РАННЕЕ ПРЕДОСТАВЛЕНИЕ СОЦИАЛЬНОГО ОТПУСКА ПО БЕРЕМЕННОСТИ КАК ОПЫТ КОРПОРАТИВНОЙ ДЕМОГРАФИЧЕСКОЙ ПОЛИТИКИ

Abstract

Objective – the state of health of pregnant women at a large metallurgical enterprise. The aim of the study is a medical and demographic assessment of the effectiveness of the early provision of social maternity leave at a large metallurgical enterprise in the Sverdlovsk region.

Methods: The materials of the statistical reports of the antenatal clinic of the medical and sanitary unit of the enterprise for 1991-2020 were used. The indicators of the health status of pregnant women are presented in dynamics and in comparison with the Russian Federation and the Sverdlovsk region.

Main results. Favorable changes in the health status of pregnant women were noted: an increase in the number of births, the absence of abortions in terms of social indicators, registration for pregnancy, a decrease in the frequency of the threat of abortion, preeclampsia, the absence of cases of eclampsia and intrapartum fetal death, a decrease in morbidity with temporary disability associated with complications pregnancy, childbirth and the postpartum period. Within 7-9 years after the introduction of early social leave, there was a decrease in the prevalence of anemia in pregnant women, the incidence of premature births and congenital malformations of the fetus.

Conclusions. 1. The early provision of social maternity leave at the metallurgical enterprise served to improve the health of pregnant women and newborns, optimized the provision of timely specialized medical care, and reduced the number of people with life-threatening conditions and clinical situations complicating the course of pregnancy. 2. Medico-demographic analysis of the experience of providing early social leave allows us to recommend their introduction at other enterprises in the country, first of all, with harmful working conditions.