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6
ttepaTHBHOH cpyHK!..11111, Te'Iemte1111CXOJJ: npe,IV>IJJ:Yll(HX 6epeMeHHOCTeii. IlpoH3BecTl1 06m11if OCMOTP )KeHll(HHbl, H3MepHTb pocr, Macey, OKp~HOCTb )l(HBOra, BblCOTY CTOHHIUI JJ:Ha MaTKl1, pa3Mepbl Ta3a; BeJIH'JHHYManrn; onpe.n.eJil1Tb COCTOSIHl1e JiefKHX, cep)J.lla, ne'IeHH,no'IeK11 JJ;p. opraHOB, apTepmlllbHOe ).l,aBJieHHe Ha 06e11x pyKax,
IlpH nepBOM onpe.ue.rrett1111cpoKa6epeMeHHOCTH tteo6xo,n;>1Mo cornaco- · saTb ero co cpoKoM,r1pe.n.1fonaraeMoii caMoii )!<eHll(HHOH. B cnyqae pacxo)K-
.n.eHHH BOnpoc 0 cpoKe 6epeMeHHOCTH pernaeTCH KOHCYJibTaTlfBHO c 3ase.uy10ll(HM )l(eHCKoli KOHCYJibTal..IBH If .n.pyrnM Bpa'IOM.
cKIDK,UOH)l(eHll(HHOH npOBO)J,HTCH 6ece.ua 0 BIDKHOCTH perylIHpHoro noce- u~eHHH Bpa'Ia)l(eHCJ<OH KOHCYJibTal..IHH 11 BblflOJIHeHHH COBeTOB 11 Ha3Ha'IeHHH.
Ilocne 1<JittH11'IeCkoro11 na6opaTOpHoro 06cne.u0Bamu1 (JJ,o 12 He.uerrL 6epeMeHHocrn:) onpe.n;eJU1eTcH np1ma.u;rre)KHOCTh 6epeMe1rnoi1 K TOH 11rr11 nttoif rpynne pncKa.
.lJ:JIH KOJIH'IeCT:BeHHOH01..1eHJ<H ctiaKTOpOB p11CKa crre.n.yeT IlOJib30BaTbCSI CHCTeMOH 6aJIJIOB (9M, ra6JI1illY).
Ol(EHKAIIPEHATAJThHbIX <I>AKTOPOB PUC:KA Bl>AJIJIAX
N~ |
·. |
011emra |
|
||
n/ |
<l>arropbl pHCKa |
D |
n |
' |
6am1alt |
|
||
I |
2 |
3 |
L |
1.~!!!IH&!!bHO-OH!!.!J!![H'lec1rne |
|
Bo3paCT Marep11 |
2 |
|
|
110 20 rreT |
|
|
110 30-34 JieT |
2 |
|
110 35-39 JieT |
3 |
2. |
40 rreT u t5orree |
4 |
3. |
Bo3pacT oTua 40 rreT u 6orree |
2 |
|
l1po<jlecc11ouan1>Hb1e |
|
|
epe11HOCTII: |
|
4. |
y MaTepu |
3 |
|
y on1a |
3 |
|
Bpel\Hhle npHBhI'IKH |
|
I |
M3Tb: |
|
Kypett11e I na'IKHc11rapeT |
I |
|
|
BlleHb, |
|
|
31IOynoTpe6rremre a.rrKoroneM |
2 |
|
OTeL(: |
|
|
3noynOTpe6neuHe arrKororreM |
2 |
5. |
3MOl\HOHl!J1hHhlC uarpy3KH |
I |
6. |
PoCT HBCCOBble noK333Tem1 |
|
|
MaTepH: |
|
|
pOCT 150 CM H MeHee |
2 |
|
sec Ha 25% Bbl We HOpMbl |
2 |
|
CyMMa 6an110~ |
|
N~ |
|
<l>arrop1>1 pHCKa I |
Ilfn |
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I |
. |
2 |
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nopoK11 cep1uia c |
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uapyrneu11eM |
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Kponoo6p. |
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rnnepTOHH'leC·Kllll |
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OOJie'.lllbl•ll·Ill CT. |
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eerern-cocy11ncTrur |
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,QHCTOHHll |
2. |
3a5o,1eeaHHJ1 no'leK: |
|
|
. |
110 6epeMeHHOCTH |
|
- |
o6ocTpenue |
|
|
3a6orree!ll!Hll npH |
|
- |
6epeMCHHOCTll |
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3a6011eeaH11e |
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Ha,llnO'le'IHHKOB |
3. |
3u110Kp1111onanrn |
|
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. |
1111a6e11 |
|
- |
llHa6e11 po11111>1x |
|
. |
3a6orreeaHne |
11\HTOBHllHOll JKeneJbl
4.AneMilll Hb(r%)9-10-l I
