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Вестник Российской академии медицинских наук

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МЕДИКО-СОЦИАЛЬНЫЕ ПРОБЛЕМЫ ВСПОМОГАТЕЛЬНЫХ РЕПРОДУКТИВНЫХ ТЕХНОЛОГИЙ С ПОЗИЦИИ ПЕДИАТРИИ

https://doi.org/10.15690/vramn.v70i3.1326

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Аннотация

В статье представлен анализ данных литературы последних лет, посвященной особенностям состояния здоровья и развития детей, родившихся с помощью вспомогательных репродуктивных технологий (ВРТ). Данные статистики свидетельствуют о лавинообразном увеличении частоты применения ВРТ как метода лечения бесплодия. В обзоре литературы отражены исходы перинатального периода у детей после ВРТ, частота врожденных пороков развития и генетических заболеваний в этой популяции, возможные отдаленные патологические состояния у детей, родившихся с помощью ВРТ. Подавляющее большинство исследователей связывают неблагоприятные влияния ВРТ на организм ребенка с недоношенностью и многоплодием (трансфер нескольких эмбрионов с последующей частичной редукцией). Указывается, что широкое внедрение ВРТ может способствовать вертикальной передаче факторов родительского бесплодия в популяции. Применение ВРТ в некоторых случаях сопряжено со спорными этическими и правовыми проблемами (суррогатное материнство, донорство ооцитов). Дальнейшее совершенствование технологий ВРТ (предимплантационная подготовка, медико-генетическая диагностика, сокращение частоты многоплодий) не является альтернативой для широкой медико-социальной профилактики нарушений в репродуктивной сфере у подростков и молодежи.

 

Об авторах

А. А. Баранов
Научный центр здоровья детей, Москва, Российская Федерация Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская Федерация
Россия

доктор медицинских наук, профессор, академик РАН, директор Научного центра
здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-30-83



Л. С. Намазова-Баранова
Научный центр здоровья детей, Москва, Российская Федерация Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская Федерация Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация
Россия

доктор медицинских наук, профессор, член-корреспондент РАН, директор
НИИ педиатрии Научного центра здоровья детей, заведующая кафедрой факультетской педиатрии РНИМУ
им. Н.И. Пирогова
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 2, тел.: +7 (495) 967-14-14



И. А. Беляева
Научный центр здоровья детей, Москва, Российская Федерация
Россия

доктор медицинских наук, заведующая отделением для недоношенных детей НИИ
педиатрии Научного центра здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-15-19



Е. П. Бомбардирова
Научный центр здоровья детей, Москва, Российская Федерация
Россия

доктор медицинских наук, профессор, главный научный сотрудник отделения для
недоношенных детей НИИ педиатрии Научного центра здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-15-19



И. Е. Смирнов
Научный центр здоровья детей, Москва, Российская Федерация
Россия

доктор медицинских наук, профессор, главный научный сотрудник лабораторного отдела
НИИ педиатрии Научного центра здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-30-83



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Для цитирования:


Баранов А.А., Намазова-Баранова Л.С., Беляева И.А., Бомбардирова Е.П., Смирнов И.Е. МЕДИКО-СОЦИАЛЬНЫЕ ПРОБЛЕМЫ ВСПОМОГАТЕЛЬНЫХ РЕПРОДУКТИВНЫХ ТЕХНОЛОГИЙ С ПОЗИЦИИ ПЕДИАТРИИ. Вестник Российской академии медицинских наук. 2015;70(3):307–314. https://doi.org/10.15690/vramn.v70i3.1326

For citation:


Baranov A.A., Namazova-Baranova L.S., Belyaeva I.A., Bombardirova E.P., Smirnov E.P. MEDICAL AND SOCIAL PROBLEMS OF ASSISTED REPRODUCTIVE TECHNOLOGIES FROM THE PERSPECTIVE OF PEDIATRICS. Annals of the Russian academy of medical sciences. 2015;70(3):307–314. (In Russ.) https://doi.org/10.15690/vramn.v70i3.1326

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