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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1324</article-id><article-id pub-id-type="doi">10.15690/vramn1324</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>EPIDEMIOLOGY: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ ЭПИДЕМИОЛОГИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Obstetric and perinatal care units functioning during the COVID-19 pandemic</article-title><trans-title-group xml:lang="ru"><trans-title>О принципах работы перинатального стационара в условиях пандемии коронавируса</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0293-6385</contrib-id><name-alternatives><name xml:lang="en"><surname>Di Renzo</surname><given-names>Gian Carlo</given-names></name><name xml:lang="ru"><surname>Ди Ренцо</surname><given-names>Джанкарло</given-names></name></name-alternatives><address><country country="IT">Italy</country></address><bio xml:lang="en"><p>Professor</p></bio><bio xml:lang="ru"><p>профессор</p></bio><email>giancarlo.direnzo@unipg.it</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7415-4633</contrib-id><contrib-id contrib-id-type="scopus">6602363216</contrib-id><contrib-id contrib-id-type="researcherid">M-5660-2016</contrib-id><contrib-id contrib-id-type="spin">7538-2966</contrib-id><name-alternatives><name xml:lang="en"><surname>Makatsariya</surname><given-names>Alexander D.</given-names></name><name xml:lang="ru"><surname>Макацария</surname><given-names>Александр Давидович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Academician of Russian Academy of Sciences</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, академик РАН, заведующий кафедрой акушерства и гинекологии Клинического института детского здоровья Сеченовского Университета</p></bio><email>gemostasis@mail.ru</email><uri>https://internist.ru/lectors/detail/makatsariya-/</uri><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5888-0774</contrib-id><name-alternatives><name xml:lang="en"><surname>Tsibizova</surname><given-names>Valentina I.</given-names></name><name xml:lang="ru"><surname>Цибизова</surname><given-names>Валентина Ивановна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Doctor, Departments of Functional and Ultrasound Diagnostics</p></bio><bio xml:lang="ru"><p>врач отделения функциональной и ультразвуковой диагностики=</p></bio><email>tsibizova.v@gmail.com</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0782-5104</contrib-id><name-alternatives><name xml:lang="en"><surname>Capanna</surname><given-names>Federica</given-names></name><name xml:lang="ru"><surname>Капанна</surname><given-names>Федерика</given-names></name></name-alternatives><address><country country="CH">Switzerland</country></address><bio xml:lang="en"><p>MD, assistant professor Department of Obstetrics and Gynaecology</p></bio><bio xml:lang="ru"><p>врач акушер-гинеколог, доцент кафедры Акушерства и Гинекологии</p></bio><email>federicacapanna@gmail.com</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3476-3685</contrib-id><name-alternatives><name xml:lang="en"><surname>Rasero</surname><given-names>Bartha</given-names></name><name xml:lang="ru"><surname>Разеро</surname><given-names>Барта</given-names></name></name-alternatives><address><country country="ES">Spain</country></address><bio xml:lang="en"><p>MD, PhD, Full Professor of Department of Obstetrics and Gynecology</p></bio><bio xml:lang="ru"><p>Профессор, отделение акушерства и гинекологии, Университет «Ла Пас»</p></bio><email>joseluisbartha@me.com</email><xref ref-type="aff" rid="aff6"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2943-0883</contrib-id><contrib-id contrib-id-type="researcherid">N-5315-2015</contrib-id><name-alternatives><name xml:lang="en"><surname>Komlichenko</surname><given-names>Eduard V.</given-names></name><name xml:lang="ru"><surname>Комличенко</surname><given-names>Эдуард Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Deputy Director of the Institute of Perinatology and Pediatrics, Almazov National Medical Research Centre</p></bio><bio xml:lang="ru"><p>д.м.н., зам. директора Института перинатологии и педиатрии ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова»</p></bio><email>e_komlichenko@mail.ru</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7514-2260</contrib-id><name-alternatives><name xml:lang="en"><surname>Pervunina</surname><given-names>Tatiana M.</given-names></name><name xml:lang="ru"><surname>Первунина</surname><given-names>Татьяна Михайловна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Director of the Institute of Perinatology and Pediatrics</p></bio><bio xml:lang="ru"><p>кандидат медицинских наук, директор Института перинатологии и педиатрии</p></bio><email>ptm.pervunina@yandex.ru</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0725-9686</contrib-id><contrib-id contrib-id-type="scopus">57194547147</contrib-id><contrib-id contrib-id-type="researcherid">F-8384-2017</contrib-id><contrib-id contrib-id-type="spin">8225-4976</contrib-id><name-alternatives><name xml:lang="en"><surname>Khizroeva</surname><given-names>Jamilya Kh.</given-names></name><name xml:lang="ru"><surname>Хизроева</surname><given-names>Джамиля Хизриевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, профессор кафедры акушерства и гинекологии Клинического института детского здоровья Сеченовского Университета </p></bio><email>jamatotu@gmail.com</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8404-1042</contrib-id><contrib-id contrib-id-type="scopus">6506003478</contrib-id><contrib-id contrib-id-type="researcherid">F-8409-2017</contrib-id><contrib-id contrib-id-type="spin">5930-0859</contrib-id><name-alternatives><name xml:lang="en"><surname>Bitsadze</surname><given-names>Victoria O.</given-names></name><name xml:lang="ru"><surname>Бицадзе</surname><given-names>Виктория Омаровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор, профессор РАН</p></bio><email>vikabits@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shkoda</surname><given-names>Andrei S.</given-names></name><name xml:lang="ru"><surname>Шкода</surname><given-names>Андрей Сергеевич</given-names></name></name-alternatives><bio xml:lang="en"><p>MD, PhD, the head </p></bio><bio xml:lang="ru"><p>главный врач</p></bio><email>67gkb@mail.ru</email><xref ref-type="aff" rid="aff7"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет имени И.М.