About
The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
ArchiveEthical StandardsSubscription
For authors
InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
Reviewing
About
The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
ArchiveEthical StandardsSubscription
For authors
InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
Reviewing
Logout
Obstetrics and Gynegology2021№8
Optimization of the trace element...

Optimization of the trace element composition of breast milk, by enriching a women’s diet

DOI
https://dx.doi.org/10.18565/aig.2021.8.60-68

Kodentsova V.M., Risnik D.V., Pavlovich S.V., Ladodo O.B.

1) Federal Research Centre of Nutrition, Biotechnology, and Food Safety, Moscow, Russian Federation; 2) M.V.Lomonosov Moscow State University, Moscow, Russian Federation; 3) Academician V.I.Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow, Russian Federation
Objective: to assess the possibility of optimizing the gross and trace element composition of breast milk and a baby’s demand, by enriching a woman’s diet. Literature was sought using the PubMed, Google Scholar, ResearchGate, Russian Science Citation Index, and CyberLeninka databases. According to the possibility of affecting their breast milk concentrations, minerals are divided into 3 groups. The breast milk concentrations of calcium, phosphorus, and magnesium are maintained within a certain range, even in women who have their deficiencies. The concentrations of iron, copper, and zinc depend not so much on the current dietary intake in the mother as on her mineral status. The low mineral status formed in a woman during pregnancy leads to a decrease in the breast milk concentration of the minerals. A woman who has their deficiencies during pregnancy is susceptible to further depletion during breastfeeding. The breast milk concentrations of iodine and selenium depend not so much on the maternal status as on the current intake of these trace elements. The content of iodine and selenium in breast milk and the status of infants may be upgraded by increasing their current intake through the consumption of vitamin-mineral supplements or fortified foods by their breastfeeding mother. Since the breast milk levels of many elements are maintained due to the breastfeeding woman’s body, it is necessary to optimize the mineral status of an expectant mother even before the start of breastfeeding, which will prevent the depletion of these trace elements during breastfeeding and ensure the maintenance of her and her baby’s health.
Conclusion. The intake of vitamin and mineral supplements during pregnancy and lactation not only eliminates multiple dietary trace nutrient deficiencies and improves the status of a breastfeeding woman, but also optimizes the trace nutrient composition of her breast milk and the baby’s supply.

Keywords

gross elements
trace elements
breast milk
pregnant women
breastfeeding women
mineral status
vitamin-mineral supplements
foods fortified with trace nutrients
Full text (in Russian)