5.KoyryJionarnH
6.MHOilHJI H11pyrne Ja6onesauHl! rnaJ
7.XpoHw1ec1me
cnei\H~OH'leCKHe
Oue;Ka
6anrrax
3
10
2- 8 -12
2
3
4
7
10
I~
4-2-1
2
2
3
7
I |
2 |
3 |
I |
2 |
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J].A!£Yme11cKo- |
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HHi!>eKUHH(T)'6epKyne'J, |
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rHHeKOJIOnt'lecKHilaH8MHj;J |
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I. |
napl!TeT (KOTOpbie pollbl) |
I |
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6pyueJine'J, c11$11n11c, |
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4-7 |
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TOKCOnn3JMOJ II 11p.) |
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8 H 6onee |
2 |
8. |
OCTpbie 11H$eK1.11111 np11 |
2. |
A6opTbl nepe11 nepBblMH |
|
|
6epeMeHHOCTll |
|
HacTOJILllHMH POMMH: |
2 |
|
CyMMa6anoe |
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I |
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2 |
3 |
|
.lV.0CJJOlKHeHHH |
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3 H 6onee |
4 |
I. |
6epeMeHHOCTll |
3. |
A6opTbI nepe11 nosTOpHbIMll |
|
Bb!pIDKeHHhiil pannull |
|
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po11aMH rum nocne nocnei1nux |
2 |
2. |
TOKCllKOJ |
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pOllOB 3 H 6onee |
Il03){HHll TOKCHK03 |
||
4. |
npelK){eBpeMeHllbie potu>I - |
3 |
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-oreKH BO BpeMJI |
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I |
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6epeMeHHCTll |
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2 u6onee |
8 |
|
-npe3Kn3MfiCHI nerKOll |
5. |
MepTBopolK,ll.ettue |
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CTeneHll |
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I |
3 |
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-npeJK»aMflCHJI cpe,11Heli |
|
2 H 6onee |
8 |
|
crenenu |
6. |
CMepTb s neoHaTanHOM |
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-npe3KnaMnCHJI TBlKenoll |
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neptto11e |
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CTeilCHH |
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I |
2 |
3. |
KpoBoTe'leHueI n II |
|
2 H 6orree |
7 |
|
norrOBHHe 6epeMeHHOCTH |
7. |
AHOMMHll p33BHTHJI y 11erell |
3 |
4. |
PHnABO |
8. |
Hesponorlf'lecKHenapyrneHHJI |
2 |
|
H3oce~H6HJ1103l.IHJ1 |
9. |
Bee He110Ho111eHHh1x 11erelt |
2 |
5. |
Mttoroeo11He |
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110 2500 r H4000 r H6onee |
6. |
Manoeo11ne |
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JO |
fiecnno11tte |
|
7. |
TllJOsoe npe,!UielKaHHe |
|
2-4 ro11a |
2 |
8. |
Mttoronno11ne |
|
5 JICT H6onee |
4 |
9. |
nepeHOWCHH3JI |
II |
Py6eu na MaTKe nocne |
3 |
|
6epeMeHHOCTb |
|
onepauHli |
|
10. |
HenpaBHJJbHOe nonolKeHHC |
12 |