Сеченова (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">University of Perugia</institution></aff><aff><institution xml:lang="ru">Центр пренатальной и репродуктивной медицины Университета Перуджи</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Almazov National Medical Research Centre</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр имени В.А. Алмазова</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Hôpitaux Universitaires de Genève</institution></aff><aff><institution xml:lang="ru">Женевская университетская больница</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">University Hospital “La Paz”</institution></aff><aff><institution xml:lang="ru">Университетская клиника Ла Пас</institution></aff></aff-alternatives><aff-alternatives id="aff7"><aff><institution xml:lang="en">L.A. Vorokhobov City Clinical Hospital Sixty-seven</institution></aff><aff><institution xml:lang="ru">Городская клиническая больница № 67 им. Л.А. Ворохобова</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2020-03-26" publication-format="electronic"><day>26</day><month>03</month><year>2020</year></pub-date><pub-date date-type="pub" iso-8601-date="2020-03-30" publication-format="electronic"><day>30</day><month>03</month><year>2020</year></pub-date><volume>75</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>83</fpage><lpage>92</lpage><history><date date-type="received" iso-8601-date="2020-03-25"><day>25</day><month>03</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-03-25"><day>25</day><month>03</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2020, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2020, Издательство "Педиатръ"</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2021-03-30"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://vestnikramn.spr-journal.ru/jour/about/submissions</ali:license_ref></license></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/1324">https://vestnikramn.spr-journal.ru/jour/article/view/1324</self-uri><abstract xml:lang="en"><p>The rapid spread of COVID-19 and the large number of cases put a significant burden on the health systems of any developed country. Specialists in natural disasters and military medicine should be involved in the provision of medical care and observance of anti-epidemic measures. In some countries, including Italy, they were involved only after the situation was dramatically worsening with many clinical units and hospitals overloaded by infected patients. To curb the spread of COVID-19, most countries declared a state of emergency, and unprecedented measures have been taken to strengthen quarantine in suspected or positive symptomatic subjects. Nevertheless, the crisis associated with the unexpectedly global scale and tragedy of the pandemic and the inconsistency of actions of both society and individuals and specialized medical services, lead to insufficient effectiveness of the measures taken in a number of regions. In the present day, it is vital for every person to change its mindset ― relying on personal responsibility to comply with all recommendations of quarantine and anti-epidemic measures, and to reorganize departments and resources of medical institutions at all levels in order to withstand the spread of infection and at the same time provide all those in need with the necessary and appropriate medical care. Particular attention should be paid to the obstetric care service, given that even in “normal” times, the obstetric hospital is an area of increased responsibility for the life and health of mother and child and future mankind. Fulfillment of existing orders, instructions of national and regional committees, international and national protocols and clinical protocols should undoubtedly lead to a positive result, but this requires additional training of medical personnel at all levels. The purpose of this review is to propose quick key strategies for reassessing the maternity and neonatal wards/ hospitals based on the experience of health systems and organizations which faced the spread of this new coronavirus; this advice may be applied along with binding tight instructions in obstetric hospitals in order to proactively respond to a likely wave of growth in COVID-19.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Актуальность. </bold>Быстрое распространение COVID-19 и большое количество заболевших накладывает значительную нагрузку на системы здравоохранения развитых государств. В ряде стран к оказанию медицинской помощи и соблюдению противоэпидемических мероприятий привлекаются специалисты по стихийным бедствиям и военной медицине, однако в некоторых странах, в том числе в Италии, они были задействованы после того, как многие клинические подразделения и стационары были перегружены. Для сдерживания распространения COVID-19 большинство стран объявили чрезвычайное положение, были приняты беспрецедентные меры по усилению карантинных мероприятий. Тем не менее кризис, связанный с неожиданно глобальным масштабом и трагичностью пандемии, и несогласованность действий как общества и отдельных граждан, так и специализированных медицинских служб приводят к недостаточной эффективности проводимых мероприятий в ряде регионов. Особое внимание следует уделить службе родовспоможения, учитывая, что и в спокойное время акушерский стационар является зоной повышенной ответственности за жизнь и здоровье матери и ребенка. Исполнение действующих приказов, указаний национальных и региональных комитетов, международных/национальных и клинических протоколов, несомненно, приведет к положительному результату, но требует дополнительного обучения и тренировки медицинского персонала всех уровней.</p> <p><bold>Цель обзора </bold>― предложить ключевые стратегии, основываясь на опыте регионов, ранее столкнувшихся с распространением нового коронавируса, которые могут быть быстро применены наряду с обязательными к исполнению действующими приказами и распоряжениями в акушерских стационарах, чтобы превентивно отреагировать на вероятную волну роста заболеваемости и носительства COVID-19.</p></trans-abstract><kwd-group xml:lang="en"><kwd>SARS-CoV-2</kwd><kwd>COVID-19</kwd><kwd>COVID+ zone</kwd><kwd>coronavirus</kwd><kwd>obstetrics</kwd><kwd>tips in COVID</kwd><kwd>delivery and COVID</kwd><kwd>childbirth</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>SARS-CoV-2</kwd><kwd>COVID-19</kwd><kwd>COVID+ зона</kwd><kwd>коронавирус</kwd><kwd>акушерство-гинекология</kwd><kwd>советы при коронавирусной инфекции</kwd><kwd>роды и коронавирус</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Favre G, Pomar L, Musso D, Baud D. 2019-nCoV epidemic: what about pregnancies? 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