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Demographic Challenges of the 21st Century: How to Increase the Birth Rate and Restore Children’s Health?
6 June 2019
10:00—11:15
KEY CONCLUSIONS
The government encourages more births

We keep building up on support measures. If it had not been for them, we would have faced a more significant drop in birth rate — Maxim Topilin, Minister of Labour and Social Protection of the Russian Federation.

Today, the value of every child’s life is an unthinkable capital for any state — Leila Namazova-Baranova, Chair of the Executive Committee, Union of Pediatricians of Russia.

Russia’s population is on the decline

According to the Russian Statistics Service, in 2018 the population of our country decreased by roughly 90 thousand people. It happened for the first time in 10 years — Tatiana Remezova, Anchor, Russia Television and Radio (VGTRK).

ISSUES
A growing number of childless families and late pregnancies

15% of our country’s population suffer from infertility. Earlier, it was a common belief that it was only women who were infertile. No, if we take these 15%, it would be a 50/50 split — Tatyana Yakovleva, First Deputy Minister of Healthcare of the Russian Federation..

The worst problem is the decreasing number of first births. While before we used to promote second and third children, now we face the problem of fewer first births — Maxim Topilin, Minister of Labour and Social Protection of the Russian Federation.

There is an unfortunate trend that has spread all over the world in the last decade: late motherhood, because women allegedly need to build a career — Leila Namazova-Baranova, Chair of the Executive Committee, Union of Pediatricians of Russia.

Late childbirth and late pregnancy are official terms now — Mark Kurtser, General Director, Mother and Child Group of Companies .

Planning childbirth for late reproductive age is an adverse trend regardless of available late motherhood technologies and social egg freezing — Igor Kogan, Acting Director, D.O. Ott Research Institute of Obstetrics, Gynaecology, and Reproductive Medicine.

People do not treat their health with enough care or stick to a healthy life style

Diseases of civilization are a global problem. <…> One out of 10 adults suffers from diabetes; 1 out of 3 has eccess weight and obesity. Today, the world has over 400 million people with diabetes, including 60 million women of reproductive age — Igor Kogan, Acting Director, D.O. Ott Research Institute of Obstetrics, Gynaecology, and Reproductive Medicine.

First and foremost, our mothers, fathers, grandmothers and grandfathers must be healthy – it is impossible to raise a healthy generation without them — Tatyana Yakovleva, First Deputy Minister of Healthcare of the Russian Federation..

The system of medications supply needs improvement

Now that we have breakthrough technologies and innovative medications, we have a well-organized system to assess innovations, but unfortunately, we do not account for the fact that some medications are safe for children. Not all medications are, and in many cases, they cannot use a different grade system. It means we can strip our children of access to cutting-edge innovative and breakthrough therapy — Oksana Monge, General Director, Sanofi Russia.

SOLUTIONS
Focusing on preventing diseases in children and future parents

First of all, paediatrics is a preventive field of medicine — Tatyana Yakovleva, First Deputy Minister of Healthcare of the Russian Federation..

We need to have a really well-developed andrology applied from an early age — Gennady Suhih, Director, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Health of the Russian Federation.

Thre is a number of ways to distribute resources in healthcare. You can invest a lot in treatment, in helping patients with critical or chronic conditions, with oncological or other diagnoses. This does not give us an outlook for the future, as the best outlook is prevention — Leila Namazova-Baranova, Chair of the Executive Committee, Union of Pediatricians of Russia.

The age that impacts the future child’s health starts before the actual pregnancy. It is the so called periconceptional period that needs extra focus — Leila Namazova-Baranova, Chair of the Executive Committee, Union of Pediatricians of Russia.

All the rootcauses of decline in reproductive functions can be prevented. We need to create the right matrices for reproductive behaviour. Normally, we deal with the aftermath of the catastrophe – infertility, miscarriages, pregnancy complications. All efforts to create the matrix should focus on childhood and adolescence — Igor Kogan, Acting Director, D.O. Ott Research Institute of Obstetrics, Gynaecology, and Reproductive Medicine.

Promoting pregnancy maintenance

A lower number of abortions: there is not a single prohibitive measure that will help us resolve the problem – it will only make it worse. It will raise maternal mortality and criminalize the situation. <…> We need to change a doctor’s approach: they need to be invested in the woman keeping her pregnancy — Tatyana Yakovleva, First Deputy Minister of Healthcare of the Russian Federation..

Government support for cutting-edge technologies in reproductive medicine

The mandatory health insurance should include a programme for underprivileged people aged 32–35 to get government support for oocyte vertification — Mark Kurtser, General Director, Mother and Child Group of Companies .

We need programmes called ‘Late motherhood’: takes your eggs to a bank. We will freeze the time — Gennady Suhih, Director, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Health of the Russian Federation.

The material was prepared by the Russian news agency TASS