REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot181210.32687/1561-5936-2025-29-3-241-244Original ArticleOrganizational technology of prevention of habitual miscarriage and assessment of its economic efficiencyGrishinaNatalya Konstantinovnauch_secret@mail.ruVartanyanElen Araevnaelenvartanian@gmail.comMikhailovIlya Alexandrovichmikhailov@rosmedex.ruMedical and Biological University of Innovation and Continuous Education, Federal State Budgetary Institution, A. I. Burnazyan Federal Medical and Biological Center, Federal Medical and Biological Agency of Russia, Moscow, RussiaN. A. Semashko National Research Institute of Public Health, Moscow, RussiaCenter for Expertise and Quality Control of Medical Care of the Ministry of Health of the Russian Federation, Moscow, Russia15122025324124417102025Copyright © 2025,2025The article presents the results of a study devoted to the development and evaluation of the economic effectiveness of a set of organizational measures to improve the prevention of habitual miscarriage. The authors propose an innovative organizational technology, including the creation of a specialized department for the prevention of MFN, a standardized algorithm for patient management, and a system for monitoring effectiveness. A multidisciplinary approach that unites obstetricians and gynecologists and specialized specialists makes it possible to optimize the process of follow-up, starting from the first episode of termination of pregnancy. The study was conducted on the basis of the M. P. Konchalovsky Maternity Complex of the Moscow City Clinical Hospital, with a retrospective analysis of data from 2022 to 2024. The results demonstrate significant cost savings: the treatment of 206 patients in the PNB Prevention Department resulted in a reduction of costs by 456,290 rubles (2,215 rubles per patient) compared to traditional methods. Taking into account the inflation adjustment, the savings in 2024 prices amounted to 682,675.34 rubles. The proposed model meets the regulatory requirements of the Russian Ministry of Health and has been tested in medical institutions in Moscow and the Moscow Region. Its implementation not only reduces the financial burden on the healthcare system, but also helps to reduce perinatal losses. The study confirms the feasibility of widely using the developed technology in obstetric and gynecological practice to improve the prevention of PNB.organizational technologyhabitual miscarriagerisk factorspreventionmanagementкомплекс организационных мероприятийэкономическая эффективностьпривычное невынашивание беременностифакторы рискапрофилактикауправление1.Nikolaeva A. S., Tanysheva G. A. Modern aspects of prediction and prevention of preterm birth. Literature review. Science and Healthcare. 2019;(5):23—36 (In Russ.).2.Wang X., Xie L., Pengetnze Y. M., Ouyang W., Ligon H. K., Persaud D. I., et al. Timely preterm-birth prediction among pregnant women in Medicaid without preterm-birth history. Am. J. Manag. Care. 2021;27(5):e145—e151.DOI: 10.37765/ajmc.2021.886363.Eslami A., Farahmand K., Totonchi M., Madani T., Asadpour U., Zari Moradi S., et al. FMR1 premutation: not only important in premature ovarian failure but also in diminished ovarian reserve. Hum. Fertil. (Camb). 2017;20(2):120—125. DOI: 10.1080/14647273.2016.12553564.Baranov AA, Albitsky VY. The state of health of Russian children, priorities for its preservation and strengthening. Kazan Medical Journal. 2018;99(4):698—705. (In Russ.). DOI: 10.17816/KMJ2018-6985.Plutnitsky AN, Grishina NK, Vartanyan EA, Mikhailov IA Development of an organizational technology for managing risk factors for the development of habitual miscarriage. Remedium. 2024;28(4):337—341. (In Russ.). DOI: 10.32687/1561-5936-2024-28-4-337-3416.Olkov IG, Grishina NK, Luzanov OA Methodological approaches to assessing the economic efficiency of using HPV testing and cytological examination in the provision of medical care in the profile of «obstetrics and gynecology». Problems of social hygiene, healthcare and the history of medicine. 2025;33(1):48—52. (In Russ.). DOI: 10.32687/0869-866X-2025-33-1-48-52