Onyxorrn MaTKH 11 JIK'lHllKOB |
3 |
|
·nnona (nonepe'!Hoe,1<ocoe) |
13 |
HcTMHKo-1.1epe11KanbllllJI |
|
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8yMM3 6anl!OB |
|
!le){OCTaTO'IHOCTb |
2 |
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14 |
TlopOKH PaJRHTHJI MaTKH |
3 |
|
Y. 01J.eHK8 COCTOHHHH |
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!:;yMM3 6anJJOB. |
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nno11a |
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1. |
n.moTpo$HB nno11a |
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IIL3KcrparenHT3JlbHLte |
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2. |
fHnoKCHJI nno11a |
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J&OOJieeaHHll MaTepH |
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3. |
Co,11eplKanHe JCTpHona e |
L |
Cep,11e•1no-cocy1111cTbie |
3 |
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cyTO'IHOilMO'le: |
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nopoxn cep11ua 6e3 |
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4,9 Mr/cyY. B 30 HC){eJJb |
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11apy111e11HJ1 1qioeoo6p. |
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12,0 Mr/cyY. e 40 11e11enb |
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4. |
M3MeHeHHe BOii npu |
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3MHHOCKOfiHH |
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CvMMa 6annoe. |
--
3
2
2
2
3
5
10
3-5
5-10
4 ·
3
3
3
3
3
10
4
34
15
8
8
K rpynne 6epeMeHHhlX BhlCOKOropHCKa OTHOCllTCll )KCHll(HHhl c cyMMapHOH oueHKOH ape)J,HhIX npeHaTarrhHhlX <t>aKTOpos a I0 6amroB H Bhillle. K rpynne cpe)J,Hero pwcKa- 5-9 6arrrroa, HH3Koro pwcKa - )J,O 4 6arrnoa. B3aBHCHMOCTH OT CTCIICHH pHCKa I1pOBO,!I,I1TC~ MapKHpOBKa HH)J,HBH)J,yaIThHhlX KapT 6epeMeHHblX.
IlpM HaJitPHUi y 6epeMeHHOH I0 6aruroa H BbIIlle pelllaeTC.SI aonpoc o uenecoo6pa3HOCTH coxpaHemrn 6epeMeHHOCTH. CocrnBIDICTC71 u a "HH,n;HBH-
.n;yarrhHOH KapTe 6epeMeHHOH l1 pO,!I,I1JlhHHUbI" 3am1Cb1BaeTCll HH,ZJJIBH)J,yarrbHb!H IIJiaH Ha6mo.n;eHHll 6epeMCHHOH c HCIIOITb30BaHHCM COBpeMeHHbIX MCTOJI:OB o6cne,n;oBaHUll coeTOllHHH MaTepu H IIJIO,Ua.
Ka>KJI:all 6epeMeHHall )l(emnm1a JI:OJI)l(Ha 6bITh oeMorpeHa repaneBTOM, CTOMaTOJIOrOM, H, npH IIOKa3aHIDJX, .z:q>yri1MH CilellHaITHCTaMH (OKYJIHCTOM, OTOnap1mronoroM, 3H,D;OICplUIOITOroM "JI:p.) H npH H006XO,!I,I1MOCTH 03JI:OpOBJieHa.
HpH Ka)l()J,OM IIOBTOpHOM OCMOTpe 6epeMeHHOH , KpOMe onpoea H aKywepCKOro o6cne;:i:oaaturn, Heo6x o,!I,I1MO Bl;>lllBJIHTh nanwrne HBHhIX u cKphIThIX OTeKOB, o6pamaTb BHHMaHHe Ha IlpaBMJihHOCTh C06JIIOJ(eHM.SI :ll:<eHll(Y.HOH pe- )l(HMa TpyJI:a, OTJl:blXa, IIHTaHHll "Ha BhinOJIHeHHe eOOTBeTCTB)'IOII!eroKOMilJieKca $tt311'-IeCKJ1Xynpa)l(HeHHH.
Oeo6oe BHHMaHHe o6palllaeTe.si Ha <jlyHKUHOHarrhHOe eocrmmue nno;:i:a ero .n;aHraTeJihHYIO aKTHBHOCTh - meaeneHtte, cep.nue6tteHue 11 npe)J,nonaraeMy10 Macey nno)J,a.