References

  1. Wu X., Jackson R.T., Khan S.A., Ahuja J., Pehrsson P.R. Human milk nutrient composition in the United States: current knowledge, challenges, and research needs. Curr. Dev. Nutr. 2018; 2(7): nzy025. https://dx.doi.org/10.1093/cdn/nzy025.
  2. Каганова Т.И., Бредучева Л.А., Логинова А.А. О суточных колебаниях состава грудного молока. Детская медицина Северо-Запада. 2012; 3(3): 32-6. [Kaganova T.I., Breducheva L.A., Loginova A.A. Daily monitoring of women’s breast milk. Detskaya meditsina Severo-Zapada/. 2012; 3(3), 32-36. (in Russian)].
  3. Скальный А.В. Химические элементы в физиологии и экологии человека. М.: Мир; 2004. 216с. [Skalny A.V. Chemical elements in human physiology and ecology. M.: Mir; 2004, 216p. (in Russian)].
  4. Daniels L., Gibson R.S., Diana A., Haszard J.J., Rahmannia S., Luftimas D.E. et al. Micronutrient intakes of lactating mothers and their association with breast milk concentrations and micronutrient adequacy of exclusively breastfed Indonesian infants. Am. J. Clin. Nutr. 2019; 110(2): 391-400. https://dx.doi.org/10.1093/ajcn/nqz047.
  5. Лукоянова О.Л., Боровик Т.Э., Скворцова В.А., Беляева И.А., Бушуева Т.В., Звонкова Н.Г., Яцык Г.В. Состав грудного молока и питание матери: есть связь? Педиатрия. Журнал имени Г.Н. Сперанского. 2018; 97(4): 160-7. [Lukoyanova O.L., Borovik T.E., Skvortsova V.A., Belyaeva I.A., Bushueva T.V., Zvonkova N.G., Yatsyk G.V. Breast milk composition and mother's nutrition: is there a connection? Pediatrics. 2018; 97 (4): 160-7. (in Russian)].
  6. Бениова С.Н., Руденко Н.В., Маслов Д.В., Ананьев В.Ю. Особенности пищевой ценности и химического состава грудного молока у преждевременно родивших женщин в Приморском крае. Гигиена и санитария. 2013; 3: 71-4. [Beniova S. N., Rudenko N. V., Maslov D. V., Ananiev V. Y. Peculiarities of nutritional value and chemical composition of breast milk in females with preterm deliveries in the Primorsky krai. Hygiene and Sanitation. 2013; 3: 71-4. (in Russian)].
  7. Белых Н.А., Корниенко Л.И. Оценка содержания микроэлементов (йода и железа) в грудном молоке. Здоровье ребенка. 2013; 5: 53-7. (Belykh N.A., Kornienko L.I. Evaluation of the content of trace elements (iodine and iron) in breast milk. Zdorov'ye rebenka/ Child's health. 2013; 5: 53-7. (in Russian)].
  8. Шилин Д.Е. Беременность, лактация и кальций: необоснованные страхи и доказанные успехи (к 100-летию первой публикации). Медицинский Совет. 2013; 8: 32-7. [Shilin D.E. Pregnancy, lactation and calcium: baseless fears and proven success (100th anniversary of the first publication). Meditsinskiy sovet/Medical Council. 2013; 8: 32-7. (in Russian)]. https://dx.doi.org/10.21518/2079-701X-2013-8-32-37.
  9. Dror D.K., Allen L.H. Overview of nutrients in human milk. Adv. Nutr. 2018; 9(Suppl. 1): 278S-94S. https://dx.doi.org/10.1093/advances/nmy022.
  10. Sánchez C., Fente C., Barreiro R., López-Racamonde O., Cepeda A., Regal P. Association between breast milk mineral content and maternal adherence to healthy dietary patterns in Spain: A transversal study. Foods. 2020; 9(5): 659. https://dx.doi.org/10.3390/foods9050659.
  11. Klein L.D., Breakey A.A., Scelza B., Valeggia C., Jasienska G., Hinde K. Concentrations of trace elements in human milk: Comparisons among women in Argentina, Namibia, Poland, and the United States. PLoS One. 2017; 12(8): e0183367. https://dx.doi.org/10.1371/journal.pone.0183367.
  12. Choi Y.K., Kim J.M., Lee J.E., Cho M.S., Kang B.S., Choi H., Kim Y. Association of maternal diet with zinc, copper, and iron concentrations in transitional human milk produced by Korean mothers. Clin. Nutr. Res. 2016; 5(1): 15-25. https://dx.doi.org/10.7762/cnr.2016.5.1.15.
  13. Курмачева Н.А., Рогожина И.Е., Черненков Ю.В., Панина О.С. Эффективность применения витаминно-минерального комплекса Элевит® Пронаталь с ранних сроков беременности с целью улучшения акушерских и перинатальных исходов. Гинекология. 2018; 20(4):19-25. [Kurmacheva N.A., Rogozhina I.E., Chernenkov Yu.V., Panina O.S.Effecacy Elevit® vitamin-mineral complex Pronatal from early pregnancy for improvement obstetric and perinatal outcomes. Gynecology. 2018; 20(4): 19-25. (in Russian)]. https://dx.doi.org/10.26.442/2079-5696_2018.4.10-45.
