[Use of heptral in the complex treatment of pregnant women with cholestatic liver disease]. / Primenenie geptrala v kompleksnom lechenii beremennykh s kholestaticheskim gepatozom.

UNLABELLED: In this study it was found out that Heptral has eliminated the main symptoms of cholestasis during the first 2-3 weeks, namely: skin itching, dyspeptic disorder, isteric coloring of skin and mucous membranes. It promotes to stop astenia, insomnia, depression; decreases serum activity of termolabil alcaline phosphates and concentration of bilirubin, cholesterol, lipoprotein; leads to norm the process of lypoproteid metabolism and decreases the liver size (according to the USI results). Heptral treatment results in positive effect which means decreasing frequency of complications, in particular gestosis, ChFPN, pre-term termination of pregnancy and perinatal mortality. CONCLUSION: Heptral is an effective drug for treating pregnant women suffering from ChG, having pathogenetic effect due to multi-sided corrective influence on excretive function of hepatic and biliary channels.

[International cooperation in implementation of the program of reproductive health protection in the Samara region]. / Mezhdunarodnoe sotrudnichestvo v realizatsii programmy okhrany reproduktivnogo zdorov'ia naseleniia Samarskoi oblasti.

A concept of strategic development of territorial service of maternity and childhood protection has been developed in the Samara region making use of international experience. The results indicate improvement of qualitative parameters of the service activities after introduction of international programs.

[Development of obstetric and pediatric care in the Samara region]. / Razvitie sluzhby rodovspomozheniia i detstva v Samarskom regione.

The strategic concept of territorial service of maternity and childhood health protection developed in the Samara Region with consideration for obligatory medical insurance can improve the health status of women and children, ameliorate the demographic situation, and decrease the reproductive loss in the Region.