FORMATION, CURRENT STATUS AND MAIN PROBLEMS OF THE ORGANIZATION OF OUTPATIENT OBSTETRIC AND GYNECOLOGICAL CARE IN RUSSIA

Abstract

The problem of protecting the reproductive health of women in the Russian Federation in the context of a declining birth rate has become an emergency due to a decrease in the quality of the state of the reproductive potential. In modern conditions, the development of obstetric and gynecological care has acquired a number of specific features that make it possible to improve women’s reproductive health due to the timeliness of diagnosis, treatment and monitoring of the health of pregnant women, women in labor and puerperas. Accordingly, the assessment of the state and revealing the main problems in the provision of obstetric and gynecological care in an outpatient level acquires special scientific and practical significance. The review presents the historical aspects of the formation and the current state of the organization of outpatient care for the female population, identifies the basics of legal support for obstetric and gynecological care, and the main problems of its provision. It has been established. Current regulatory framework for the provision of obstetric and gynecological care on an outpatient basis is proved to have a significant number of shortcomings and problems, which affects the quality of patient care. The analysis performed showed that the regulatory framework does not correspond to the real needs of the population, the material, technical and financial capabilities of medical organizations. Thus improving the quality and accessibility of obstetric and gynecological care on an outpatient basis is currently of key importance in Russia. In the context of reforming and optimizing the healthcare system, emphasis should be made on increasing the amount of medical care and strengthening the role of outpatient services, including the aspect of obstetric and gynecological care.