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Background. Modern hormonal contraceptives are effective remedies for the prevention of undesirable pregnancies, have a positive impact on the health of women, and serious complications at their using meet seldom. However, 30-50% of women refuse to hormonal contraception during the first year of using. The main reasons for the refusal are side effects and a fear of their appearing. Material and methods. Our objective was to study the influence of hormonal contraceptives on the health and quality of life of women. We carried out the anonymousquestioning of 145 patients at the age of 20-39 years which were on a treatment in obstetric and gynecological hospitals of the Grodno region and ever used hormonal contraceptives. Results. H ormonal c ontraceptives a re h ighly e ffective a t r egular u sing. S ide e ffects a re widespread and were found in 9 of 10 (90.4%) women. However in 73.3% of cases they disappear during the first 3 months. Some women admitted that new diseases were diagnosed for them in a usage time of hormonal contraception. Gastritis was almost at every fifth respondent (18.6%), that requires attention. Conclusions. The most of women are satisfied with hormonal contraception. The half of respondents are ready to continue using despite side effects, and every third – if other hormonal contraceptive will be suitable. The quality of life of the women using hormonal contraceptives can be estimated as close to average norm.
The work purpose: To develop, scientifically to prove and introduce medical-organizational model of protection of reproductive health of patients with inflammatory diseases of genitals. Materials and methods. The female population of fertile age with inflammatory diseases of the genitals, living in the Grodno area per 1954–2008 is studied. The system approach is used, following methods were applied: sanitary-statistical, economic-mathematical, expert estimations, sociological, historical, organizational experiment, modelling and forecasting. Results. On the basis of the carried out complex socially-hygienic research including studying of volumes and quality of medical aid, security of obstetric-gynecologic service material, financial and personnel resources, introductions of new organizational, medical and information technologies, studying of the reproductive equipments of women of fertile age and prospects of realisation by them of reproductive function, and also an expert estimation of the importance of the problems bound to disturbances in reproductive system, develop medical-organizational model of protection of reproductive health of women with inflammatory diseases of the genitals, based on state policy realisation in public health services. Model actions are realised in three stages: pregravidal improvement; medical maintenance in pregnancy; The organisation of medical aid to women in childbirth and newborns, and also aftertreatment after a failure of pregnancy and sorts.
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