  14. Станкевич С.С., Кондратьева Е.И., Барабаш Н.А., Протасова Н.В., Барановская Н.В. Микроэлементный состав грудного молока женщин, проживающих в промышленном городе. Российский вестник перинатологии и педиатрии. 2011; 56(1): 14-9. [Stankevich S.S., Kondratyeva E.I., Barabash N.A., Protasova N.V., Baranovskaya N.V. Microelement composition of breast milk of women living in an industrial city. Russian Bulletin of Perinatology and Pediatrics. 2011; 56 (1): 14-9. (in Russian)].
  15. Красовская М.А. Содержание цинка, меди, кадмия и свинца в молочных смесях и грудном молоке жительниц г. Омска. Вестник Уральского государственного медицинского университета. 2019; 1: 49-51. [Krasovskaya M.A. The contents of zinc, copper, cadmium and lead in milk formula and breast milk of residents of the city of Omsk. Vestnik Ural'skogo gosudarstvennogo meditsinskogo universiteta. 2019; 1: 49-51. (in Russian)].
  16. Oh C., Keats E.C., Bhutta Z.A. Vitamin and mineral supplementation during pregnancy on maternal, birth, child health and development outcomes in low-and middle-income countries: a systematic review and meta-analysis. Nutrients. 2020; 12(2): E491. https://dx.doi.org/10.3390/nu12020491.
  17. El‐Farrash R.A., Ismail E.A.R., Nada A.S. Cord blood iron profile and breast milk micronutrients in maternal iron deficiency anemia. Pediatr. Blood Cancer. 2012; 58(2): 233-8. https://dx.doi.org/10.1002/pbc.23184.
  18. Dorea J.G. Iron and copper in human milk. Nutrition. 2000; 16(3): 209-20. https://dx.doi.org/10.1016/s0899-9007(99)00287-7.
  19. Зубков В.В. Особенности питания женщины во время беременности и при кормлении ребенка. Медицинский Совет. 2017; 13: 86-92. [Zubkov V.V. Nutritional characteristics of a woman during pregnancy and feeding a child. Meditsinskiy sovet/ Medical Council. 2017; 13: 86-92. (in Russian)]. https://dx.doi.org/10.21518/2079-701X-2017-13-86-92.
  20. Sabatier M., Garcia-Rodenas C.L., De Castro C.A., Kastenmayer P., Vigo M., Dubascoux S. et al. Longitudinal changes of mineral concentrations in preterm and term human milk from lactating Swiss women. Nutrients. 2019; 11(8): 1855. https://dx.doi.org/10.3390/nu11081855.
  21. Dror D.K., Allen L.H. Iodine in human milk: a systematic review. Adv. Nutr. 2018; 9(Suppl. 1): 347S-57S. https://dx.doi.org/10.1093/advances/nmy020.
  22. Ellsworth L., McCaffery H., Harman E., Abbott J., Gregg B. Breast milk iodine concentration is associated with infant growth, independent of maternal weight. Nutrients. 2020; 12(2): 358. https://dx.doi.org/10.3390/nu12020358.
  23. Italianer M.F., Naninck E.F., Roelants J.A., van der Horst G.T., Reiss I.K., Goudoever J.B.V., Vermeulen M.J. Circadian variation in human milk composition, a systematic review. Nutrients. 2020; 12(8): 2328. https://dx.doi.org/10.3390/nu12082328.
  24. Barkova E.N., Nazarenko E.V., Zhdanova E.V. Diurnal variations in qualitative composition of breast milk in women with iron deficiency. Bull. Exp. Biol. Med. 2005; 140(4): 394-6. https://dx.doi.org/10.1007/s10517-005-0500-2.
  25. Agostoni C., Braegger C., Decsi T. Breast-feeding: a commentary by the ESPGHAN Committee on Nutrition. J. Pediatr. Gastroenterol. Nutr. 2009; 49(1): 112-25. https://dx.doi.org/10.1097/MPG. 0b013e31819f1e05.
  26. Bzikowska A., Czerwonogrodzka-Senczyna A., Wesołowska A., Weker H. Nutrition during breastfeeding-impact on human milk composition. Pol. Merkur. Lekarski. 2017; 43(258): 276-80.
  27. Samuel T.M., Zhou Q., Giuffrida F., Munblit D., Verhasselt V., Thakkar S.K. Nutritional and non-nutritional composition of human milk is modulated by maternal, infant and methodological factors. Front. Nutr. 2020; 7: 576133. https://dx.doi.org/10.3389/fnut.2020.576133.
  28. Allen L.H., Donohue J.A., Dror D.K. Limitations of the evidence base used to set recommended nutrient intakes for infants and lactating women. Adv. Nutr. 2018; 9(Suppl. 1): 295S-312S. https://dx.doi.org/10.1093/advances/nmy019.
