Introduction. The intensive development of the mining industry led to a rapid growth in the population, large-scale migration processes to cities, the construction of numerous industrial facilities, which was accompanied by changes in the ecological, socioeconomic and cultural foundations of the local indigenous population (Khanty and Mansi) caused by the disruption of the usual rhythm of life that exists here. over the centuries Aim. The study of mass and growth parameters, the state of the biocenosis of the vagina and gastrointestinal tract in pregnant women living in the village and in the city in the Khanty-Mansi Autonomous Okrug-Yugra and correction of violations with met-ronidazole and miconazole. Materials and methods. A prospective analysis of complaints, anamnestic, anthropometric, as well as an assessment of the state of the biocenosis of the vagina and intestines in patients selected by the method of continuous sampling was carried out. We examined women from among the indigenous small-numbered peoples of the north (indigenous peoples of the North) – the Khanty and Mansi, living in the urban-type settlement. Berezovo, in camps and in the city of Khanty-Mansiysk. The comparison group included women from the migrant population (Russians) living in the city of Khanty-Mansiysk. Results. It was found that the greatest number of violations of the biocenosis of the vagina and intestines was in pregnant women living in the city, both from the indigenous minorities and the migrant population. Half of pregnant women, 50% of women, had normocenosis. Every second had inflammatory changes – nonspecific vaginitis occurred in 9.1%, vulvovaginal candidiasis in 13.6% and mixed pathogenic flora (bacterial vaginosis and vulvovaginal candidiasis) were in 31.8% of women. Monitoring of the state of the vaginal biocenosis was carried out after 4–5 weeks and at the end of the postpartum period (40–44 days), normobiocenosis was determined. Relapses both before and after childbirth within 42 days were not observed in this contingent. Conclusion. The use of metronidazole and miconazole intravaginally is an effective treatment for bacterial vaginosis in combina-tion with vulvovaginal candidiasis with rapid relief of symptoms and no side effects. © 2022, Remedium Group Ltd. All rights reserved.