Early Social Orphanhood as a Relevant Problem of Russian Health Care (On the Example of the Chelyabinsk Region, Russia)

O. A. Manerova; A. Yu. Markina

doi:10.3889/oamjms.2019.457

Authors

O. A. Manerova I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991, Trubetskaya Street, 8-2, Moscow, Russia
A. Yu. Markina South Ural State Medical University, 454092, Vorovskogo Street, 64, Chelyabinsk, Russia

DOI:

https://doi.org/10.3889/oamjms.2019.457

Keywords:

orphan children, early social orphanhood, health care, medical legislation

Abstract

BACKGROUND: The second decade of this century is characterised by the fact that the number of pregnant women who intend to give up their children has considerably decreased. However, despite this, the proportion between the number of abandoned children and all newborns increased from 2009 to 2014.
AIM: The goal of this work is to scientifically substantiate changes in Russian legislation based on a comprehensive analysis of the main trends in the development of early social orphanhood and changes in the medical and social characteristics of mothers who give up their children.
MATERIAL AND METHODS: The general aggregate of mothers who gave up their children in the Chelyabinsk Region has been studied. In total, 1,438 mothers were observed in 2009-2017. The information has been copied from the reports and records for 2009-2017 found in 51 maternity homes of the Chelyabinsk Region: reporting form No. 32 â€œInformation on Medical Care for Pregnant Women, New Mothers and Women in Laborâ€ and registered form No. 96 â€œLabor and Delivery Medical Recordâ€.
RESULTS: During the period under study, on average, 158 newborns per year were abandoned in maternity homes of the region: 51 children were abandoned by residents of the regional centre, 74 and 33 were abandoned by the women who lived in urban districts and rural municipalities, respectively. Today, mothers who give up their children tend to be marginalised. Two-thirds of them give birth to children out of marriage. Seven out of ten do not have a regular income, and six out of ten have socially significant diseases caused by their lifestyle.
CONCLUSIONS: The decline in attention to the prevention of early social orphanhood is caused by the inevitable increase in the number of newborns left without parental care. Every year, the number of well adapted in society women who give up their children when they find themselves in a difficult life situation is decreasing. The number of marginalised pregnant women is growing. Reducing the rate of abandonment of newborns among the marginalised contingent of pregnant women requires changes in the medical legislation of the Russian Federation.

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References

Albitsky VY, Baranov AA, Gasilovskay TA, Ibragimova AI, Konova SR. Medical and social problems of modern orphans. Litterra, Ðœoscow. 2007.

Kozlova TZ. Ludi, lishennye roditelskih prav: ih sotsializatsiya i zhiznennye traektorii [People deprived of parental rights: their socialization and life trajectories]. Moscow: ITC Dashkov and Co., 2015.

Ponomareva, EV. Deviantnoye materinstvo kak faktor formirovaniya obraza materey u detey [Deviant maternity as a factor in forming the image of mothers in children]. In Laws and Traditions of Developing Science in Modern Society: Collection of articles (Part 2). Ufa: BashSU RIC, 2013:241 - 252.

Khlebosolova AN, Shvets VA. Psikhologicheskie prichiny otkaza ot materinstva [Psychological causes of refusal from the maternity]. In Psychology of the 21st Century: Collection of materials of the VI International Scientific Practical Conference of Young Scientists (Vol. 2). Saint-Petersburg: Leningrad Pushkin State University, 2010:58 - 64.

Yamin AE, Boulanger VM, Falb KL, Shuma J, Leaning J. Costs of inaction on maternal mortality: qualitative evidence of the impacts of maternal deaths on living children in Tanzania. PloS one. 2013; 8(8):e71674. https://doi.org/10.1371/journal.pone.0071674 PMid:23990971 PMCid:PMC3747181

Yarskaya-Smirnova ER, Teper GA, Grek, NV. Broshennye deti: problemy profilaktiki rannego sotsialnogo sirotstva [Abandoned children: problems of preventing early social orphanhood]. Woman in the Russian society. 2008; 3:31 - 48.

Rivers J, Mason J, Silvestre E, Gillespie S, Mahy M, Monasch R. Impact of orphanhood on underweight prevalence in sub-Saharan Africa. Food and nutrition bulletin. 2008; 29(1):32-42. https://doi.org/10.1177/156482650802900104 PMid:18510203

Ronsmans C, Chowdhury ME, Dasgupta SK, Ahmed A, Koblinsky M. Effect of parent's death on child survival in rural Bangladesh: a cohort study. The Lancet. 2010; 375(9730):2024-31. https://doi.org/10.1016/S0140-6736(10)60704-0

Zubrick SR, Mitrou F, Lawrence D, Silburn SR. Maternal death and the onward psychosocial circumstances of Australian Aboriginal children and young people. Psychological medicine. 2011; 41(9):1971-80. https://doi.org/10.1017/S0033291710002485 PMid:21208493

Kasedde S, Doyle AM, Seeley JA, Ross DA. They are not always a burden: Older people and child fostering in Uganda during the HIV epidemic. Social Science & Medicine. 2014; 113:161-8. https://doi.org/10.1016/j.socscimed.2014.05.002 PMid:24880658 PMCid:PMC4065328

Christopher C, Umemura T, Mann T, Jacobvitz D, Hazen N. Marital quality over the transition to parenthood as a predictor of coparenting. Journal of Child and Family Studies. 2015 Dec 1;24(12):3636-51. https://doi.org/10.1007/s10826-015-0172-0

Nolvi S, Karlsson L, Bridgett DJ, Pajulo M, Tolvanen M, Karlsson H. Maternal postnatal psychiatric symptoms and infant temperament affect early mother-infant bonding. Infant Behavior and Development. 2016; 43:13-23. https://doi.org/10.1016/j.infbeh.2016.03.003 PMid:27054496

Dubrovin MS, Krom IL, Chizhov MV. Sovremennye osnovaniya fenomena sotsialnogo sirotstva v Rossii [Modern basics of social orphanhood in Russia]. Bulletin of Online Conferences on Medicine. 2016; 6(1):69 - 70.

Denisov OV. Mediko-sotsialnyye aspekty "sotsialnogo sirotstva" i osobennosti realizatsii akushersko-ginekologicheskoy sluzhboy Natsionalnogo proyekta "Zdorovye" v reshenii dannoy problemy [Medico-social aspects of "social orphanhood" and features of implementing the "Health" National Project by the obstetric and gynecological service when solving this problem]. Ural Medical Journal. 2009; 10(64):139 - 313.

Resolution of the Government of the Russian Federation No. 715 On the approval of the list of socially significant diseases and the list of diseases that are dangerous to others. Moscow, dated December 1, 2004.