Women’s health. Modern perinatal strategies

Abstract

On March 21–22, 2025, the All-Ukrainian Scientific and Practical Conference dedicated to the 30th anniversary of the founding of the Department of Obstetrics, Gynecology and Perinatology of the Bukovinian State Medical University was held in Chernivtsi. The department was one of the first in Ukraine to develop the perinatal scientific direction, which is still extremely relevant today.
The conference considered interdisciplinary issues of preserving women’s reproductive health, innovative approaches to solving urgent issues of obstetrics and gynecology; modern aspects of obstetric and gynecological care; discussion issues of current perinatology. The event was attended by over 60 leading scientists from higher educational institutions of Kyiv, Odessa, Dnipro, Vinnytsia, Ivano-Frankivsk, Ternopil, Lviv, Kharkiv, Poltava, Chernivtsi and the State Institution «All-Ukrainian Center for Motherhood and Childhood of the National Academy of Medical Sciences of Ukraine». Over 2,000 listeners were involved in the conference in real time.
The speakers paid special attention to modern perinatal strategies, covered in detail the risk factors for antenatal and intranatal fetal damage, the causes of delayed motherhood, the state of somatic and reproductive health in women aged 35+, and considered the consequences of late pregnancy and childbirth. The conference materials presented the features of the psycho-emotional state of pregnant displaced women, the problems of stress as a factor in changes in the health of women of fertile age during the war.
Innovative approaches to labor induction in modern obstetrics are considered, ways to reduce the rate of cesarean section based on the results of the Robson scale, pathogenesis, prediction tools for abnormal invasion and placenta previa. The main provisions of the clinical guideline “Nausea and vomiting during pregnancy. Excessive vomiting in pregnant women” are announced. Obstetric errors and errors in obstetrics are analyzed. The problems of treating the main gynecological pathology are presented at the modern level: endometrial hyperplasia, laparoscopic correction of symptomatic isthmocele, antiandrogen therapy in restoring ovulatory function in patients with polycystic ovary syndrome, etc. Some of the reports were devoted to the current issues of restoring the vaginal microbiota, controversial issues of diagnosis and therapy of vaginal dysbiosis, and a new view on the prevention and treatment of inflammatory processes of the vagina.