The role of society’s institutions in the formation and preservation of reproductive health, the management of tobacco and nicotine-containing products in different periods of women’s live

Smoking is a proven preventable risk factor for health and developmental disorders in girls, young women, women, and adverse pregnancy outcomes for mother and fetus. Objective. To study the trends in the reproductive and demographic potential of society and the role of its institutions in shaping women’s health and managing tobacco and nicotine consumption. Materials and methods. The material for the retrospective observational study was statistical data from the Federal State Statistics Service of the Russian Federation for the period 2010—2023. Social and hygienic, statistical, analytical methods, and content analysis were used. Results. The dynamic series of the total fertility rate (TFR), the number of women aged 25—29 for the period 2010—2023, and the age-specific fertility rate in 2022 were analyzed. The study shows stable trends in the reduction of the total fertility rate (1.4 in 2023) and the number of women aged 25—29 with the highest fertility rate (90.1 per 1000 women). The stratification of the influence of social institutions on the formation and maintenance of women’s health and smoking management at different periods of life is carried out. Conclusion. Synchronization of the influence of social, political and medical determinants of public health and supplementation of existing reproductive health assessment programs with biochemical verification of tobacco smoking and vaping in a cohort of women with the most promising preventive impact with an emphasis on the prevention of maternal and perinatal morbidity and mortality from preventable causes using remote fetal monitoring based on digital technologies and the Internet of Medical Things will reduce the number of adverse pregnancy outcomes associated with smoking and preserve the reproductive potential of society. To study the role of smoking as a factor influencing the reproductive and demographic potential of society and the role of social institutions in shaping women’s health.