  29. Трошина Е.А. Современные аспекты профилактики и лечения йододефицитных заболеваний. Фокус на группы риска. Медицинский Совет. 2016; 3: 82-5. [Troshina E.A. Current aspects of prevention and treatment of iodine deficiency disorders. Focus on risk groups. Meditsinskiy sovet/Medical Council. 2016; 3: 82-5. (in Russian)]. https://dx.doi.org/10.21518/2079-701X-2016-3-82-85.
  30. Allen L.H. Maternal micronutrient malnutrition: effects on breast milk and infant nutrition, and priorities for intervention. SCN News. 1994; (11): 21-4.
  31. Williams A.M., Stewart C.P., Shahab-Ferdows S., Hampel D., Kiprotich M., Achando B. et al. Infant serum and maternal milk vitamin B-12 are positively correlated in Kenyan infant-mother dyads at 1-6 months postpartum, irrespective of infant feeding practice. J. Nutr. 2018; 148(1): 86-93. https://dx.doi.org/10.1093/jn/nxx009.
  32. Keikha M., Shayan-Moghadam R., Bahreynian M., Kelishadi R. Nutritional supplements and mother’s milk composition: a systematic review of interventional studies. Int. Breastfeed. J. 2021; 16(1): 1-30. https://dx.doi.org/10.1186/s13006-020-00354-0.
  33. Чумбадзе Т.Р., Скворцова В.А., Боровик Т.Э., Одинаева Н.Д., Семенова Н.Н. Влияние специализированных продуктов на микроэлементный состав грудного молока кормящих женщин. Вопросы детской диетологии. 2008; 6(5): 55-8. [Chumbadze T.R., Skvortsova V.A., Borovik T.E., Odinaeva N.D., Semenova N.N. Influence of specialized products on the microelement composition of breast milk in lactating women. Pediatric Nutrition. 2008; 6(5): 55-8. (in Russian)].
  34. Мазур Л.И., Балашова Е.А., Сазонова О.В., Горбачев Д.О., Гаврюшин М.Ю. Питание кормящей матери и его влияние на развитие железодефицитных состояний у ребенка в первые 6 месяцев жизни. Вопросы детской диетологии. 2020; 18(1): 13-9. [Mazur L.I., Balashova Е.А., Sazonova O.V., Gorbachev D.О., Gavryushin M.Yu. Nutrition of feeding mothers and its impact on the development of iron deficiencies in infants during the first 6 months of life. Pediatric Nutrition. 2020; 18(1): 13-9. (in Russian)]. https://dx.doi.org/10.20953/1727-5784-2020-1-13-19.
  35. Dumrongwongsiri O., Chatvutinun S., Phoonlabdacha P., Sangcakul A., Chailurkit L.O., Siripinyanond A., Suthutvoravut U., Chongviriyaphan N. High urinary iodine concentration among breastfed infants and the factors associated with iodine content in breast milk. Biol. Trace Elem. Res. 2018; 186(1): 106-13. https://dx.doi.org/10.1007/s12011-018-1303-4.
  36. Nazeri P., Dalili H., Mehrabi Y., Hedayati M., Mirmiran P., Azizi F. Breast milk iodine concentration rather than maternal urinary iodine is a reliable indicator for monitoring iodine status of breastfed neonates. Biol. Trace Elem. Res. 2018; 185(1): 71-7. https://dx.doi.org/10.1007/s12011-018-1246-1249.
  37. Клинические рекомендации «Нормальная беременность». Available at: http://roag-portal.ru/recommendations_obstetrics [Clinical guidelines "Normal pregnancy" (in Russian)].
  38. Allen L.H., Dror D.K. Introduction to current knowledge on micronutrients in human milk: adequacy, analysis, and need for research. Adv. Nutr. 2018; 9(Suppl. 1): 275S-7S. https://dx.doi.org/10.1093/advances/nmy018.
  39. Сенькевич О.А., Ковальский Ю.Г., Езерский Р.Ф. Антенатальный йододефицит на Дальнем Востоке – фактор риска формирования патологических состояний новорожденных. Дальневосточный медицинский журнал. 2012; 3: 26-9. [Senkevich O.A, Kovalsky Yu. G., Yezersky R.F. Antenatal iodine deficiency in the Far East is a risk factor for the formation of pathological conditions in newborns. Dal'nevostochnyy meditsinskiy zhurnal/ Far Eastern Medical Journal. 2012; 3: 26-9 (in Russian)].
  40. Сенькевич О.А., Комарова З.А. Дефицит селена в преконцепции и лактации: последствия и пути коррекции. Дальневосточный медицинский журнал. 2016; 2: 42-6. [Senkevich O.A., Komarova Z.A. Selenium deficit in preconception and lactation: consequences and ways of correction. Dal'nevostochnyy meditsinskiy zhurnal/ Far Eastern Medical Journal. 2016; 2: 42-6 (in Russian)].
