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Our predecessors could be content with the level of education that they received in their youth. But for us, we must begin to study again every five years, if we do not want to lag behind life.

I.V. Goethe

As a result of the progress of medical science, the concept of a whole series of pathophysiological processes in the mother and fetus during pregnancy, childbirth and the postpartum period has changed significantly. Widespread new technologies and principles for the diagnosis, treatment and prevention of many complications of pregnancy and childbirth, which are based on the latest scientific achievements.

So, in particular, perinatology received significant development, methods and principles of prenatal diagnosis aimed at identifying fetal development disorders were improved. The concept of pregnancy complications such as gestosis, fetoplacental insufficiency, obstetric hemorrhages, and others has been significantly supplemented, and in some positions, changed. Many questions have been raised regarding the organization of obstetric care on an outpatient basis and in hospitals.

It should also be noted that the number of patients both pregnant and planning a pregnancy with various extragenital and gynecological pathologies, with a burdened obstetric and gynecological history and constituting a significant risk group for complications during pregnancy and childbirth has increased. Working with such patients requires a highly qualified doctor who is able to apply all the latest diagnostic and medical technologies and, accordingly, serious professional knowledge.

Currently, in a market economy, the requirements for professional training of specialists are becoming increasingly high, the level of theoretical knowledge and practical experience of which should be comparable and even ahead of the level of their colleagues abroad. In this regard, the concept of continuing postgraduate education is of particular relevance, the purpose of which is first to specially prepare university graduates for independent work, and then their continuous professional

improvement taking into account the needs of practical work. In this regard, the thought of the German educator F. A. V. Disterweg is relevant: “Education never constitutes something complete and completed, it is always forming and living, which cannot be imagined without activity, movement, and increment.”

Unfortunately, the modern methodology of teaching medical disciplines is replete with standards, templates, algorithms, which are often not even fully understood by students and are perceived solely as a keepsake. Moreover, another important task of postgraduate education is the development and improvement of independent and extraordinary clinical thinking of a specialist doctor in compliance with the principles of an individual approach to each patient.

The process of continuing professional education should, first of all, be active, independent. First of all, a doctor should be able to and be able to work with literary sources, significantly supplementing and thereby consolidating his knowledge at lectures and seminars.

The rapid progress of medical science is in many ways ahead of the various publications and publications published, which mainly contain only fragmentary and sometimes conflicting information on a number of fundamentally important theoretical and practical issues of modern obstetrics.
In addition, the publications of foreign authors, which often suffer from incorrect translation, became accessible to doctors, and the presentation of a whole series of questions differs significantly from the ideas of Russian obstetrics.

Consequently, one of the most important issues in implementing the principles of continuing postgraduate training of doctors is the support and support of the educational process with appropriate educational literature. Currently, an urgent need has arisen for the availability of such educational literature, since until now there has not been such a single fundamental specialized educational publication in the postgraduate education system of domestic obstetrician-gynecologists.

This manual for doctors, which presents all the main modern problems of obstetric practice, is the first such educational publication. It was prepared by a corresponding member of the Russian Academy of Medical Sciences, professor I. S. Sidorova, academician of the Russian Academy of Medical Sciences, professor V. I. Kulakov, professor I. O. Makarov.

One of the important tasks of this practical guide was a holistic presentation of the material with a rational combination of the knowledge of classical obstetrics with modern scientific and practical experience, both domestic and foreign. In many ways, the materials presented in the practical guide are based on the authors' many years of scientific and clinical experience. In presenting the material in various nosological forms, modern classifications and nomenclatures have been used.

The manual contains both modern theoretical data on obstetrics and is applied in nature, carrying information,

which is in demand in the professional activities of an obstetrician-gynecologist.

The materials of this practical guide correspond to the educational standard of postgraduate professional training of specialists with higher medical education in the specialty 040 101 "Obstetrics and Gynecology" and is compiled in accordance with the list of sections of the Curriculum for the training of specialist obstetrician-gynecologist in the section "Obstetrics".

The manual reflects all the main issues of the studied discipline, which allow the doctor to most fully understand various clinical situations, facilitate diagnosis and make the right decision for the successful management of the patient, treatment of revealed diseases and complications, choice of term and method of delivery.

This manual is intended for the system of postgraduate professional education of medical practitioners of obstetrician-gynecologists, as well as interns, clinical residents and graduate students. In addition, it is also of interest to doctors of related specialties.

The authors will be grateful to the readers for all comments and suggestions for improving this manual.
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