Q&A

Dear Karina! 1. We let relatives even into paid wards only to a limited extent: in the presence of vaccination against Covid or a fresh PCR test, without catarrhal phenomena, for 0.5 hours a day, from 16:30 to 18:30. 2. There is an electric kettle. 3. You can conclude a contract for the provision of paid services at any time of pregnancy. Keep in mind that the accounting department works only on weekdays from 8:00 to 16:00.

Dear Tatiana! 1. The term of pregnancy at the beginning of childbirth does not affect contractual obligations. 2. The "subluxation" of the coccyx - if it is manifested only by painful sensations - is not a reason for cesarean section. On the other hand, it is necessary to see if there is any displacement (whether it protrudes into the pelvic cavity more than usual) - this can be seen with a normal vaginal examination. In any case, the degree of displacement should be correlated with the estimated size of the fetus. The rest of the pathologies listed by you are also not indications for Cesarean section by themselves. In general, we can say that the examination and examination determine the tactics of delivery much more reasonably than e-mail correspondence.

Dear Olga! Most likely it will be present, but it is impossible to answer for sure without knowing the whole picture (what kind of defect, how compensated, whether the operation was, etc.).

Dear Polina!
1. The idea of introducing generic certificates since 2006. I was just in giving a woman the opportunity to choose an obstetric hospital. This innovation was based on the assumption that out of several obstetric hospitals in the region, the one with more attractive conditions for patients receives a competitive advantage and additional financial resources due to birth certificates. At the same time, this idea works well only in cases where there is competition for financial resources between exactly equivalent hospitals - for example, in large cities where there are at least two hospitals of the same level. In a small Lipetsk region at the moment (due to the conversion in 2020 of two obstetric hospitals for patients with NCVI) there is one obstetric hospital of the III level (GUZ "LOPTS"), one of the II level (GUZ "LGRD") and five of the I level (maternity wards in part of district hospitals). Therefore, the main factor determining the place of delivery of a particular pregnant woman is the order of the RCD on the amputation of pregnant women. That is, the more perinatal risk factors a pregnant woman has, the higher the level she should be delivered. This approach is due to the natural difference in the level of equipment and qualifications of personnel between different levels and allows to reduce the proportion of adverse outcomes of childbirth. Theoretically, a woman in labor with a birth certificate, for example, at the beginning of labor before the term of 37 weeks (that is, with premature birth) can apply to the I level, but since it is impossible to provide full-fledged medical care to premature newborns at this level, she will be transferred to the III level quite reasonably - against her will, but in order to achieve a successful result. The opposite situation also happens: a perfectly healthy woman in labor turns instead of the I or II level immediately to the GOZ "LOPTS". If the situation allows her to be redirected to another obstetric hospital (not the active phase of labor, without discharge of water, etc.), and also with a high workload of the hospital, this can be done quite reasonably, again against her wishes. If the birth is in the active phase, we will not be able to refuse her, regardless of the presence or absence of a birth certificate. Therefore, the possibility of choosing an obstetric hospital based on the availability of a birth certificate is far from unconditional. 2. Currently, in the Lipetsk region, there are restrictions on visits to hospitalized patients by relatives due to the current epidemiological situation for a new coronavirus infection. At the same time, it is possible to carry out partner childbirth in the GUZ "LOPTS" if the partner complies with the following rules: 1. At the time of delivery there should be no signs of acute respiratory viral infections (fever, catarrhal phenomena, etc.) 2. The result of lung fluorography on the hands, less than 1 year old 3. Certificate of vaccination against COVID-19 or the result of PCR examination for COVID-19 on hands (preferably less than 4 days old) 4. Availability of disposable clothing and clean replacement shoes Finally, the issue of the partner's admission to childbirth is decided by the responsible doctor on duty at the maternity hospital at the time of the patient's admission. 3. Without vaccination, we have no right to refuse anyone. But we strongly advise you to get vaccinated!!! This is in your best interests, there are a lot of heavy pregnant women with covid.

Dear Elena! Discharge from the obstetric hospital of GUZ "LOPTS" is carried out daily, including on weekends and holidays.

Dear Ksenia! No, if it is necessary to perform a caesarean section (both "planned" and "emergency") - we do not require the presence of PCR on the NKVI. We take it (ourselves to LOPC) only if an infection is suspected.

Dear Elena! With a planned hospitalization in the GUZ "LOPTS", a PCR result on the NKVI is really required. The analysis should be submitted no earlier than three days before admission to the hospital. In case of emergency hospitalization, we take PCR on the NKVI ourselves, but only in cases where there is a suspicion of infection.

Dear Galina Alekseevna! The idea of introducing generic certificates since 2006. I was just in giving a woman the opportunity to choose an obstetric hospital. This innovation was based on the assumption that out of several obstetric hospitals in the region, the one with more attractive conditions for patients receives a competitive advantage and additional financial resources due to birth certificates. At the same time, this idea works well only in cases when there is competition for financial resources between exactly equivalent hospitals - for example, in large cities where there are at least two hospitals of the same level. At the moment, in a small Lipetsk region (due to the conversion of two obstetric hospitals for patients with NCVI in 2020), there is one obstetric hospital of the III level (GUZ "LOPTS"), one of the II level (GUZ "LGRD") and five of the I level (maternity departments in part of district hospitals). Therefore, the main factor determining the place of delivery of a particular pregnant woman is the order of the RCD on the amputation of pregnant women. That is, the more perinatal risk factors a pregnant woman has, the higher the level at which she should be delivered. This approach is due to the natural difference in the level of equipment and qualification of personnel between different levels and allows reducing the proportion of unfavorable outcomes of childbirth. Theoretically, a woman in labor with a birth certificate, for example, at the beginning of labor before the term of 37 weeks (that is, with premature birth) can apply to the I level, but since it is impossible to provide full - fledged medical care to premature newborns at this level, she will be transferred to the III level quite reasonably-against her will, but in order to achieve a successful result. There is also the opposite situation: a completely healthy woman in labor turns instead of the I or II level immediately to the GUZ "LOPTS". If the situation allows you to redirect her to another obstetric hospital (not the active phase of labor, without water discharge, etc.), and also with a high workload of the hospital - this can be done quite reasonably, again against her will. If the birth is in the active phase , we will not be able to refuse it, regardless of the presence or absence of a birth certificate. Therefore, the possibility of choosing an obstetric hospital based on the availability of a birth certificate is far from unconditional.

Dear Maria, 1. Currently, in the Lipetsk region, there are restrictions on visits to hospitalized patients by relatives due to the current epidemiological situation for a new coronavirus infection. At the same time, in the GUZ "LOPTS" it is possible to conduct partner births if the partner complies with the following rules: - At the time of delivery, there should be no signs of ARVI (fever, catarrhal phenomena, etc.) - The result of lung fluorography on the hands, less than 1 year old - Certificate of vaccination against COVID-19 or the result of a PCR examination for COVID-19 on the hands (preferably less than 4 days old) - The presence of disposable clothing and clean replacement shoes Finally, the issue of allowing a partner to give birth is decided by the responsible doctor on duty at the maternity hospital at the time of admission of the patient. 2. More than 60% of births carried out in the GUZ "LOPTS" are births through the natural birth canal.

Good afternoon, Sofia!
This year, our institution has already been closed for a scheduled washing.
Sincerely, the Administration of GUZ "LOPTS"