eISSN: 2354-0265
ISSN: 2353-6942
Health Problems of Civilization Physical activity: diseases and issues recognized by the WHO
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4/2019
vol. 13
 
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abstract:
Original paper

Pre-nosological monitoring of the health statuses of female obstetrician-gynecologists

Alena Lisok
1
,
Igor Naumov
1
,
Anastasia Pavliukovets
2
,
Sergey Makarov
3
,
Larisa Svistunovich
3

  1. Department of General Hygiene and Ecology, Grodno State Medical University, Belarus
  2. Department of Microbiology, Virology and Immunology named after S.I. Gelberg, Grodno State Medical University, Belarus
  3. Centralized Cytological Laboratory, Grodno Regional Clinical Hospital, Belarus
Health Prob Civil. 2019; 13(4): 316-322
DOI: https://doi.org/10.5114/hpc.2019.88302
Online publish date: 2019/10/17
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Background
Female obstetrician-gynecologists of reproductive age provide medical care in harmful working conditions creating health risks for themselves.

Material and methods
Female obstetrician-gynecologists working in hospitals (n=32) and antenatal clinics (n=32), therapists of outpatient clinics (n=31) and women working in the positions of accountants, economists, lawyers and secretaries (n=31) in the healthcare organizations of the Grodno region participated in this research. Working conditions were assessed by studying the results of the workplaces’ certification. Pre-nosological monitoring was conducted using the following methods: cytomorphological testing of buccal epithelium, microbiological testing of the oral biocenosis and psychological testing.

Results
We established that the studied female obstetrician-gynecologists work in harmful conditions (hazard classes 3.2-3.3). It was associated with functional changes in their bodies: 23.3% of them had deviations in cytomorphological parameters of buccal epithelium; 59.3% had excessive amounts of E. coli group bacteria in their oral cavity and already formed phases of the occupational burnout syndrome.

Conclusions
The selected set of methods for pre-nosological monitoring permit analysis of the impact of different occupational factors and the formation of target risk groups for the implementation of measures improving adaptive reserves.

keywords:

occupational conditions, health risks, female doctors, pre-nosological monitoring

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