Health and social care of minors in pregnancy, childbirth and the postpartum period

The analysis of the reproductive potential allows obstetric-gynecological and pediatric services to predict the demographic situation, the state of health of future pregnant women, parturient women, puerperas and born children. The medico-social aspects of pregnancy, childbirth and the post-natal period in adolescents remain subject to debate. The article presents a comprehensive analysis of the factors influencing the reproductive potential. The features of the course of pregnancy, childbirth and the postnatal period in minors have been revealed. The need to observe certain principles and interdisciplinary approach in the management of pregnancy, childbirth in juveniles is established. Questions of preventive maintenance of unplanned pregnancies, including repeated, sexual infections (from abstinence to reliable and accessible methods of contraception) are considered. Demonstrated the need for an integrated approach and joint work of the obstetrician-gynecologist, psychologist, social worker and lawyer in the conduct of pregnancy in minors. An integrated approach should include: reproductive education with the formation of a responsible attitude towards health in order to prevent unplanned pregnancies, including repeated (from abstinence to reliable and affordable methods of contraception); the management of pregnancy, childbirth and the post-natal period, taking into account age characteristics, observance of certain principles and interdisciplinary approach; a set of social measures to support minors from the moment of reproductive choice to the upbringing of a child by a minor.