urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/umj.24.6.82HDYOVFurmj-2036Research ArticleЛитературные обзоры | Literature reviewsLiterature reviewsПреэклампсия: медико-социальные риски и экономические последствия. Системный взгляд на акушерскую проблему XXI векаPreeclampsia: Medical and Social Risks and Economic Consequences. A Systematic View of the 21st Century Obstetric Problemhttps://orcid.org/0000-0002-6223-8888ТаскинаЕ. С.TaskinaE. S.

Елизавета Сергеевна Таскина – кандидат медицинских наук, доцент кафедры офтальмологии; офтальмолог

Чита

Elizaveta S. Taskina – Candidate of Sciences (Medicine), Associate Professor of the Department of Ophthalmology; Ophthalmologist

Chita

taskins@yandex.ruhttps://orcid.org/0000-0002-5961-5400МудровВ. А.MudrovV. A.

Виктор Андреевич Мудров – доктор медицинских наук, доцент, профессор кафедры акушерства и гинекологии педиатрического факультета и факультета дополнительного профессионального образования; акушер-гинеколог

Чита

Victor A. Mudrov – Doctor of Sciences (Medicine), Associate Professor, Professor of the Department of Obstetrics and Gynecology of the Faculty of Pediatrics and the Faculty of Continuing Professional Education; Obstetrician-Gynecologist

Chita

mudrov_viktor@mail.ruhttps://orcid.org/0000-0003-4390-183XКибалинаИ. В.KibalinaI. V.

Ирина Владимировна Кибалина – доктор медицинских наук, доцент, директор научно-исследовательского института молекулярной медицины, заведующий кафедрой нормальной физиологии имени профессора Б. И. Кузника

Чита

Irina V. Kibalina – Doctor of Sciences (Medicine), Associate Professor, Director of the Research Institute of Molecular Medicine, Head of the Department of Normal Physiology named after Professor B. I. Kuznik

Chita

physiology_chgma@mail.ruhttps://orcid.org/0009-0001-2661-5244АгафоноваЕ. Н.AgafonovaE. N.

Елена Николаевна Агафонова – главный врач

Чита

Elena N. Agafonova – Chief Physician

Chita

priemnaya.zkpc@yandex.ruhttps://orcid.org/0009-0005-5968-2151СтарицынаО. А.StaritsynaO. A.

Ольга Анатольевна Старицына – заведующий отделением патологии беременных

Чита

Olga A. Staritsyna – Head of the Department of Pathology of Pregnant Women

Chita

olgastaritzyna@yandex.ruЧитинская государственная медицинская академия; Забайкальский краевой перинатальный центрРоссияChita State Medical Academy; Zabaikalsky Regional Perinatal CenterRussian FederationЧитинская государственная медицинская академияРоссияChita State Medical AcademyRussian FederationЗабайкальский краевой перинатальный центрРоссияZabaikalsky Regional Perinatal CenterRussian Federation20252312202524682–102Copyright © Таскина Е.С., Мудров В.А., Кибалина И.В., Агафонова Е.Н., Старицына О.А., 20252025Таскина Е.С., Мудров В.А., Кибалина И.В., Агафонова Е.Н., Старицына О.А.Taskina E.S., Mudrov V.A., Kibalina I.V., Agafonova E.N., Staritsyna O.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/2036

Преэклампсия – не просто акушерское осложнение, а системный кардиометаболический стресс-тест, раскрывающий скрытые риски для здоровья матери и ребенка на десятилетия вперед. Признанная одной из ведущих причин материнской и перинатальной смертности преэклампсия выходит далеко за рамки гестационного периода: она является мощным предиктором будущих заболеваний у женщины, а также фактором риска нарушений развития, метаболического синдрома и артериальной гипертензии у потомства. В настоящей работе представлен комплексный анализ факторов риска и патогенеза, клинических проявлений, современных подходов к профилактике и лечению, а также социально-экономического бремени преэклампсии для системы здравоохранения и общества. Особое внимание уделено формированию междисциплинарной модели ведения таких пациенток, включая принципы пожизненного диспансерного наблюдения. Преэклампсия требует переосмысления: от эпизодического акушерского вмешательства к стратегии долгосрочной охраны здоровья двух поколений. Это диктует необходимость тесного взаимодействия акушеров-гинекологов, кардиологов, неврологов, эндокринологов и терапевтов для формирования единой жизненной стратегии охраны здоровья женщины. Ее последствия носят системный и пролонгированный характер, что делает ее одной из ключевых проблем не только акушерства, но и здравоохранения в целом.

Preeclampsia is not just an obstetric complication, but a systemic cardiometabolic stress test that reveals hidden risks to maternal and child health for decades to come. Recognized as one of the leading causes of maternal and perinatal mortality, preeclampsia goes far beyond the gestational period: it is a powerful predictor of future diseases in women, as well as a risk factor for developmental disorders, metabolic syndrome, and hypertension in offspring. This work presents a comprehensive analysis of risk factors and pathogenesis, clinical manifestations, modern approaches to prevention and treatment, as well as the socio-economic burden of preeclampsia on the healthcare system and society. Special attention is paid to the formation of an interdisciplinary management model for such patients, including the principles of lifelong follow-up. Preeclampsia requires rethinking: from episodic obstetric intervention to a strategy for long-term health care for two generations. This dictates the need for close cooperation between obstetricians and gynecologists, cardiologists, neurologists, endocrinologists and therapists to form a unified life strategy for protecting women’s health. Its consequences are systemic and prolonged, which makes it one of the key problems not only in obstetrics, but also in healthcare in general.

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The authors declare that there are no conflicts of interest present.