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2026№7

Training of primary care physicians to manage pregnant female patients with somatic pathology

DOI
https://dx.doi.org/10.18565/therapy.2026.7.124-136

G.P. Arutyunov, V.N. Larina, E.E. Ilyina, A.A. Klimenko, I.G. Gordeev, O.Yu. Milushkina, L.I. Ilenko, T.Yu. Demidova, N.V. Teplova, G.R. Zaripova, Yu.A. Filyaeva, S.E. Kozyrev, T.N. Mironova, A.V. Sokolova, D.O. Dragunov

1) N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation; 2) Leoclinic Medical Center, Moscow, Russian Federation
Abstract. Current article discusses the management of somatic diseases in pregnant females as a part of the educational process for the specialty program in “General medicine” to prepare primary care physicians (general practitioners) for practical work. The approaches to the examination and routing of pregnant women by primary care physicians are presented. Aspects of preventive work with females (beginning with pre-pregnancy preparation) aimed at identifying the main risk factors for chronic diseases and conditions that potentially affect the probability of impregnation and carrying of a pregnancy are considered. It also examines the specifics of prescribing drug therapy during pregnancy, breastfeeding, and pregnancy planning. An unfavorable pregnancy can lead to high cardiovascular risk in the future. Therefore, training in the management of pregnant female patients with somatic pathologies by primary care physicians, as well as monitoring during the postpartum period, especially the late postpartum period, is a fundamentally important element of the educational process at a medical university.

Keywords

pregnant females
primary care physician
specialty
medical care
somatic pathology
preventive care
Full text (in Russian)

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About the Authors

Gregory P. Arutyunov, MD, Dr. Sci. (Medicine), professor, corresponding member of RAS, director of the Institute of clinical medicine, head of the Department of propedeutics of internal diseases No. 1 of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: gparutyunov@euat.ru
ORCID: https://orcid.org/0000-0002-6645-2515
Vera N. Larina, MD, Dr. Sci. (Medicine), professor, head of the Department of outpatient therapy of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: larinav@mail.ru
ORCID: https://orcid.org/0000-0001-7825-5597
Elena E. Ilyina, MD, PhD (Medicine), associate professor, deputy director of the Institute of clinical medicine, head of the academic part of Department of hospital therapy named after academician P.E. Lukomsky of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: elenila-il@yandex.ru
ORCID: https://orcid.org/0000-0002-9541-995X
Alesya A. Klimenko, MD, Dr. Sci. (Medicine), associate professor, deputy director of the Institute of clinical medicine, head of the Department of faculty therapy named after academician A.I. Nesterov of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: aaklimenko@yandex.ru
ORCID: https://orcid.org/0000-0002-7410-9784
Ivan G. Gordeev, MD, Dr. Sci. (Medicine), professor, deputy director of the Institute of clinical medicine, head of the Department of hospital therapy named after academician P.E. Lukomsky of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: cardio-15@yandex.ru
ORCID: https://orcid.org/0000-0002-3233-4369
Olga Yu. Milushkina, MD, Dr. Sci. (Medicine), professor, corresponding member of RAS, vice-rector for academic affairs, director of the Z.P. Solovyov Institute of preventive medicine, head of the Department of hygiene of the Institute of preventive medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: milushkina_o@rsmu.ru
ORCID: https://orcid.org/0000-0001-6534-7951
Lidia I. Ilenko, MD, Dr. Sci. (Medicine), professor, director of the Institute of maternal and child health, head of the Department of hospital pediatrics No. 2 of the Institute of maternal and child health, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: Ilyenko_LI@rsmu.ru
ORCID: https://orcid.org/0000-0001-8375-4569
Tatiana Yu. Demidova, MD, Dr. Sci. (Medicine), professor, head of the Department of endocrinology of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: t.y.demidova@gmail.com
ORCID: https://orcid.org/0000-0001-6385-540X
Natalya V. Teplova, MD, Dr. Sci. (Medicine), professor, head of the Department of clinical pharmacology named after Yu.B. Belousov of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: teplova.nv@yandex.ru
ORCID: https://orcid.org/0000-0003-4259-0945
Gulnara R. Zaripova, MD, PhD (Medicine), associate professor of the Department of clinical pharmacology named after Yu.B. Belousov of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: zaripova-g@mail.ru
ORCID: https://orcid.org/0000-0003-3763-6646
Julia A. Filyaeva, MD, PhD (Medicine), obstetrician-gynecologist, chief physician of Leoclinic Medical Center, Moscow, Russian Federation.
E-mail: medwoman@mail.ru
ORCID: https://orcid.org/0009-0006-3713-5875
Sergey E. Kozyrev, MD, assistant at the Department of outpatient therapy of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: sergei.kozyrev@bk.ru
ORCID: https://orcid.org/0000-0002-1221-3594
Tatiana N. Mironova, MD, PhD (Medicine), associate professor of the Department of outpatient therapy of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: mironova.tanya.90@yandex.ru
ORCID: https://orcid.org/0000-0002-6430-7111
Anna V. Sokolova, MD, PhD (Medicine), associate professor of the Department of internal medicine propaedeutics No. 1 of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: sokolova_av@rsmu.ru
ORCID: https://orcid.org/0000-0003-0823-9190
Dmitrii O. Dragunov, MD, PhD (Medicine), associate professor of the Department of internal medicine propaedeutics No. 1 of the Institute of clinical medicine, N.I. Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russian Federation.
E-mail: Dragunov_do@rsmu.ru
ORCID: https://orcid.org/0000-0003-1059-8387

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