  41. Osei J., Andersson M., van der Reijden O., Dold S., Smuts C.M., Baumgartner J. Breast-milk iodine concentrations, iodine status, and thyroid function of breastfed infants aged 2-4 months and their mothers residing in a south African township. J. Clin. Res. Pediatr. Endocrinol. 2016; 8(4): 381-91. https://dx.doi.org/10.4274/jcrpe.2720.
  42. Nazeri P., Tahmasebinejad Z., Mehrabi Y., Hedayati M., Mirmiran P., Azizi F. Lactating mothers and infants residing in an area with an effective salt iodization program have no need for iodine supplements: results from a double-blind, placebo-controlled, randomized controlled trial. Thyroid. 2018; 28(11):1547-58. https://dx.doi.org/10.1089/thy.2018.0153.
  43. Белых Н.А., Плугатаренко Н.А., Бохан М.В., Доброхотова А.В. Оценка эффективности различных способов профилактики железодефицитных состояний у детей грудного возраста. Здоровье ребенка. 2015; 1: 36-40. [Belykh N.A., Plugatarenko N.A., Bokhan M.V., Dobrokhotova A.V. Evaluation of the effectiveness of various methods for the prevention of iron deficiency in infants. Zdorov'ye rebenka/ Child's health. 2015; 1(60): 36-40. (in Russian)].
  44. Mari G.H., Mestorino N., Errecalde J., Huber B., Uriarte A., Orchuela J. Personalised iron supply for prophylaxis and treatment of pregnant women as a way to ensure normal iron levels in their breast milk. J. Med. Life. 2012; 5(1): 29-32.
  45. Тютюнник В.Л., Кан Н.Е., Ломова Н.А., Докуева Р.С. Железодефицитные состояния у беременных и родильниц. Медицинский Совет. 2017; 13: 58-62. https:/dx.doi.org/10.21518/2079-701X-2017-13-58-62. [Tyutyunnik V.L., Kan N.E., Lomova N.A., Dokueva R.S. Iron deficiency conditions in pregnant women and puerperas. Meditsinskiy sovet/Medical Council. 2017; 13: 58-62. (in Russian)]. https:/dx.doi.org/10.21518/2079-701X-2017-13-58-62.
  46. Коденцова В.М., Рисник Д.В. Микронутриентные метаболические сети и множественный дефицит микронутриентов: обоснование преимуществ витаминно-минеральных комплексов. Микроэлементы в медицине. 2020; 21(4): 3-20. [Kodentsova V.M., Risnik D.V Micronutrient metabolic networks and multiple micronutrient deficiency: a rationale for the advantages of vitamin-mineral supplements 21(4): 3-20. (in Russian)]. https://dx.doi.org/10.19112/2413-6174-2020-21-4-3-20.
  47. Громова О.А., Торшин И.Ю., Кошелева Н.Г. Молекулярные синергисты йода: новые подходы к эффективной профилактике и терапии йод-дефицитных заболеваний у беременных. РМЖ. Мать и дитя. 2011; 19(1): 51-8. [Gromova O.A., Torshin I.Yu., Kosheleva N.G. Molecular synergists of iodine: new approaches to effective prevention and treatment of iodine-deficiency diseases in pregnant women. RMJ. Mother and child. 2011; 19(1): 51-8. (in Russian)].
  48. Громова О.А., Торшин И.Ю., Хаджидис А.К. Анализ молекулярных механизмов воздействия железа (II), меди, марганца в патогенезе железодефицитной анемии. Клиническая фармакология и фармаэкономика. 2010; 1: 1-9. [Gromova O.A., Torshin I.Yu., Khadzhidis A.K. Analysis of the molecular mechanisms of the effect of iron (II), copper, manganese in the pathogenesis of iron deficiency anemia. Klinicheskaya farmakologiya i farmaekonomika/ Clinical pharmacology and pharmacoeconomics. 2010; 1: 1-9. (in Russian)].
  49. Коденцова В.М., Вржесинская О.А., Трофименко А.В., Бекетова Н.А., Переверзева О.Г., Исаева В.А., Харитончик Л.А., Кузьменко Л.Г. Использование в питании детей витаминно-минеральных комплексов. Педиатрия. Журнал имени Г.Н. Сперанского. 2003; 82(4): 68-72. [Kodentsova V.M., Vrzhesinskaya O.A., Trofimenko A.V., Beketova N.A., Pereverzeva O.G., Isaeva V.A., Kharitonchik L.A., Kuzmenko L.G. The use of vitamin and mineral complexes in the nutrition of children. Pediatrics. The magazine named after G.N. Speransky. 2003; 82(4): 68-72. (in Russian)].
  50. Haider B.A., Bhutta Z.A. Multiple‐micronutrient supplementation for women during pregnancy. Cochrane Database Syst. Rev. 2017; (4): CD004905. https://dx.doi.org/10.1002/14651858.CD004905.pub5.

