 
        
        Методичка_optim
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6
ttepaTHBHOH cpyHK!..11111, Te'Iemte1111CXOJJ: npe,IV>IJJ:Yll(HX 6epeMeHHOCTeii. IlpoH3BecTl1 06m11if OCMOTP )KeHll(HHbl, H3MepHTb pocr, Macey, OKp~HOCTb )l(HBOra, BblCOTY CTOHHIUI JJ:Ha MaTKl1, pa3Mepbl Ta3a; BeJIH'JHHYManrn; onpe.n.eJil1Tb COCTOSIHl1e JiefKHX, cep)J.lla, ne'IeHH,no'IeK11 JJ;p. opraHOB, apTepmlllbHOe ).l,aBJieHHe Ha 06e11x pyKax,
IlpH nepBOM onpe.ue.rrett1111cpoKa6epeMeHHOCTH tteo6xo,n;>1Mo cornaco- · saTb ero co cpoKoM,r1pe.n.1fonaraeMoii caMoii )!<eHll(HHOH. B cnyqae pacxo)K-
.n.eHHH BOnpoc 0 cpoKe 6epeMeHHOCTH pernaeTCH KOHCYJibTaTlfBHO c 3ase.uy10ll(HM )l(eHCKoli KOHCYJibTal..IBH If .n.pyrnM Bpa'IOM.
cKIDK,UOH)l(eHll(HHOH npOBO)J,HTCH 6ece.ua 0 BIDKHOCTH perylIHpHoro noce- u~eHHH Bpa'Ia)l(eHCJ<OH KOHCYJibTal..IHH 11 BblflOJIHeHHH COBeTOB 11 Ha3Ha'IeHHH.
Ilocne 1<JittH11'IeCkoro11 na6opaTOpHoro 06cne.u0Bamu1 (JJ,o 12 He.uerrL 6epeMeHHocrn:) onpe.n;eJU1eTcH np1ma.u;rre)KHOCTh 6epeMe1rnoi1 K TOH 11rr11 nttoif rpynne pncKa.
.lJ:JIH KOJIH'IeCT:BeHHOH01..1eHJ<H ctiaKTOpOB p11CKa crre.n.yeT IlOJib30BaTbCSI CHCTeMOH 6aJIJIOB (9M, ra6JI1illY).
Ol(EHKAIIPEHATAJThHbIX <I>AKTOPOB PUC:KA Bl>AJIJIAX
| N~ | ·. | 011emra | 
| 
 | ||
| n/ | <l>arropbl pHCKa | D | 
| n | ' | 6am1alt | 
| 
 | ||
| I | 2 | 3 | 
| L | 1.~!!!IH&!!bHO-OH!!.!J!![H'lec1rne | 
 | 
| Bo3paCT Marep11 | 2 | |
| 
 | 110 20 rreT | |
| 
 | 110 30-34 JieT | 2 | 
| 
 | 110 35-39 JieT | 3 | 
| 2. | 40 rreT u t5orree | 4 | 
| 3. | Bo3pacT oTua 40 rreT u 6orree | 2 | 
| 
 | l1po<jlecc11ouan1>Hb1e | 
 | 
| 
 | epe11HOCTII: | 
 | 
| 4. | y MaTepu | 3 | 
| 
 | y on1a | 3 | 
| 
 | Bpel\Hhle npHBhI'IKH | 
 | 
| I | M3Tb: | 
 | 
| Kypett11e I na'IKHc11rapeT | I | |
| 
 | BlleHb, | 
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| 
 | 31IOynoTpe6rremre a.rrKoroneM | 2 | 
| 
 | OTeL(: | 
 | 
| 
 | 3noynOTpe6neuHe arrKororreM | 2 | 
| 5. | 3MOl\HOHl!J1hHhlC uarpy3KH | I | 
| 6. | PoCT HBCCOBble noK333Tem1 | 
 | 
| 
 | MaTepH: | 
 | 
| 
 | pOCT 150 CM H MeHee | 2 | 
| 
 | sec Ha 25% Bbl We HOpMbl | 2 | 
| 
 | CyMMa 6an110~ | 
 | 
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 | <l>arrop1>1 pHCKa I | 
| Ilfn | 
 | 
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| I | . | 2 | 
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 | nopoK11 cep1uia c | |
| 
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 | uapyrneu11eM | 
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 | . | Kponoo6p. | 
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 | rnnepTOHH'leC·Kllll | |
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 | . | OOJie'.lllbl•ll·Ill CT. | 
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 | eerern-cocy11ncTrur | |
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 | 
 | ,QHCTOHHll | 
| 2. | 3a5o,1eeaHHJ1 no'leK: | |
| 
 | . | 110 6epeMeHHOCTH | 
