Antenatal care of the fetus (clinical lecture)




antenatal care of the fetus, pre-pregnancy training, primary and secondary prevention of congenital malformations, bad habits, pregnancy, fetal alcohol syndrome, nutrition during pregnancy, sex during pregnancy, perinatal fetal psychology


The demographic situation in Ukraine indicates a deep demographic crisis. Although most couples want to have children, they often postpone this event to a later reproductive period. But no doubt every couple wants to have a healthy baby. An important measure to help women conceive and bear a healthy child is effective pre-pregnancy training to maintain and rehabilitate the reproductive health of the couple, with a special focus on preventing possible complications at the planning stage of pregnancy.

Among the main factors influencing the health of the population, WHO identifies lifestyle. Therefore, already at the stage of planning a pregnancy, the important point is to give up bad habits, physical activity, nutrition and effective organization of sexual life. Nutritional deficiency of vitamins and traditional seasonality of nutrition in Ukraine often do not allow to ensure a full micronutrient status in the body of future parents, especially in the winter3spring period of the year. Therefore, the use of multivitamin complexes, including folic acid, is important for the people of Ukraine, both during pre-pregnancy preparation and during pregnancy, and then during lactation.

In order to eliminate any pathology that may harm the expectant mother and her child, the couple must be rationally examined and rehabilitated during pre-pregnancy preparation. Also, expectant parents should avoid any harmful effects on their body, both at work and at home. Secondary prevention of morbidity and mortality of mother and child is early prenatal diagnosis, which is now actively developing in the world and in Ukraine. An equally important aspect of antenatal protection of the fetus is the formation of the psychological health of the future person. Therefore, the introduction of physiopsychoprophylactic training of each couple for the birth of a child with the involvement of perinatal psychologists is extremely important in modern conditions.

No conflict of interest was declared by the authors.


ACOG. (2007). Practice Bulletin № 77: screening for fetal chromosomal abnormalities. Practice Guideline. Obstet Gynecol. 109 (1): 217-227.; PMid:17197615

Basson R. (2014). Clinical Updates in Women's Heath Care: Sexuality and Sexual Disorders. American College of Obstetricians and Gynecologists. XIII (2): 106.

Bilyaev SG, Nazarenko LG. (2015). The problem of smoking in the worldview of the modern obstetrician-gynecologist. Women's health. 3: 10-13. URL:

Fedorenko RP. (2012). The impact of sexual profile of partners on the well-being of marital and family relationships. Bulletin of Odessa National University. Series: Psychology. 8 (17): 433-438. URL:

Khits AR. (2020). Fetal alcohol syndrome: a review of the literature. Ukrainian Medical Journal: 1-4. URL:

Khomych LS et al. (2010). Alcohol use during pregnancy: prevalence and possible consequences. The health of the nation. 3: 58-65. URL:

Kira EF. (2012). Bacterial vaginosis. Moscow: MIA: 472.

Kobasa OD. (2016). Person is Born. Odessa: Bartenev Publishing House: 408. URL:

Kravchenko OV. (2017). Modern approaches to the correction of vaginal microbiocenosis at the stage of preconception training. Reproductive endocrinology. 6 (38): 26-29.

Kuzina OA, Shchetinina YuS, Zinchenko EA. (2016). On the problem of smoking during pregnancy. Theory and Practice of Actual Research. 11: 119-126. URL:

MARS. (2020). Pregravid preparation. Clinical Protocol of the Interdisciplinary Association of Reproductive Medicine Professionals (MARS). Version 2.0. Moscow: Editorial office of the journal StatusPraesens: 128. URL:

McMillan A, Dell M, Zellar MP et al. (2011). Disruption of urogenital biofilms by lactobacilli. Colloids Surf B Biointerfaces. 86 (1): 58-64.; PMid:21497071

Ministry of Health of Ukraine. (2017). About the consolidated norms of physiological needs of the population of Ukraine in the main food speeches and energy. Order of the Ministry of Health of Ukraine dated 03.09.2017 No. 1073. URL:

Ministry of Health of Ukraine. (2021). Center for Medical Statistics of the Ministry of Health of Ukraine, 2009-2021. URL:

Schneider ML, Roughton EC, Lubach GR. (1997). Moderate Alcohol Consumption and Psychological Stress during Pregnancy Induce Attention and Neuromotor Impairments in Primate Infants. Child Development. 68: 747-759.; PMid:29106730

Shchegolev AI, Tumanova UN, Mishnev OD. (2018). The effect of smoking on the development of placental lesions. Gynecology. 2 (20): 34-40.

Shemeta OO, Dozhuk KM. (2015). Functional nutrition is a new approach to a healthy lifestyle. Medicines of Ukraine. 1 (186): 24-27. URL:

Sherrard J, Wilson J, Donders G et al. (2018). European (IUSTI/WHO) International Union against sexually transmitted infections (IUSTI) World Health Organisation (WHO) guideline on the management of vaginal discharge. International Journal of STD & AIDS. 29 (13): 1258-1272.; PMid:30049258

Sherrard J, Wilson J, Mendling W et al. (2018). European Guideline for vaginal discharge. IUSTI. Intl J STD AIDS. 29: 1258-1272.; PMid:30049258

Shevchenkivskyi district of the city of Kyiv. (2012). Report of the Polyclinic No.2 of the Shevchenkivskyi district of the city of Kyiv.

Skrobansky KK. (1946). Textbook of obstetrics. 3d edition. Leningrad: Medgiz: 386. URL:

State Budget of Ukraine. (2020). Law of Ukraine on the State Budget of Ukraine for 2020. URL:

State Statistics Service of Ukraine. (2021). Official web site, 1998-2021. URL:

Tarasenko KV, Gromova AM, Shafarchuk VM, Nesterenko LA. (2019). Increasing the frequency of cesarean sections as a problem of modern obstetrics. Ukrainian Journal of Medicine, Biology and Sports. 5 (21); 4: 197-201.

Tatarchuk TF, Kalugina LV, Petrova GA et al. (2020). Vaginal discharge syndrome. Problem with many unknowns. Reproductive endocrinology. 3 (53): 102-108. URL:

Unesco-Unicef. (2021). Unesco-Unicef data. URL:

Voronenko YuV, Shekera OG, Vdovichenko YuP, Gorbunova OV et al. (2016). Current issues of obstetrics in the practice of family physicians. A textbook for interns and physicians - students of institutions (faculties) of postgraduate education (Family Medicine Series). Kyiv: Zaslavsky: 337. URL:

WHO. (2001). World Health Organization. URL:

WHO. (2001). Data from the European Health for All Database. URL:

Wilcox et al. (1995). Timing of Sexual Intercourse in Relation to Ovulation - Effects on the Probability of Conception, Survival of the Pregnancy, and Sex of the Baby. The New England Journal of Medisine (NEJM). 333: 1517-1521.; PMid:7477165

Zeitzel E. (2012). Primary prevention of birth defects: multivitamins or folic acid. Gynecology. 14 (5): 38-46. URL:





For the practicing physician