Issue: 2019, Vol. 24, No. 2
SOME ASPECTS OF PROPHYLACTIC MEDICAL EXAMINATION IN ANTI-HCV-POSITIVE PREGNANTS FROM THE POSITION OF PERINATAL PREVENTION OF VIRAL HEPATITIS C
- Keywords
- perinatal viral hepatitis C, chronic viral hepatitis C, pregnancy, prophylactic medical examination, prenatal consultation clinic.
- Abstarct
- Prophylactic medical examination of anti-HCV-positive pregnant women is very important from the point of view of perinatal viral hepatitis C (VHC) prevention. Objective – to estimate volume and quality of prophylactic medical examination in anti-HCV-positive pregnant women in prenatal consultation clinic. Material and methods. Prenatal medical records and data of prophylactic medical examination of anti-HCV-positive preg-nant women who were admitted into “Dzerzhinsk perinatal centre” for induced labor were retrospectively analyzed. Results and discussion. Insufficient scope and lack of succession were revealed in prophylactic medical examination background image16of anti-HCV-positive pregnant women at polyclinic – prenatal consultation clinic stages. The diagnose of chronic viral hepatitis C (CVHC) was known in 57% cases before pregnancy onset and in 16% cases it was determined in registration of pregnancy in prenatal consultation clinic. Besides 19% of the examined patients were observed on the occasion of HIV. 59% of the observed persons only were informed upon the necessity of prophylactic medical examination by infectiologist. There were no data about infectiologist examination in 42% of the medical records of the observed patients. In the most part of patients (92%) the clinical diagnosis was confirmed and it did not reflect in full the risk for HVC fetus perinatal infection, the results of RNK HCV determination by polymerase chain reaction method were absent. 26% of patients were not covered by sufficient (double) blood biochemical examination. Conclusion. Active introduction of measures for knowledge level heightening in medical personnel and inclusion of necessary additions into standard base in force are required.
Вестник_2_2019_12-16