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 | - | o6ocTpenue | 
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 | 3a6orree!ll!Hll npH | 
| 
 | - | 6epeMCHHOCTll | 
| 
 | 3a6011eeaH11e | |
| 
 | 
 | Ha,llnO'le'IHHKOB | 
| 3. | 3u110Kp1111onanrn | |
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 | - | llHa6e11 po11111>1x | 
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11\HTOBHllHOll JKeneJbl
4.AneMilll Hb(r%)9-10-l I
5.KoyryJionarnH
6.MHOilHJI H11pyrne Ja6onesauHl! rnaJ
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7
| I | 2 | 3 | I | 2 | 
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 | J].A!£Yme11cKo- | 
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 | HHi!>eKUHH(T)'6epKyne'J, | 
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 | rHHeKOJIOnt'lecKHilaH8MHj;J | 
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| I. | napl!TeT (KOTOpbie pollbl) | I | 
 | 6pyueJine'J, c11$11n11c, | 
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 | 4-7 | 
 | TOKCOnn3JMOJ II 11p.) | |
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 | 8 H 6onee | 2 | 8. | OCTpbie 11H$eK1.11111 np11 | 
| 2. | A6opTbl nepe11 nepBblMH | 
 | 
 | 6epeMeHHOCTll | 
| 
 | HacTOJILllHMH POMMH: | 2 | 
 | CyMMa6anoe | 
| 
 | I | 
 | 
 | |
| 
 | 2 | 3 | 
 | .lV.0CJJOlKHeHHH | 
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 | 3 H 6onee | 4 | I. | 6epeMeHHOCTll | 
| 3. | A6opTbI nepe11 nosTOpHbIMll | 
 | Bb!pIDKeHHhiil pannull | |
| 
 | po11aMH rum nocne nocnei1nux | 2 | 2. | TOKCllKOJ | 
| 
 | pOllOB 3 H 6onee | Il03){HHll TOKCHK03 | ||
| 4. | npelK){eBpeMeHllbie potu>I - | 3 | 
 | -oreKH BO BpeMJI | 
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 | I | 
 | 6epeMeHHCTll | |
| 
 | 2 u6onee | 8 | 
 | -npe3Kn3MfiCHI nerKOll | 
| 5. | MepTBopolK,ll.ettue | 
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 | CTeneHll | 
| 
 | I | 3 | 
 | -npeJK»aMflCHJI cpe,11Heli | 
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 | 2 H 6onee | 8 | 
 | crenenu | 
| 6. | CMepTb s neoHaTanHOM | 
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 | -npe3KnaMnCHJI TBlKenoll | 
| 
 | neptto11e | 
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 | CTeilCHH | 
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 | I | 2 | 3. | KpoBoTe'leHueI n II | 
| 
 | 2 H 6orree | 7 | 
 | norrOBHHe 6epeMeHHOCTH | 
| 7. | AHOMMHll p33BHTHJI y 11erell | 3 | 4. | PHnABO | 
| 8. | Hesponorlf'lecKHenapyrneHHJI | 2 | 
 | H3oce~H6HJ1103l.IHJ1 | 
| 9. | Bee He110Ho111eHHh1x 11erelt | 2 | 5. | Mttoroeo11He | 
| 
 | 110 2500 r H4000 r H6onee | 6. | Manoeo11ne | |
| JO | fiecnno11tte | 
 | 7. | TllJOsoe npe,!UielKaHHe | 
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 | 2-4 ro11a | 2 | 8. | Mttoronno11ne | 
| 
 | 5 JICT H6onee | 4 | 9. | nepeHOWCHH3JI | 
| II | Py6eu na MaTKe nocne | 3 | 
 | 6epeMeHHOCTb | 
| 
 | onepauHli | 
 | 10. | HenpaBHJJbHOe nonolKeHHC | 
