Russian Medical Inquiry
(RMZh. Meditsinskoe Obozrenie) ISSN 2587-6821 (Print), 2686-9918 (Online)

Normal Pregnancy Clinical Guidelines: New Version

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DOI: 10.32364/2618-8430-2024-7-4-1

Yu.E. Dobrokhotova, P.A. Kuznetsov, L.S. Dzhokhadze, V.A. Bobrova

Pirogov Russian National Research Medical University, Moscow, Russian Federation

On February 2024, the MOH Scientific and Practical Council of the Ministry of Health approved a new version of the Normal Pregnancy Clinical Guidelines. A Pregravid Preparation section was added to the Guidelines. This event of utmost importance will provide development of a pre-pregnancy examination program based on the document. Other sections of the Guidelines were slightly amended. In particular, gestational age calculation approaches were modified; some testings were excluded from the pregnancy examination (the recommendations no longer include a coagulogram) but others, on the contrary, were added. New recommendations have appeared for referrals to specialists. Every pregnant woman must now visit a perinatal psychologist twice during pregnancy. In the third trimester, a mandatory ultrasound examination has reappeared, but the timing has shifted to 34–36 weeks. Changes have been made to the indications for prescribing vitamins. Clarifications have also been added to the "Vaccination" section. In our paper, we will analyze the document amendments and discuss their significance.

Keywords: pregravid preparation, normal pregnancy, VTEC, screening, US, prevention, cervix, premature birth, prenatal screening.

For citation: Dobrokhotova Yu.E., Kuznetsov P.A., Dzhokhadze L.S., Bobrova V.A. Normal Pregnancy Clinical Guidelines: New Version. Russian Journal of Woman and Child Health. 2024;7(4):296–301 (in Russ.). DOI: 10.32364/2618-8430-2024-7-4-1

About the authors:

Yulia E. Dobrokhotova — Dr. Sc. (Med.), Professor, Head of the Department of Obstetrics and Gynecology, Institute of Clinical Medicine, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117997, Russian Federation; ORCID iD 0000-0002-7830-2290

Pavel A. Kuznetsov — C. Sc. (Med.), Assistant Professor of the Department of Obstetrics and Gynecology, Institute of Clinical Medicine, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117997, Russian Federation; ORCID iD 0000-0003-2492-3910

Lela S. Dzhokhadze — C. Sc. (Med.), Assistant Professor of the Department of Obstetrics and Gynecology, Institute of Clinical Medicine, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117997, Russian Federation; ORCID iD 0000-0001-5389-7817

Victoria A. Bobrova — student of the Faculty of General Medicine, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117997, Russian Federation; ORCID iD 0009-0002-6706-9814 

Contact information: Pavel A. Kuznetsov, e-mail: poohsmith@mail.ru

Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.

There is no conflict of interest.

Received 29.08.2024.

Revised 23.09.2024.

Accepted 16.10.2024.

References
1. American College of Obstetricians and Gynecologists. Committee Opinion No 700: Methods for Estimating the Due Date. Obstet Gynecol. 2017;129:e150–154.
2. International Society of Ultrasound in Obstetrics and Gynecology; Bilardo C.M., Chaoui R., Hyett J.A. et al. ISUOG Practice Guidelines (updated): performance of 11-14-week ultrasound scan. Ultrasound Obstet Gynecol. 2023;61(1):127–143. DOI: 10.1002/uog.26106
3. Whelan R., Schaeffer L., Olson I. et al. Measurement of symphysis fundal height for gestational age estimation in low-to-middle-income countries: A systematic review and meta-analysis. PLoS One. 2022;17(8):e0272718. DOI: 10.1371/journal.pone.0272718
4. Morse K., Williams A., Gardosi J. Fetal growth screening by fundal height measurement. Best Pract Res Clin Obstet Gynaecol. 2009;23(6):809–818. DOI: 10.1016/j.bpobgyn.2009.09.004
5. Al-Hafez L., Chauhan S.P., Riegel M. et al. Routine third-trimester ultrasound in low-risk pregnancies and perinatal death: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2020;2(4):100242. DOI: 10.1016/j.ajogmf.2020.100242
6. Roberts A.W., Hotra J., Soto E. et al. Indicated vs universal third-trimester ultrasound examination in low-risk pregnancies: a pre-post-intervention study. Am J Obstet Gynecol MFM. 2024;6(5):101373. DOI: 10.1016/j.ajogmf.2024.101373
7. Pavord S., Daru J., Prasannan N. et al. UK guidelines on the management of iron deficiency in pregnancy. Br J Haematol. 2020;188(6):819–830. DOI: 10.1111/bjh.16221
8. Richards T., Breymann C., Brookes M.J. et al. Questions and answers on iron deficiency treatment selection and the use of intravenous iron in routine clinical practice. Ann Med. 2021;53(1):274–285. DOI: 10.1080/07853890.2020.1867323

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