D. A. Kayumova The course of pregnancy, birth and perinatal outcomes in women, taking into account climate change. - Dushanbe: "Irfon", 2013 UDK Taj 551.49+551.5+57.026 BBK 26.23+53.5+51.20+57.16 K 12 Kayumova D. A. K 12 The course of pregnancy, birth and perinatal outcomes in women, taking into account climate change. - Dushanbe: "Irfon", 2013. - 148 p. The monograph is designed for a wide range of community health workers, climatologists, biologists, ecologists, decision-makers, university students and all interested in the issues of climate change impacts on pregnancy, birth and perinatal outcomes. 4102000000 -155 2013 М 501 (12) - 2013 ISBN 978-99947-0-986-1 K-12 BBK 53.5 26.23 51.20 57.16 Recommended for publication by, Editorial - Publishing Council, Academy of Medical Sciences Ministry of Health RT (protocol N 7 on August 12, 2013) Reviewers: Rafiev M.K. Sattorov C.C. Khaknazarova M.A. Doctor of Medical Science, Professor Doctor of Medical Science, Professor Doctor of Medical Science © Kayumova D. A., 2013 The cover photo: International Award " Debuts Community " established by the Council for Humanitarian Cooperation of CIS member states and the International Foundation for Humanitarian Cooperation of States - CIS (IFESCCO). The award to the author was given by the President of Turkmenistan Gurbanguly Berdimuhamedov within VII Forum of Creative and Scientific Intelligentsia of the CIS member states held 15-16 October in Ashgabat, Turkmenistan. INTRODUCTION Reproductive health is a priority policy of human development, because health is directly undermined by the unfavorable trend of climate change and the lack of attention to the issues of reproductive health in the context of global warming. From this point of view, the permanent presence of climate change issues into economic and development strategies are a critical factor to accelerate the pace of sustainable development, alleviate poverty, promote sustainable development and improve the quality of life of the population in conditions of global warming, that are the basis of adaptation measures. Kayumova D. A. on a large amount of factual material, ie, 19711 surveyed pregnant women and mothers, identified the frequency of pathology of pregnant women, depending on the temperature. Ms. Kayumova’s work is relevant not only for Tajikistan, but also for the CIS countries, with the a high tendency of global warming. Discovered pathology patterns of pregnant women affected by temperature and its threshold allowed for developing recommendations to reduce morbidity and mortality among pregnant women and young children in the context of climate change. This work can be called a pioneer because it opened a new direction in the aspect of f reproductive health in a changing climate. The results of the work are included in the "National Strategy and Action Plan for public health adaptation of RT in a changing climate” in the " Strategic adaptation measures to improve reproductive health " and Matrix of measures to improve the gestational process of women in the face of climate change for the period 2011-2020 ", demonstrating the relevance of the results obtained by the author. The results contribute to the formation of a new direction in reproductive health, which is important in the context of global warming. How to achieve meaningful results which are the basis for the development of health strategies in the face of climate change and to prepare the Third National Communication on Climate Change. Work Kayumova D.A. "The course of pregnancy, birth and women perinatal outcomes, with the climate change" has received the International Award "Debuts Community" established by the Council for Humanitarian Cooperation of CIS member states and the International Foundation for Humanitarian Cooperation of States - CIS (IFESCCO). The award to the author was given by the President of Turkmenistan Gurbanguly Berdimuhamedov within VII Forum of Creative and Scientific Intelligentsia of the CIS member states held 15-16 October in Ashgabat, Turkmenistan. THE MONOGRAPH WAS PREPARED IN THE FRAMEWORK OF THE PREPARATION OF THE THIRD NATIONAL COMMUNICATION OF THE REPUBLIC OF TAJIKISTAN ON CLIMATE CHANGE UNFCCC, UNDP / GEF CONTENTS INTRODUCTION .............................................................................. ERROR! BOOKMARK NOT DEFINED. CHAPTER 1 ..................................................................................... ERROR! BOOKMARK NOT DEFINED. STATEMENT OF THE PROBLEM ....................................................... ERROR! BOOKMARK NOT DEFINED. CHAPTER 2 ..................................................................................... ERROR! BOOKMARK NOT DEFINED. METHODOLOGY ............................................................................. ERROR! BOOKMARK NOT DEFINED. 2.1. Clinical characteristics of the surveyed contingent of ................... Error! Bookmark not defined. 2.2. Methods of research .................................................................. Error! Bookmark not defined. 2.3. Climatic characteristics of ........................................................... Error! Bookmark not defined. 2.3.1. Physical and geographical conditions and climate in Tajikistan Error! Bookmark not defined. 2.3.2. Climatic and geographical conditions of Dushanbe ................ Error! Bookmark not defined. 2.3.3. Extreme weather events ...................................................... Error! Bookmark not defined. 2.3.4. High temperatures and heat waves ...................................... Error! Bookmark not defined. 2.3.5. Low temperatures and cold waves ....................................... Error! Bookmark not defined. 2.3.6. The observed climate change ............................................... Error! Bookmark not defined. CHAPTER 3 ..................................................................................... ERROR! BOOKMARK NOT DEFINED. FEATURES OF PREGNANCY, BIRTH AND PERINATAL OUTCOMES TAKING INTO ACCOUNT OF CLIMATE CHANGE ......................................................................................... ERROR! BOOKMARK NOT DEFINED. 3.1 Assessment of the vulnerability of pregnancy and birth outcomes, taking into account climate change ............................................................................................. Error! Bookmark not defined. 3.2. Assessment of vulnerability of pregnant women and birth outcome in view of climate change in a prospective .................................................................................... Error! Bookmark not defined. 3.3. Some indicators of the fetus due to climatic changes .................... Error! Bookmark not defined. 3.4The results of the study microflora of the genital tract in view of climate changeError! Bookmark not define 3.5. Extreme climatic variability and determination of the threshold temperatureError! Bookmark not defined. CHAPTER 4 ..................................................................................... ERROR! BOOKMARK NOT DEFINED. COMPLEX ADAPTATION MEASURES TAKING INTO ACCOUNT OF CLIMATE CHANGE ERROR! BOOKMARK NOT DEFI PRACTICAL RECOMMENDATIONS ................................................... ERROR! BOOKMARK NOT DEFINED. CONCLUSION .................................................................................. ERROR! BOOKMARK NOT DEFINED. REFERENCES ................................................................................... ERROR! BOOKMARK NOT DEFINED. Научное издание КАЮМОВА Дилором Абдулхамидовна ОСОБЕННОСТИ ТЕЧЕНИЯ БЕРЕМЕННОСТИ, РОДОВ И ПЕРИНАТАЛЬНЫХ ИСХОДОВ У ЖЕНЩИН С УЧЕТОМ КЛИМАТИЧЕСКИХ ИЗМЕНЕНИЙ Монография Художественный редактор А. Исоев Технический редактор М. Шарипов ИБ № 4956 Дизайн и компьютерная верстка Рахимов Ф.А. Подписано к печати 15.08.2013. Формат А5. Бумага 60х84/16 Бумага офсетная. Гарнитура литературная. Печать офсетная. Усл. печ. л. 9,5. Заказ 000-15. Тираж 300 экз Издательское предприятие «Ирфон» Министерство культуры Республики Таджикистан 734018 г. Душанбе, ул. Н. Карабаева