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<article article-type="conference-paper" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">ymj-1375</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОХРАНА И ПОДДЕРЖКА ГРУДНОГО ВСКАРМЛИВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PROTECTION AND SUPPORT OF BREASTFEEDING</subject></subj-group></article-categories><title-group><article-title>Современное состояние грудного вскармливания в Республике Саха (Якутия): проблемы и перспективы развития</article-title><trans-title-group xml:lang="en"><trans-title>Modern State of Breastfeeding in Sakha Republic (Yakutia): Development Issues and Prospects</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедева</surname><given-names>У. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedeva</surname><given-names>U. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедева Ульяна Михайловна – к.м.н., руковод. Центра лечебного и профилактического питания, гл. внештат. диетолог М3 РС(Я), ДBФО, член профильной комиссии по диетологии Экспертного совета в сфере здравоохранения М3 РФ</p></bio><bio xml:lang="en"><p>Lebedeva Uljana Mikhailovna ­ cand. med. sciences, head of the Centre of medical and prophylactic nutrition SI of Health NEFU of M.K. Ammosov, chief non­staff dietician FEFD, the Dietology commission advisory council member in the sphere of public health MHRF</p></bio><email xlink:type="simple">ulev@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гмошинская</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gmoshinskaya</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гмошинская Мария Владимировна – д.м.н., вр.и.о. зав. лаб.</p></bio><bio xml:lang="en"><p>Gmoshinskaya Maria Vladimirovna – doct. med. sciences, head of the laboratory FSBSE “SI of Nutrition”</p></bio><email xlink:type="simple">mgmosh@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Aбольян</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Abolyan</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Абольян Любовь Викторовна – д.м.н., гл. н.с. НИИ общественного здоровья и управления здравоохранением</p></bio><bio xml:lang="en"><p>Abolyan Ljubov Viktorovna – doct. med. sciences, chief researcher,. Scientific Institute of Public Health and Managements of public health services of SBEI HVE I.M.Setchenov MSMU MH</p></bio><email xlink:type="simple">labolyan@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Слепцова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sleptsova</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Слепцова Наталья Александровна – м.н.с.</p></bio><bio xml:lang="en"><p>Sleptsova Natalia Alexandrovna – junior researcher</p></bio><email xlink:type="simple">pitanie2012@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дохунаева</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Dokhunaeva</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дохунаева Алена Михайловна – м.н.с.</p></bio><bio xml:lang="en"><p>Dokhunaeva Alena Mihajlovna – junior researcher SI of Health NEFU of M.K. Ammosov</p></bio><email xlink:type="simple">dohunaeva@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чичахов</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Chichakhov</surname><given-names>J. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чичахов Дьулустан Анатольевич – д.м.н., гл. педиатр М3 РС(Я)</p></bio><bio xml:lang="en"><p>Chichahov Djulustan Anatolevich – doct. med. sciences, chief pediatrician of MH RS (Y)</p></bio><email xlink:type="simple">minzdrav@sakha.gov.ru</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Bербицкая</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Verbitskaya</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вербицкая Людмила Ильясовна – к.м.н., зам. М3 РС(Я)</p></bio><bio xml:lang="en"><p>Verbitskaya Lyudmila Ilyasovna – cand. med. sciences, deputy minister of public health RS (Y)</p></bio><email xlink:type="simple">minzdrav@sakha.gov.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьева</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigorieva</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Антонина Николаевна – зам. М3 РС(Я)</p></bio><bio xml:lang="en"><p>Grigorieva Antonina Nikolaevna – deputy Minister of MH RS(Y)</p></bio><email xlink:type="simple">minzdrav@sakha.gov.ru</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оконешникова</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Okoneshnikova</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Оконешникова Анна Ивановна – директор ГБУ РС(Я) «ЯРМИАЦ»</p></bio><bio xml:lang="en"><p>Okoneshnikova Anna Ivanovna - director SBE RS(Y) YRMIAC”</p></bio><email xlink:type="simple">yakmed@sakha.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новгородова</surname><given-names>У. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Novgorodova</surname><given-names>U. