction of modern technologies aimed at creating a healthy child and strengthening the health of his mother, improving the quality of medical care in obstetric, gynecological and pediatric medical institutions.

New technologies include: the use of folic acid to reduce congenital malformations of the fetus, detection of diabetes mellitus in pregnant women and timely treatment; the use of epidural anesthesia in obstetrics to reduce the morbidity of mother and child, ultrasound monitoring of the development of pregnancy.

At the antenatal clinic in Noginsk, there is a Family Planning department that provides medical care for reproductive health problems, where they deal with the prevention and treatment of sexually transmitted infections and the prevention of abortions.

All this is aimed at protecting the health of the population (primarily reproductive), creating conditions for the birth of only healthy and desired children, which helps preserve the gene pool of the nation.