Ilpu o6cJie)J,OBaHttH )l(eHll(ijH BO BTOpoi1IIOJIOBHHe6epeMeHHOCTH eTy- )J,CHT onpe~en.sieT OKPY)l(HOCTh )l(HBOTa, BblCOTY CTOHHHll )I.Ha MaTI<u Ha.u noHOM, npe,JJ.IIOJiaraeMyio .D;JIHHY" Bee nno.ua, Hapy)l(HblH pa3Mep roJIOBKH, BblenyumBaeT cep;:i:11e6HeHtte nno,na. C noMomhro 'IeThipexHapy)l(HhIX aKylllepeKHX npHeMOB ycTaHaBJIHBaeT IIOJIO)l(em1e IIJIO,Ua, II03HQHH, BHJl: H npe,[(Jle)l(a- HHe. TpeTbHM H 'IeTBepTbIMIlptteMOM onpe)J,eJilleT OTHOllICHHe npe,[(Jle)l(all(eH qaen1 n.no.na KO BXO)J,y B ManhIH np..
,[(JI.SI BblllBrreHHll CICphlTblX OTCKOB B pepB)'lOoqepe)J,b eJIC)J,yeT HCIIOJib30BaTb KOHTpOJib 3a nptt6aBKOH MaCCbl Tena H .npyrnx npH3H3KOB nperecT030B.
9
lll1rnJia cpe,ll,Heii $H3HOJIOl"'H'IecKOHnpu6amm MaCCbl TeJia 8 TpeTbeM
TpnMecrpe6epeMeHnocTtt (no I>: II. IllKOJILHHKy).
PocT |
|
|
|
HcxOJIHal! Macca Tena 6epeMeHHOH |
|
|
||||
6epe- |
|
|
|
|
|
|
|
|
|
|
MeHHOH |
|
50 |
55 |
60 |
65 |
70 |
75 |
80 |
85 |
90 |
BCM. |
|
-- |
-- |
-- |
|
|
|
|
|
|
185 |
|
370/ |
380/ |
400/ |
420/ |
4501 |
480/ |
|||
|
|
|
|
|
1480 |
1540 |
1600 |
1680 |
1800 |
1920 |
180 |
|
-- |
··- |
355/ |
365/ |
380/ |
385/ |
' 415/ |
445/ |
4751 |
|
|
|
|
1420 |
1460 |
1520 |
1580 |
1660 |
1780 |
1900 |
175 |
|
-- |
340/ |
385/ |
360/ |
3751 |
390/ |
410/ |
440/ |
470/ |
|
|
|
1360 |
1400 |
1440 |
1500 |
1560 |
1640 |
1760 |
1880 |
170 |
|
325/ |
335/ |
345/ |
355( |
370/ |
385/ |
405/ |
435/ |
465/ |
|
|
1300 |
1340 |
1380 |
1420 |
1480 |
1540 |
1620 |
1740 |
1860 |
165 |
I |
320/ |
330/ |
340/ |
350/ |
3651 |
380/ |
400/ |
430/ |
460/ |
|
1280 |
1320 |
1360 |
1400 |
1460 |
1520 |
1600 |
1720 |
1840 |
|
160 |
I |
315/ |
325/ |
3351 |
345/ |
360/ |
375( |
3f:J5/ |
. 425i |
4551 |
|
1260 |
1300 |
1340 |
1380 |
1440 |
1500 |
1580 |
1700 . |
1820 |
|
155 |
|
310/ |
320/ |
330/ |
340/ |
3551 |
370/ |
390/ |
420/ |
-- |
|
|
1240 |
1280 |
1320 |
1300 |
1420 |
1480 |
1560 |
1680 |
|
150 |
|
300/ |
310/ |
320/ |
330/ |
345/ |
360/ |
380/ |
- |
-- |
|
|
1200 |
1240 |
1280 |
· 1320 |
1380 |
1440 |
1520 |
|
|
l.facmueJih - e)l{eHe)l.eJibHasi npw6aBl<a Macchi. 3HaMeJiaTeJih - MecsiqHa.11 np116aB1<a Macchi.
IlpH BblSIBJiemrn reCT030B BO BTOpoif IlOJIOBIIHe 6epeMeHHOCTl1 npoBO-
.rt:HTCH OL\eHKa ero T.)[)l{eCTH B 6aJIJiaX.
IO