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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-11-16-22</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-3076</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕОНАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEONATOLOGY</subject></subj-group></article-categories><title-group><article-title>Дети после кесарева сечения: как улучшить их адаптацию и уменьшить риск развития патологических состояний</article-title><trans-title-group xml:lang="en"><trans-title>Children after Caesarean section: how to improve their adaptation and reduce the risk of pathological conditions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Холодова</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kholodova</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Холодова Ирина Николаевна – доктор медицинских наук, профессор кафедры педиатрии с курсом поликлинической педиатрии им. Г.Н. Сперанского</p><p>125993, г. Москва, ул. Баррикадная, д. 2/1, стр. 1 </p></bio><bio xml:lang="en"><p>Kholodova Irina Nikolaevna – Dr. of Sci. (Med.), Professor of the Speransky Chair of Paediatrics with Outpatient Paediatrics Course</p><p>125993, Moscow, Barrikadnaya St., 2/1, b. 1</p></bio><email xlink:type="simple">chin5@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зайденварг</surname><given-names>Г. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaidenvarg</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зайденварг Галина Евгеньевна – кандидат медицинских наук, доцент кафедры педиатрии с курсом поликлинической педиатрии им. Г.Н. Сперанского</p><p>125993, г. Москва, ул. Баррикадная, д. 2/1, стр. 1 </p></bio><bio xml:lang="en"><p>Zaidenvarg Galina Evgenyevna – Cand. of Sci. (Med.), Associate Professor of the Speransky Chair of Paediatrics with Outpatient Paediatrics Course</p><p>125993, Moscow, Barrikadnaya St., 2/1, b. 1</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горяйнова</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Goryainova</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Горяйнова Александра Никитична – кандидат медицинских наук, доцент кафедры педиатрии с курсом поликлинической педиатрии им. Г.Н. Сперанского</p><p>125993, г. Москва, ул. Баррикадная, д. 2/1, стр. 1 </p></bio><bio xml:lang="en"><p>Goryainova Aleksandra Nikitichna – Cand. of Sci. (Med.), Associate Professor of the Speransky Chair of Paediatrics with Outpatient Paediatrics Course</p><p>125993, Moscow, Barrikadnaya St., 2/1, b. 1</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Federal State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Continuing Professional Education» of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>15</day><month>07</month><year>2019</year></pub-date><volume>0</volume><issue>11</issue><fpage>16</fpage><lpage>22</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Холодова И.Н., Зайденварг Г.Е., Горяйнова А.Н., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Холодова И.Н., Зайденварг Г.Е., Горяйнова А.Н.</copyright-holder><copyright-holder xml:lang="en">Kholodova I.N., Zaidenvarg G.E., Goryainova A.N.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/3076">https://www.med-sovet.pro/jour/article/view/3076</self-uri><abstract><p>В статье авторы приводят современные данные о частоте встречаемости кесарева сечения в акушерской практике, сообщают об особенностях адаптации детей, родившихся путем операции кесарева сечения, которая характеризуется большой частотой встречаемости у них пограничных состояний, патологической потери массы тела, функциональных нарушений ЖКТ, более высокой заболеваемостью в последующем. Кроме этого, авторы отмечают, что у матерей этих детей чаще встречается гипогалактия, которая во многом и обуславливает нарушение адаптации у младенцев и их перевод на искусственное вскармливание. Ссылаясь на опубликованные работы, авторы предлагают различные варианты улучшения процесса адаптации у данного контингента детей.</p></abstract><trans-abstract xml:lang="en"><p>In the article, the authors cite modern data on the frequency of Caesarean section in obstetric practice, report the peculiarities of adaptation of children born by Caesarean section surgery, which is characterized by a high frequency of borderline conditions, pathological loss of body weight, functional disorders of the gastrointestinal tract, higher morbidity in the subsequent period. In addition, the authors note that mothers of these children are more likely to have hypogalactia, which is largely responsible for impaired adaptation in infants and their transfer to artificial feeding. Referring to the published works, the authors offer various options to improve the process of adaptation in this contingent of children.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кесарево сечение</kwd><kwd>естественные роды</kwd><kwd>матери</kwd><kwd>новорожденные</kwd><kwd>гипогалактия</kwd><kwd>нарушение адаптации детей</kwd><kwd>функциональные нарушения ЖКТ</kwd><kwd>искусственное вскармливание</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Caesarean section</kwd><kwd>natural childbirth</kwd><kwd>mothers</kwd><kwd>newborns</kwd><kwd>hypogalactia</kwd><kwd>impaired adaptation of children</kwd><kwd>functional disorders of gastrointestinal tract</kwd><kwd>artificial feeding</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Радзинский В.Е., Князев С.А. Настоятельные рекомендации ВОЗ о снижении доли КС. 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