| 12 | Onyxorrn MaTKH 11 JIK'lHllKOB | 3 | 
 | ·nnona (nonepe'!Hoe,1<ocoe) | 
| 13 | HcTMHKo-1.1epe11KanbllllJI | 
 | 
 | 8yMM3 6anl!OB | 
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 | !le){OCTaTO'IHOCTb | 2 | 
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 | 
| 14 | TlopOKH PaJRHTHJI MaTKH | 3 | 
 | Y. 01J.eHK8 COCTOHHHH | 
| 
 | !:;yMM3 6anJJOB. | 
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 | nno11a | 
| 
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 | 1. | n.moTpo$HB nno11a | 
| 
 | IIL3KcrparenHT3JlbHLte | 
 | 2. | fHnoKCHJI nno11a | 
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 | J&OOJieeaHHll MaTepH | 
 | 3. | Co,11eplKanHe JCTpHona e | 
| L | Cep,11e•1no-cocy1111cTbie | 3 | 
 | cyTO'IHOilMO'le: | 
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 | nopoxn cep11ua 6e3 | 
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 | 4,9 Mr/cyY. B 30 HC){eJJb | 
| 
 | 11apy111e11HJ1 1qioeoo6p. | 
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 | 12,0 Mr/cyY. e 40 11e11enb | 
| 
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 | 4. | M3MeHeHHe BOii npu | 
| 
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 | 3MHHOCKOfiHH | 
| 
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 | CvMMa 6annoe. | 
--
3
2
2
2
3
5
10
3-5
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3
3
3
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3
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15
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8
K rpynne 6epeMeHHhlX BhlCOKOropHCKa OTHOCllTCll )KCHll(HHhl c cyMMapHOH oueHKOH ape)J,HhIX npeHaTarrhHhlX <t>aKTOpos a I0 6amroB H Bhillle. K rpynne cpe)J,Hero pwcKa- 5-9 6arrrroa, HH3Koro pwcKa - )J,O 4 6arrnoa. B3aBHCHMOCTH OT CTCIICHH pHCKa I1pOBO,!I,I1TC~ MapKHpOBKa HH)J,HBH)J,yaIThHhlX KapT 6epeMeHHblX.
IlpM HaJitPHUi y 6epeMeHHOH I0 6aruroa H BbIIlle pelllaeTC.SI aonpoc o uenecoo6pa3HOCTH coxpaHemrn 6epeMeHHOCTH. CocrnBIDICTC71 u a "HH,n;HBH-
.n;yarrhHOH KapTe 6epeMeHHOH l1 pO,!I,I1JlhHHUbI" 3am1Cb1BaeTCll HH,ZJJIBH)J,yarrbHb!H IIJiaH Ha6mo.n;eHHll 6epeMCHHOH c HCIIOITb30BaHHCM COBpeMeHHbIX MCTOJI:OB o6cne,n;oBaHUll coeTOllHHH MaTepu H IIJIO,Ua.
Ka>KJI:all 6epeMeHHall )l(emnm1a JI:OJI)l(Ha 6bITh oeMorpeHa repaneBTOM, CTOMaTOJIOrOM, H, npH IIOKa3aHIDJX, .z:q>yri1MH CilellHaITHCTaMH (OKYJIHCTOM, OTOnap1mronoroM, 3H,D;OICplUIOITOroM "JI:p.) H npH H006XO,!I,I1MOCTH 03JI:OpOBJieHa.
HpH Ka)l()J,OM IIOBTOpHOM OCMOTpe 6epeMeHHOH , KpOMe onpoea H aKywepCKOro o6cne;:i:oaaturn, Heo6x o,!I,I1MO Bl;>lllBJIHTh nanwrne HBHhIX u cKphIThIX OTeKOB, o6pamaTb BHHMaHHe Ha IlpaBMJihHOCTh C06JIIOJ(eHM.SI :ll:<eHll(Y.HOH pe- )l(HMa TpyJI:a, OTJl:blXa, IIHTaHHll "Ha BhinOJIHeHHe eOOTBeTCTB)'IOII!eroKOMilJieKca $tt311'-IeCKJ1Xynpa)l(HeHHH.
Oeo6oe BHHMaHHe o6palllaeTe.si Ha <jlyHKUHOHarrhHOe eocrmmue nno;:i:a ero .n;aHraTeJihHYIO aKTHBHOCTh - meaeneHtte, cep.nue6tteHue 11 npe)J,nonaraeMy10 Macey nno)J,a.