Received 28.01.2021

Accepted 13.04.2021

About the Authors

Vera M. Kodentsova, Dr. Bio. Sci., Professor, Chief Researcher of the Laboratory of Vitamins and Minerals, Federal Research Centre of Nutrition and Biotechnology.
Tel: +7(495)698-53-30; +7(985)124-74-29. E-mail: kodentsova@ion.ru; biant3@mail.ru. ORCID: 0000-0002-5288-1132. 109240, Russia, Moscow, Ustyinskiy proezd, 2/14.
Dmitry V. Risnik, PhD (Bio. Sci.), Leading Researcher, Faculty of Biology, M.V. Lomonosov Moscow State University. Tel.: +7(926)759-31-61. E-mail: biant3@mail.ru.
ORCID: 0000-0002-3389-8115. 119234, Russia, Moscow, Leninskiye gory, 1.
Stanislav V. Pavlovich, PhD (Med), Associate Professor, Scientific Secretary, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation. Tel.: +7(495)438-52-25. E-mail: s_pavlovich@oparina4.ru. ORCID: 0000-0002-1313-7079.
117997, Russia, Moscow, Academician Oparin str., 4.
Olga B. Ladodo, PhD (Med), Head of the National Coordinating Center for Breastfeeding Support, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation. Tel.: +7(925)508-55-02. E-mail: o_ladodo@oparina4.ru.
ORCID: 0000-0002-4720-7231. 117997, Russia, Moscow, Academician Oparin str., 4.

For citation: Kodentsova V.M., Risnik D.V., Pavlovich S.V., Ladodo O.B. Optimization of the trace element composition of breast milk, by enriching a women’s diet.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 8: 60-68 (in Russian)
https://dx.doi.org/10.18565/aig.2021.8.60-68

Similar Articles

№9 / 2023
Nikitina I.V., Krogh-Jensen O.A., Budina A.Yu., Gordeev A.B., Zubkov V.V., Degtyarev D.N., Priputnevich T.V., Lenyushkina A.A.
Group B Streptococcus infection in pregnant women and newborns: clinical case and current state of the problem
№12 / 2020
Lokshin V.N., Sharman A.T., Mirzakhmetova D.D., Terlikbaeva A.T., Aimbetova A.R., Karibaeva Sh.K., Urazymbetova K.A.
The modern organizational principles of specialized medical care for pregnant and puerperant women during the coronavirus pandemic in the Republic of Kazakhstan
№5 / 2018
Skryabin E.G., Shevlyukova T.P., Kukarskaya I.I., Mitrofanova M.N.
Hip joint pathology in pregnant women
№1 / 2018
Dubrovina S.O., Krasilnikov L.V.
Features of the diet of pregnant women
№10 / 2023
Dyakova M.M., Bychkova S.V., Malgina G.B., Grishkina A.A., Chistiakova G.N.
Novel coronavirus infection and pregnancy: experience of three years of the pandemic
By continuing to use our site, you consent to the processing of cookies that ensure the proper functioning of the site.