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новгородова Ульяна Романовна – зав. отделением</p></bio><bio xml:lang="en"><p>Novgorodova Uljyana Romanovna – head of the Department</p></bio><email xlink:type="simple">gorclinbol@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Bасильев</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasiliyev</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васильев Николай Николаевич – к.м.н., гл. врач</p></bio><bio xml:lang="en"><p>Vasiliev Nikolay Nikolaevich – cand. med. sciences, chief physician</p></bio><email xlink:type="simple">gorclinbol@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Донская</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Donskaya</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Донская Данара Сергеевна – зам. гл. врача</p></bio><bio xml:lang="en"><p>Donskaya Danara Sergeevna – deputy chief physician</p></bio><email xlink:type="simple">gorclinbol@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИ здоровья СBФУ им. М.К. Аммосова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>SI of Health NEFU of M.K. Ammosov</institution><country>Russian Federation</country></aff></aff-alternatives><aff xml:lang="ru" id="aff-2"><institution>ФГБНУ «НИИ питания»</institution><country>Russian Federation</country></aff><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГБОУ BПО Первый МГМУ им. И.М. Сеченова М3 РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>SBEI HVE I.M.Setchenov MSMU MH</institution><country>Russian Federation</country></aff></aff-alternatives><aff xml:lang="en" id="aff-4"><institution>SBEI HVE I.M.Setchenov MSMU MH</institution><country>Russian Federation</country></aff><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ГБУ РС(Я) «ЯРМИАЦ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>SBE RS(Y) YRMIAC”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ГБУ РС(Я) «Якутская городская клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>SBE RS(Y) Yakutsk City Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>13</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>24</fpage><lpage>26</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лебедева У.М., Гмошинская М.В., Aбольян Л.В., Слепцова Н.А., Дохунаева А.М., Чичахов Д.А., Bербицкая Л.И., Григорьева А.Н., Оконешникова А.И., Новгородова У.М., Bасильев Н.Н., Донская Д.С., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Лебедева У.М., Гмошинская М.В., Aбольян Л.В., Слепцова Н.А., Дохунаева А.М., Чичахов Д.А., Bербицкая Л.И., Григорьева А.Н., Оконешникова А.И., Новгородова У.М., Bасильев Н.Н., Донская Д.С.</copyright-holder><copyright-holder xml:lang="en">Lebedeva U.M., Gmoshinskaya M.V., Abolyan L.V., Sleptsova N.A., Dokhunaeva A.M., Chichakhov J.A., Verbitskaya L.I., Grigorieva A.N., Okoneshnikova A.I., Novgorodova U.M., Vasiliyev N.N., Donskaya D.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/1375">https://ymj.elpub.ru/jour/article/view/1375</self-uri><abstract><p>Проведен анализ показателей грудного вскармливания за 2004-2013 гг. по данным статистики Министерства здравоохранения Республики Саха (Якутия) по отдельным зонам медико-экономического районирования республики (арктическая, сельскохозяйственная и промышленная). Установлены различные уровни показателей грудного вскармливания в динамике за 10 лет по отдельно взятым территориям. Проведена оценка работы «Школы грудного вскармливания» в 35 муниципальных образованиях, выявлены эффективные источники пропаганды и поддержки грудного вскармливания.</p></abstract><trans-abstract xml:lang="en"><p>The analysis of indicators of breastfeeding per 2004­2013 according to statistics of the Ministry of Health of the Republic Sakha (Yakutia) on certain areas of medical and economic zoning of the Republic (the Arctic, agricultural and industrial) is carried out. Different levels of breastfeeding rates in dynamics for 10 years on separate territories are specified. The evaluation of the work of the «School of breastfeeding» in 35 municipalities is done and efficient sources of promoting and supporting breastfeeding are identified.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>грудное вскармливание</kwd><kwd>уровни показателей грудгного вскармливания</kwd><kwd>Школа грудного вскармливания</kwd><kwd>грудное молоко</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breastfeeding</kwd><kwd>breastfeeding indicators levels</kwd><kwd>the school of breastfeeding</kwd><kwd>breast milk</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Часть работы проведена в рамках базовой части государственного задания Минобрнауки РФ №3048.</funding-statement><funding-statement xml:lang="en">Part of the work has been conducted within the basic part of the state Task of the Ministry for Education and science, Russian Federation №304</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Грудное вскармливание: консультирование матери: информ. для мед. работников / под общей ред. проф. 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