Ilpu o6cJie)J,OBaHttH )l(eHll(ijH BO BTOpoi1IIOJIOBHHe6epeMeHHOCTH eTy- )J,CHT onpe~en.sieT OKPY)l(HOCTh )l(HBOTa, BblCOTY CTOHHHll )I.Ha MaTI<u Ha.u noHOM, npe,JJ.IIOJiaraeMyio .D;JIHHY" Bee nno.ua, Hapy)l(HblH pa3Mep roJIOBKH, BblenyumBaeT cep;:i:11e6HeHtte nno,na. C noMomhro 'IeThipexHapy)l(HhIX aKylllepeKHX npHeMOB ycTaHaBJIHBaeT IIOJIO)l(em1e IIJIO,Ua, II03HQHH, BHJl: H npe,[(Jle)l(a- HHe. TpeTbHM H 'IeTBepTbIMIlptteMOM onpe)J,eJilleT OTHOllICHHe npe,[(Jle)l(all(eH qaen1 n.no.na KO BXO)J,y B ManhIH np..
,[(JI.SI BblllBrreHHll CICphlTblX OTCKOB B pepB)'lOoqepe)J,b eJIC)J,yeT HCIIOJib30BaTb KOHTpOJib 3a nptt6aBKOH MaCCbl Tena H .npyrnx npH3H3KOB nperecT030B.
9
lll1rnJia cpe,ll,Heii $H3HOJIOl"'H'IecKOHnpu6amm MaCCbl TeJia 8 TpeTbeM
TpnMecrpe6epeMeHnocTtt (no I>: II. IllKOJILHHKy).
| PocT | 
 | 
 | 
 | HcxOJIHal! Macca Tena 6epeMeHHOH | 
 | 
 | ||||
| 6epe- | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
| MeHHOH | 
 | 50 | 55 | 60 | 65 | 70 | 75 | 80 | 85 | 90 | 
| BCM. | 
 | -- | -- | -- | 
 | 
 | 
 | 
 | 
 | 
 | 
| 185 | 
 | 370/ | 380/ | 400/ | 420/ | 4501 | 480/ | |||
| 
 | 
 | 
 | 
 | 
 | 1480 | 1540 | 1600 | 1680 | 1800 | 1920 | 
| 180 | 
 | -- | ··- | 355/ | 365/ | 380/ | 385/ | ' 415/ | 445/ | 4751 | 
| 
 | 
 | 
 | 
 | 1420 | 1460 | 1520 | 1580 | 1660 | 1780 | 1900 | 
| 175 | 
 | -- | 340/ | 385/ | 360/ | 3751 | 390/ | 410/ | 440/ | 470/ | 
| 
 | 
 | 
 | 1360 | 1400 | 1440 | 1500 | 1560 | 1640 | 1760 | 1880 | 
| 170 | 
 | 325/ | 335/ | 345/ | 355( | 370/ | 385/ | 405/ | 435/ | 465/ | 
| 
 | 
 | 1300 | 1340 | 1380 | 1420 | 1480 | 1540 | 1620 | 1740 | 1860 | 
| 165 | I | 320/ | 330/ | 340/ | 350/ | 3651 | 380/ | 400/ | 430/ | 460/ | 
| 
 | 1280 | 1320 | 1360 | 1400 | 1460 | 1520 | 1600 | 1720 | 1840 | |
| 160 | I | 315/ | 325/ | 3351 | 345/ | 360/ | 375( | 3f:J5/ | . 425i | 4551 | 
| 
 | 1260 | 1300 | 1340 | 1380 | 1440 | 1500 | 1580 | 1700 . | 1820 | |
| 155 | 
 | 310/ | 320/ | 330/ | 340/ | 3551 | 370/ | 390/ | 420/ | -- | 
| 
 | 
 | 1240 | 1280 | 1320 | 1300 | 1420 | 1480 | 1560 | 1680 | 
 | 
| 150 | 
 | 300/ | 310/ | 320/ | 330/ | 345/ | 360/ | 380/ | - | -- | 
| 
 | 
 | 1200 | 1240 | 1280 | · 1320 | 1380 | 1440 | 1520 | 
 | 
 | 
l.facmueJih - e)l{eHe)l.eJibHasi npw6aBl<a Macchi. 3HaMeJiaTeJih - MecsiqHa.11 np116aB1<a Macchi.
IlpH BblSIBJiemrn reCT030B BO BTOpoif IlOJIOBIIHe 6epeMeHHOCTl1 npoBO-
.rt:HTCH OL\eHKa ero T.)[)l{eCTH B 6aJIJiaX.
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